ID

43543

Description

Study part: Children Ages 0-5 National Survey of Childrens Health, NSCH, 2016. A study by the U.S. Department of Health and Human Services to better understand the health issues faced by children in the United States today. Child and Adolescent Health Measurement Initiative, Data Resource Center on Child and Adolescent Health website. Retrieved on 07/12/2016 from http://childhealthdata.org/learn/NSCH/resources/survey-instruments. OMB No. 0607-0990: Approval Expires 04/30/2019.

Link

http://childhealthdata.org/learn/NSCH/resources/survey-instruments

Keywords

Versions (2)
  1. 1/6/17 1/6/17 -
  2. 9/20/21 9/20/21 -
Uploaded on

September 20, 2021

DOI

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License

Creative Commons BY-NC 3.0
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NSCH 2016 Children Ages 0-5

English

D. Experience with This Child’s Health Care Providers

11 forms  
Experience with This Child’s Health Care Providers
Description

Experience with This Child’s Health Care Providers

Alias
UMLS CUI-1
C0596545
UMLS CUI-2
C0018724
1. Do you have one or more persons you think of as this child’s personal doctor or nurse?
Description

Personal Health Services Health Personnel

Data type

text

Alias
UMLS CUI [1,1]
C0031198
UMLS CUI [1,2]
C0018724
2. DURING THE PAST 12 MONTHS, did this child need a referral to see any doctors or receive any services?
Description

referral Health Services

Data type

text

Alias
UMLS CUI [1,1]
C0034927
UMLS CUI [1,2]
C0018747
3. If yes, how much of a problem was it to get referrals?
Description

Difficult referral Health Services

Data type

text

Alias
UMLS CUI [1,1]
C0332218
UMLS CUI [1,2]
C0034927
UMLS CUI [1,3]
C0018747
4a. DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Spend enough time with this child?
Description

Health Personnel; Visit duration

Data type

text

Alias
UMLS CUI [1]
C0018724
UMLS CUI [2]
C3668983
4b. DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Listen carefully to you?
Description

Health Personnel; Attention

Data type

text

Alias
UMLS CUI [1]
C0018724
UMLS CUI [2]
C0004268
4c. DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Show sensitivity to your family’s values and customs?
Description

Health Personnel; sensitivity

Data type

text

Alias
UMLS CUI [1]
C0018724
UMLS CUI [2]
C0312418
4d. DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Provide the specific information you needed concerning this child?
Description

Health Personnel; Provide information requested by patient

Data type

text

Alias
UMLS CUI [1]
C0018724
UMLS CUI [2]
C0514892
4e. DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Help you feel like a partner in this child’s care?
Description

Health Personnel; Partner

Data type

text

Alias
UMLS CUI [1]
C0018724
UMLS CUI [2]
C3887537
5. DURING THE PAST 12 MONTHS, were any decisions needed about this child’s health care services or treatment, such as whether to start or stop a prescription or therapy services, get a referral to a specialist, or have a medical procedure?
Description

If No ➔ SKIP to question D7

Data type

boolean

Alias
UMLS CUI [1,1]
C1522634
UMLS CUI [1,2]
C0018747
6a. If yes, DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Discuss with you the range of options to consider for his or her health care or treatment?
Description

Health Personnel; Discuss therapy/treatment options

Data type

text

Alias
UMLS CUI [1]
C0018724
UMLS CUI [2]
C0510365
6b. If yes, DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Make it easy for you to raise concerns or disagree with recommendations for this child’s health care?
Description

Health Personnel; Discuss therapy/treatment options Disagree

Data type

text

Alias
UMLS CUI [1]
C0018724
UMLS CUI [2,1]
C0510365
UMLS CUI [2,2]
C3641828
6c. If yes, DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: work with you to decide together which health care and treatment choices would be best for this child?
Description

Health Personnel; Discuss therapy/treatment options Agree

Data type

text

Alias
UMLS CUI [1]
C0018724
UMLS CUI [2,1]
C0510365
UMLS CUI [2,2]
C3641827
7. Does anyone help you arrange or coordinate this child's care among the different doctors or services that this child uses?
Description

health services Coordinated

Data type

text

Alias
UMLS CUI [1,1]
C0018747
UMLS CUI [1,2]
C0700114
8. DURING THE PAST 12 MONTHS, have you felt that you could have used extra help arranging or coordinating this child’s care among the different health care providers or services?
Description

If No ➔ SKIP to question D10

Data type

boolean

Alias
UMLS CUI [1,1]
C0018747
UMLS CUI [1,2]
C0700114
UMLS CUI [1,3]
C0557036
9. If yes, DURING THE PAST 12 MONTHS, how often did you get as much help as you wanted with arranging or coordinating this child’s health care?
Description

