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1999 National Nursing Home Survey Link to each section in document: 1. Sample Design 2. Data Collection and Procedures 3. Reliability of Estimates 4. Presentation of Estimates (Text begins on the

In the first round, all qualified facilities selected residents and discharges who are residents or discharges, respectively, or who have been discharged from resident- or discharges, respectively, in the previous year. In the second round, only those facilities and residents who have been residents or discharges, respectively, in the preceding year were included. The first stage involved selecting from the list of facilities in the United States those hospitals that had received the following ratings in the 1990 survey: Excellent (99 percent or greater), good (90 percent or better), fair (80 percent or higher), or poor (70 percent or lower) in all categories. (See SES, 1997 data for more information about the SES ratings.) The second stage of the sampling involved a sample of U.S. residents who are members of Medicare and who are in Medicare health plans. The sample of residents came from lists of Medicare beneficiaries, or from lists of Medicare enrolled if their health status was unknown. The U.S. residents who responded to the survey were asked a set of questions that included information about their sex, age, and race, as well as the following categories: Medicare members, Medicare enrolled, Medicare or health plan beneficiaries not eligible for coverage because of age or sex, and nonmember insureds [6.3]. The data from the 1996 U.S. National Health Interview Survey and the 1995 National Health Interview Survey indicate that the population of Medicare enrolled and uninsured individuals in 1994 was 48.9 million and 45.5 million, respectively, with a mean age of 65.2 years [6.4]. It may be noted that these percentages, from all surveys since 1996, have been decreasing, in a time frame between 1990 and 1998. Since the beginning of the 1990s the percent of Medicare and Medicaid beneficiaries covered by employer group and individual plans have decreased, while a smaller percentage of beneficiaries is now covered by Medicare [6.5]. Therefore, data from these surveys from 1994 could be compared with data from 1997 to assess whether the recent decline has been observed before. Finally, the 1994 survey asked about the type of home health care that beneficiaries received at any time during the prior year.

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