U.S. Health Surveys Microdata for Population Health Research

摘要 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 健康调查通过以下两种方式提供对美国人口健康核心调查数据的简化访问 综合数据库：全国健康访谈调查(IPUMS NHIS)和医疗支出小组 调查住户组成部分(IPUMS MEP)。NHIS是美国健康信息的主要来源， 健康差距、健康的社会决定因素和卫生系统的变化；欧洲议会议员是主要来源 关于国家趋势和医疗保健支出的相关性的信息。拟议中的项目将进一步改善 这一开创性研究的关键资源有五个方面：(1)重新设计的NHIS的协调。NHIS有 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背离 实践，并对数据随时间的可比性产生影响。该项目将创建和修改 现有的IPUMS NHIS数据和元数据，以适应调查的这些变化，包括记录 对数据收集程序和数据结构进行更改，以便用户可以开发连接 勘察重新设计期，尽最大可能。(2)数据库扩容。该项目将扩大IPUMS 通过整合新的五年国家卫生信息系统和欧洲议会议员的调查数据和文件，开展健康调查。每一年， 调查将添加、删除和修改问题。拟议的项目将容纳并记录这些内容 在不丢失细节的情况下进行更改。(3)MEPS增强。该项目将加强各国议会管理系统MEPS数据库 通过整合1996-2023年医疗状况和事件文件中的数据，记录 条件文件、事件文件和轮转，并描述不同文件类型与 已通过IPUMS MEP以机器可读元数据形式提供的数据，将用于创建新的 面向用户的工具。(4)数据基础设施和接入方面的改进。拟议的项目将丰富进入 采用三种新的数据处理方法：(A)设计并实现了IPUMS上的可变结构系统 环境保护方案网站；(B)通过一个新的在线数据制表器，支持对各国议会联盟环境保护方案数据进行在线数据分析； 和(C)开发应用程序编程接口(API)，以促进以编程方式访问欧洲议会议员和 NHIS数据。(5)传播。通过用户支助、培训和外联活动，拟议项目将 吸引新用户并支持继续使用IPUMS NHIS和IPUMS MEPS数据。与会议一起 展览和演示、介绍性研讨会以及及时回答用户询问，该项目将提供 新的入门网络研讨会、涵盖特定主题的深入网络研讨会以及两个为期数天的培训研讨会 职业生涯早期的学者使用IPUMS MEP。

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.