Pascale Joanne
Center for Survey Methods Research, Statistical Research Division, U.S. Census Bureau, 4600 Silver Hill Road, Washington, DC 20233, USA.
Inquiry. 2008;45(4):422-37. doi: 10.5034/inquiryjrnl_45.04.422.
In the United States, surveys serve as the only source of data for the number of uninsured people; they also provide rich data for exploring the relationships between health insurance coverage and individuals' life circumstances, such as employment, income, and health status, enabling researchers to assess the effectiveness of various aspects of the health care system. The Current Population Survey (CPS) is one of the most influential surveys measuring health insurance, but it is not without critics. To address outstanding questions about the data quality of the CPS health insurance questions, qualitative testing was conducted to assess various aspects of the questionnaire from the respondent's perspective. A testing protocol was developed largely based on previous health survey methods literature, and test subjects were probed about their comprehension of the questions, particular terms and phrases, and their strategies for formulating an answer. Several design features were identified as problematic, including the overall questionnaire structure, the calendar year reference period, the household-level design, and the wording of questions on public coverage.
在美国，调查是获取未参保人数数据的唯一来源；它们还提供了丰富的数据，用于探究医疗保险覆盖范围与个人生活状况（如就业、收入和健康状况）之间的关系，使研究人员能够评估医疗保健系统各方面的有效性。当前人口调查（CPS）是衡量医疗保险最具影响力的调查之一，但也并非没有批评者。为了解决有关CPS医疗保险问题数据质量的悬而未决的问题，从受访者的角度进行了定性测试，以评估问卷的各个方面。测试方案主要是根据以往健康调查方法文献制定的，并就受访者对问题、特定术语和短语的理解以及他们制定答案的策略进行了询问。有几个设计特征被认为存在问题，包括问卷的整体结构、日历年度参考期、家庭层面的设计以及公共覆盖问题的措辞。
