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2003 National Healthcare Quality Report

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National Ambulatory Medical Care Survey (NAMCS)

Sponsor

U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

Mode of Administration

Field personnel meet with participating physicians and instruct them in survey data collection methods. Physicians are asked to complete 1-page questionnaires on a sample of their office visits during an assigned reporting period.

Survey Sample Design

The NAMCS utilizes a three-stage survey design that involves probability samples of primary sampling units (PSUs), physician practices within PSUs, and patient visits within physician practices. Participating physicians are randomly assigned to a 1-week reporting period during the survey year, and a systematic random sample of patient visits during that period is selected by the physician, using a visit sampling rate that varies by the size of the practice. Sample data are weighted to produce national estimates of office visits.

Primary Survey Content

Information is obtained on various aspects of office visits, including physician practice characteristics, patient characteristics, and other visit characteristics. The survey form is redesigned every 2 years to address changing health data needs. Among the items collected are patient's age, gender, race, and ethnicity; patient's expressed reason for visiting the physician; place, cause, and intentionality of injury, if any; physician's diagnoses; diagnostic services ordered or provided; therapeutic services; ambulatory surgical procedures performed; medications; providers seen; visit disposition; time spent with physician; and expected source of payment.

Population Targeted

The basic sampling unit is the physician-patient encounter or visit. Visits made to the offices of nonfederally employed, office-based physicians who are classified by the American Medical Association or the American Osteopathic Association as being primarily engaged in direct patient care. The specialties of anesthesiology, pathology, or radiology are not included. Not included are contacts by telephone, visits made outside the physician's office, visits in hospitals or institutional settings, and visits made for administrative purposes only.

Demographic Data

Patient's age, gender, race, and ethnicity.

Years Collected

Annual from 1973–1981; again in 1985; resumed an annual schedule in 1989.

Schedule

Annual.

Geographic Estimates

National, four census regions.

Notes

The NAMCS is a visit-based survey rather than a population-based survey. Therefore, estimates of incidence and prevalence of disease cannot be computed. The survey is cross-sectional in nature. Multiple visits may be made by the same person within the sample.

Contact Information

Agency homepage: http://www.cdc.gov/nchs.

Data system homepage: http://www.cdc.gov/nchs/about/major/ahcd/ahcd1.htm.

References

Cherry DK, Woodwell DA. National Ambulatory Medical Care survey: 2000 summary. Advance data from vital and health statistics; No. 328. Hyattsville, Maryland: National Center for Health Statistics. 2002.

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