Frequency health services Coordinated Assisting with activity

Data type

text

Alias
UMLS CUI [1,1]
C0439603
UMLS CUI [1,2]
C0018747
UMLS CUI [1,3]
C0700114
UMLS CUI [1,4]
C0557036
10. Overall, how satisfied are you with the communication among this child’s doctors and other health care providers?
Description

Satisfaction Health Personnel Communication

Data type

text

Alias
UMLS CUI [1,1]
C0242428
UMLS CUI [1,2]
C0018724
UMLS CUI [1,3]
C0009452
11. DURING THE PAST 12 MONTHS, did this child’s health care provider communicate with the child’s school, child care provider, or special education program?
Description

Health Personnel communicate school Physicians special education program

Data type

text

Alias
UMLS CUI [1,1]
C0018724
UMLS CUI [1,2]
C0566001
UMLS CUI [1,3]
C0036375
UMLS CUI [1,4]
C0031831
UMLS CUI [1,5]
C1161268
12. If yes, overall, how satisfied are you with the health care provider’s communication with the school, child care provider, or special education program?
Description

Satisfaction Health Personnel communicate school Physicians special education program

Data type

text

Alias
UMLS CUI [1,1]
C0242428
UMLS CUI [1,2]
C0018724
UMLS CUI [1,3]
C0566001
UMLS CUI [1,4]
C0036375
UMLS CUI [1,5]
C0031831
UMLS CUI [1,6]
C1161268
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Similar models

