Item
1. Including co-pays and amounts from Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA), how much money did you pay for this child’s medical, health, dental, and vision care DURING THE PAST 12 MONTHS?
text
C0085552 (UMLS CUI [1])
Code List
1. Including co-pays and amounts from Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA), how much money did you pay for this child’s medical, health, dental, and vision care DURING THE PAST 12 MONTHS?
CL Item
$0 (No medical or health-related expenses) ➔ SKIP to question F4 (1)
CL Item
$1,000-$5,000 (5)
CL Item
More than $5,000 (6)
Item
2. How often are these costs reasonable?
text
C0085552 (UMLS CUI [1])
Code List
2. How often are these costs reasonable?
payment Health Care Problem
Item
3. DURING THE PAST 12 MONTHS, did your family have problems paying for any of this child’s medical or health care bills?
boolean
C0680264 (UMLS CUI [1,1])
C0086388 (UMLS CUI [1,2])
C0033213 (UMLS CUI [1,3])
Stopped work disease child
Item
4a. DURING THE PAST 12 MONTHS, have you or other family members: Stopped working because of this child’s health or health conditions?
boolean
C0425082 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0008059 (UMLS CUI [1,3])
disease child effect work
Item
4b. DURING THE PAST 12 MONTHS, have you or other family members: Cut down on the hours you work because of this child’s health or health conditions?
boolean
C0012634 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
C0001721 (UMLS CUI [1,3])
C0043227 (UMLS CUI [1,4])
health care financing effect Changing job
Item
4c. DURING THE PAST 12 MONTHS, have you or other family members: Avoided changing jobs because of concerns about maintaining health insurance for this child?
boolean
C0178673 (UMLS CUI [1,1])
C1280500 (UMLS CUI [1,2])
C1261323 (UMLS CUI [1,3])
Item
5. IN AN AVERAGE WEEK, how many hours do you or other family members spend providing health care at home for this child?
text
C0439227 (UMLS CUI [1,1])
C3845073 (UMLS CUI [1,2])
Code List
5. IN AN AVERAGE WEEK, how many hours do you or other family members spend providing health care at home for this child?
CL Item
This child does not need health care provided on a weekly basis (1)
CL Item
No at home care was provided by me or other family members (2)
CL Item
Less than 1 hour per week (3)
CL Item
1-4 hours per week (4)
CL Item
5-10 hours per week (5)
CL Item
11 or more hours per week (6)
Item
6. IN AN AVERAGE WEEK, how many hours do you or other family members spend arranging or coordinating health or medical care for this child, such as making appointments or locating services?
text
C0556976 (UMLS CUI [1,1])
C0700114 (UMLS CUI [1,2])
C0086388 (UMLS CUI [1,3])
Code List
6. IN AN AVERAGE WEEK, how many hours do you or other family members spend arranging or coordinating health or medical care for this child, such as making appointments or locating services?
CL Item
This child does not need health care coordinated on a weekly basis (1)
CL Item
No health or medical care was arranged or coordinated by me or other family members (2)
CL Item
Less than 1 hour per week (3)
CL Item
1-4 hours per week (4)
CL Item
5-10 hours per week (5)
CL Item
11 or more hours per week (6)