Decision-Related Research on the Organization of Service Delivery Systems in Metropolitan Areas [electronic resource] Public Health Patrick O'Donoghue

1992-02-16

Ann Arbor, Mich. Inter-university Consortium for Political and Social Research [distributor] 1984

1 online resource

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This study represents one of four research projects on service delivery systems in metropolitan areas, covering fire protection (DECISION-RELATED RESEARCH ON THE ORGANIZATION OF SERVICE DELIVERY SYSTEMS IN METROPOLITAN AREAS: FIRE PROTECTION [ICPSR 7409]), police protection (DECISION-RELATED RESEARCH ON THE ORGANIZATION OF SERVICE DELIVERY SYSTEMS IN METROPOLITAN AREAS: POLICE PROTECTION [ICPSR 7427]), solid waste management (DECISION-RELATED RESEARCH ON THE ORGANIZATION OF SERVICE DELIVERY SYSTEMS IN METROPOLITAN AREAS: SOLID WASTE MANAGEMENT [ICPSR 7487]), and public health (the present study). All four projects used a common unit of analysis, namely all 200 Standard Metropolitan Statistical Areas (SMSAs) that, according to the 1970 Census, had a population of less than 1,500,000 and were entirely located within a single state. In each project, a limited amount of information was collected for all 200 SMSAs. More extensive data were gathered within independently drawn samples of these SMSAs, for all local geographical units and each administrative jurisdiction or agency in the service delivery areas. Two standardized systems of geocoding -- the Federal Information Processing Standard (FIPS) codes and the Office of Revenue Sharing (ORS) codes -- were used, so that data from various sources could be combined. The use of these two coding schemes also allows users to combine data from two or more of the research projects conducted in conjunction with the present one, or to add data from a wide variety of public data files. The delivery of public health services was investigated in 200 SMSAs plus Minneapolis and St. Paul. The basic data collection effort involved the use of public data sources as well as proprietary data from the American Medical Association (AMA) and the Commission on Professional and Hospital Activities (CPHA). Because of the proprietary nature of some of the data and for the preservation of confidentiality, all analyses were performed at the SMSA level. Unlike the other three related research projects, the present study does not provide disaggregated units of analysis such as the administrative jurisdiction, the individual hospital, or other facilities. Variables describe the characteristics of available professionals and facilities, regulatory factors reflecting the impact of federal and state programs available in the area, and financing factors, including the coverage of state Medicaid programs, Blue Cross and Blue Shield, and Medicare programs. Information is also provided regarding the demographic and socioeconomic characteristics of the population served in each SMSA.Cf: http://doi.org/10.3886/ICPSR07374.v1

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June 14, 2019

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