D. Experience with This Child’s Health Care Providers

11 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Experience with This Child’s Health Care Providers
C0596545 (UMLS CUI-1)
C0018724 (UMLS CUI-2)
Item
1. Do you have one or more persons you think of as this child’s personal doctor or nurse?
text
C0031198 (UMLS CUI [1,1])
C0018724 (UMLS CUI [1,2])
Personal Health Services Health Personnel
Code List
1. Do you have one or more persons you think of as this child’s personal doctor or nurse?
CL Item
Yes, one person (1)
CL Item
Yes, more than one person (2)
CL Item
No (3)
Item
2. DURING THE PAST 12 MONTHS, did this child need a referral to see any doctors or receive any services?
text
C0034927 (UMLS CUI [1,1])
C0018747 (UMLS CUI [1,2])
referral Health Services
Code List
2. DURING THE PAST 12 MONTHS, did this child need a referral to see any doctors or receive any services?
CL Item
Yes (1)
CL Item
No ➔ SKIP to question D4 (2)
Item
3. If yes, how much of a problem was it to get referrals?
text
C0332218 (UMLS CUI [1,1])
C0034927 (UMLS CUI [1,2])
C0018747 (UMLS CUI [1,3])
Referral for mental health counseling; mental treatment
Code List
3. If yes, how much of a problem was it to get referrals?
CL Item
Big problem (1)
CL Item
Small problem (2)
CL Item
Not a problem (3)
Item
4a. DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Spend enough time with this child?
text
C0018724 (UMLS CUI [1])
C3668983 (UMLS CUI [2])
Health Personnel
Code List
4a. DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Spend enough time with this child?
CL Item
Always (1)
CL Item
Usually (2)
CL Item
Sometimes (3)
CL Item
Never (4)
Item
4b. DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Listen carefully to you?
text
C0018724 (UMLS CUI [1])
C0004268 (UMLS CUI [2])
Health Personnel
Code List
4b. DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Listen carefully to you?
CL Item
Always (1)
CL Item
Usually (2)
CL Item
Sometimes (3)
CL Item
Never (4)
Item
4c. DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Show sensitivity to your family’s values and customs?
text
C0018724 (UMLS CUI [1])
C0312418 (UMLS CUI [2])
Health Personnel
Code List
4c. DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Show sensitivity to your family’s values and customs?
CL Item
Always (1)
CL Item
Usually (2)
CL Item
Sometimes (3)
CL Item
Never (4)
Item
4d. DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Provide the specific information you needed concerning this child?
text
C0018724 (UMLS CUI [1])
C0514892 (UMLS CUI [2])
Health Personnel
Code List
4d. DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Provide the specific information you needed concerning this child?
CL Item
Always (1)
CL Item
Usually (2)
CL Item
Sometimes (3)
CL Item
Never (4)
Item
4e. DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Help you feel like a partner in this child’s care?
text
C0018724 (UMLS CUI [1])
C3887537 (UMLS CUI [2])
Health Personnel
Code List
4e. DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Help you feel like a partner in this child’s care?
CL Item
Always (1)
CL Item
Usually (2)
CL Item
Sometimes (3)
CL Item
Never (4)
questions health service
Item
5. DURING THE PAST 12 MONTHS, were any decisions needed about this child’s health care services or treatment, such as whether to start or stop a prescription or therapy services, get a referral to a specialist, or have a medical procedure?
boolean
C1522634 (UMLS CUI [1,1])
C0018747 (UMLS CUI [1,2])
Item
6a. If yes, DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Discuss with you the range of options to consider for his or her health care or treatment?
text
C0018724 (UMLS CUI [1])
C0510365 (UMLS CUI [2])
Health Personnel
Code List
6a. If yes, DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Discuss with you the range of options to consider for his or her health care or treatment?
CL Item
Always (1)
CL Item
Usually (2)
CL Item
Sometimes (3)
CL Item
Never (4)
Item
6b. If yes, DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Make it easy for you to raise concerns or disagree with recommendations for this child’s health care?
text
C0018724 (UMLS CUI [1])
C0510365 (UMLS CUI [2,1])
C3641828 (UMLS CUI [2,2])
Health Personnel
Code List
6b. If yes, DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: Make it easy for you to raise concerns or disagree with recommendations for this child’s health care?
CL Item
Always (1)
CL Item
Usually (2)
CL Item
Sometimes (3)
CL Item
Never (4)
Item
6c. If yes, DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: work with you to decide together which health care and treatment choices would be best for this child?
text
C0018724 (UMLS CUI [1])
C0510365 (UMLS CUI [2,1])
C3641827 (UMLS CUI [2,2])
Health Personnel
Code List
6c. If yes, DURING THE PAST 12 MONTHS, how often did this child’s doctors or other health care providers: work with you to decide together which health care and treatment choices would be best for this child?
CL Item
Always (1)
CL Item
Usually (2)
CL Item
Sometimes (3)
CL Item
Never (4)
Item
7. Does anyone help you arrange or coordinate this child's care among the different doctors or services that this child uses?
text
C0018747 (UMLS CUI [1,1])
C0700114 (UMLS CUI [1,2])
health services Coordinated
Code List
7. Does anyone help you arrange or coordinate this child's care among the different doctors or services that this child uses?
CL Item
No (1)
CL Item
Yes (2)
CL Item
Did not see more than one health care provider in PAST 12 MONTHS ➔ SKIP to question D11 (3)
health services Coordinated Assisting with activity
Item
8. DURING THE PAST 12 MONTHS, have you felt that you could have used extra help arranging or coordinating this child’s care among the different health care providers or services?
boolean
C0018747 (UMLS CUI [1,1])
C0700114 (UMLS CUI [1,2])
C0557036 (UMLS CUI [1,3])
Item
9. If yes, DURING THE PAST 12 MONTHS, how often did you get as much help as you wanted with arranging or coordinating this child’s health care?
text
C0439603 (UMLS CUI [1,1])
C0018747 (UMLS CUI [1,2])
C0700114 (UMLS CUI [1,3])
C0557036 (UMLS CUI [1,4])
Frequency health services Coordinated Assisting with activity
Code List
9. If yes, DURING THE PAST 12 MONTHS, how often did you get as much help as you wanted with arranging or coordinating this child’s health care?
CL Item
Usually (1)
CL Item
Sometimes (2)
CL Item
Never (3)
Item
10. Overall, how satisfied are you with the communication among this child’s doctors and other health care providers?
text
C0242428 (UMLS CUI [1,1])
C0018724 (UMLS CUI [1,2])
C0009452 (UMLS CUI [1,3])
Satisfaction Health Personnel Communication
Code List
10. Overall, how satisfied are you with the communication among this child’s doctors and other health care providers?
CL Item
Very satisfied (1)
CL Item
Somewhat satisfied (2)
CL Item
Somewhat dissatisfied (3)
CL Item
Very dissatisfied (4)
Item
11. DURING THE PAST 12 MONTHS, did this child’s health care provider communicate with the child’s school, child care provider, or special education program?
text
C0018724 (UMLS CUI [1,1])
C0566001 (UMLS CUI [1,2])
C0036375 (UMLS CUI [1,3])
C0031831 (UMLS CUI [1,4])
C1161268 (UMLS CUI [1,5])
Health Personnel communicate school Physicians special education program
Code List
11. DURING THE PAST 12 MONTHS, did this child’s health care provider communicate with the child’s school, child care provider, or special education program?
CL Item
Yes (1)
CL Item
No ➔ SKIP to question E1 (2)
CL Item
Did not need health care  (3)
CL Item
provider to communicate (provider to communicate)
CL Item
with these providers ➔ SKIP to question E1 (with these providers ➔ SKIP to question E1)
Item
12. If yes, overall, how satisfied are you with the health care provider’s communication with the school, child care provider, or special education program?
text
C0242428 (UMLS CUI [1,1])
C0018724 (UMLS CUI [1,2])
C0566001 (UMLS CUI [1,3])
C0036375 (UMLS CUI [1,4])
C0031831 (UMLS CUI [1,5])
C1161268 (UMLS CUI [1,6])
Satisfaction Health Personnel Communication
Code List
12. If yes, overall, how satisfied are you with the health care provider’s communication with the school, child care provider, or special education program?
CL Item
Very satisfied (1)
CL Item
Somewhat satisfied (2)
CL Item
Somewhat dissatisfied (3)
CL Item
Very dissatisfied (4)
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