U.S. Health Surveys Microdata for Population Health Research

总结 该提案寻求继续提供资金，以扩大和加强IPUMS健康调查项目。IPUMS Health Surveys通过以下两个途径简化了对美国人口健康核心调查数据的访问 综合数据库：国家健康访谈调查（IPUMS NHIS）和医疗支出面板 家庭调查部分。NHIS是美国健康信息的主要来源， 健康差异、健康的社会决定因素和卫生系统变化; MEPS是主要来源 关于国家趋势和相关医疗保健支出的信息。该项目将进一步改善 这一关键资源的开创性研究在五个方面：（1）协调重新设计的NHIS。NHIS已 在2019年进行了重大重新设计。重新设计的几个方面代表了与过去的重大偏离 实践中，并对数据的可比性随着时间的推移。该项目将创建和修改 现有的IPUMS NHIS数据和元数据，以适应这些变化的调查，包括记录 更改数据收集程序和数据结构，以便用户可以开发连接 尽可能延长调查重新设计期。(2)数据库扩展。该项目将扩大IPUMS 通过整合新五年的NHIS和MEPS调查数据和文件进行健康调查。每年， 调查将添加、删除和修改问题。拟议的项目将容纳和记录这些 变化，而不丢失细节。(3)MEPS增强。该项目将加强IPUMS MEPS数据库 通过整合1996-2023年医疗条件和事件文件的数据，记录 条件文件、事件文件和轮次，并描述不同文件类型与 已经通过IPUMS MEPS提供的机器可读元数据数据，将用于创建新的 面向用户的工具。(4)改善数据基础设施和访问。拟议的项目将丰富获得 采用三种新的方法对数据进行处理：（a）在IPUMS上设计和实现可变结构系统 （B）通过一个新的在线数据制表机，支持对IPUMS MEPS数据进行在线数据分析; 及（c）开发应用程序编程接口（API），以促进对MEPS的编程访问，以及 NHIS数据。(5)传播。通过用户支持、培训和外联活动，拟议项目将 吸引新用户，支持继续使用IPUMS NHIS和IPUMS MEPS数据。沿着会议 展览和介绍，介绍性研讨会，并及时回答用户的查询，该项目将提供 新的介绍性网络研讨会，涵盖特定主题的深入网络研讨会，以及两个为期多天的研讨会， 早期职业学者使用IPUMS MEPS。

Summary This proposal seeks continued funding to expand and enhance the IPUMS Health Surveys Project. IPUMS Health Surveys provides streamlined access to core U.S. survey data on population health through two integrated databases: the National Health Interview Survey (IPUMS NHIS) and the Medical Expenditure Panel Survey Household Component (IPUMS MEPS). The NHIS is the leading source of information on U.S. health, health disparities, the social determinants of health, and health systems change; the MEPS is the primary source of information on national trends and correlates in health care spending. The proposed project will further improve this crucial resource for pathbreaking research in five ways: (1) Harmonization of redesigned NHIS. NHIS has been significantly redesigned in 2019. Several aspects of the redesign represent major departures from past practice and have implications for the comparability of the data over time. This project will create and modify existing IPUMS NHIS data and metadata to accommodate these changes to the survey, including documenting changes to the data collection procedures and data structure so users can develop analyses that bridge the survey redesign period to the fullest extent possible. (2) Database expansion. This project will expand IPUMS Health Surveys by integrating five new years of NHIS and MEPS survey data and documentation. In each year, the surveys will add, drop, and modify questions. The proposed project will accommodate and document those changes without losing detail. (3) MEPS enhancements. This project will enhance the IPUMS MEPS database by incorporating data from the 1996-2023 medical conditions and event files, documenting relationships among condition files, event files, and rounds and describing the relationships between the different file types and the data already available through IPUMS MEPS in machine-readable metadata that will be used to create new user-facing tools. (4) Data infrastructure and access improvement. The proposed project will enrich access to the data with three new approaches: (a) design and implement a variable construction system on the IPUMS MEPS website; (b) support online data analysis of the IPUMS MEPS data through a new online data tabulator; and (c) develop an Application Programming Interface (API) to facilitate programmatic access to MEPS and NHIS data. (5) Dissemination. Through user support, training, and outreach activities, the proposed project will attract new users and support continuing use of the IPUMS NHIS and IPUMS MEPS data. Along with conference exhibits and presentations, introductory workshops, and timely answers to user queries, the project will provide new introductory webinars, in-depth webinars covering specific topics, and two multiple-day workshops to train early-career scholars to use IPUMS MEPS.