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National Hospital Discharge Survey (NHDS)
U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).
Mode of Administration
Manual sample selection and abstraction of inpatient medical records by U.S. Census Bureau field personnel or automated data collection through the purchase of electronic files from commercial sources, States, or hospitals.
Survey Sample Design
The NHDS utilizes a three-stage national probability design that includes primary sampling units (PSUs) used for the 1985-94 National Health Interview Survey (NHIS), hospitals within the PSUs, and discharges within the hospitals. Approximately 300,000 discharges are sampled each year from about 480 hospitals.
Primary Survey Content
Variables collected include age; gender; race; ethnicity; admission and discharge dates (length of stay); discharge status; source of payment; hospital size, ownership, and region; from 1-7 diagnoses coded using the ICD-9-CM; and, from 0-4 procedures using the ICD-9-CM.
The NHDS contains a sample of discharges from non-Federal, noninstitutional hospitals, located in the 50 States and the District of Columbia. Only hospitals with an average length of stay for all patients of less than 30 days or with a general (medical/surgical) or children's specialty are included in the survey.
Patient's age, gender, race, and ethnicity.
1965 to present.
National, four U.S. Census Bureau regions.
Data on race are not available from some hospitals because the hospitals provide data from billing forms that do not include race as a required item. In general, nonresponse for race in the NHDS is about 22-25 percent. Nonresponse for Hispanic origin is greater and is about 60-63 percent annually.
Kozak LJ. Under reporting of race in the National Hospital Discharge Survey. Advance data from vital and health statistics s, No. 265. Hyattsville, MD: National Center for Health Statistics, 1995.
Dennison CF, Pokras R. Design and Operation of the National Hospital Discharge Survey: 1988 Redesign. National Center for Health Statistics. Vital Health and Statistics 1(39). 2000.