Methodological Issues in Health Surveys

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Abstract
The National Medical Care Expenditure Survey (NMCES) is one of the most comprehen sive health surveys ever conducted by the federal government. NMCES used a series of procedures designed to increase the quality and accuracy of the data. Since many of these procedures are expensive and time-consuming, often survey researchers must choose between alternative bias reducing strategies. This article presentsfindingsfrom a series of methodological studies conducted to evaluate issues such as response bias, organizational effects, the effect of improved response rates, and the usefulness of surveys of medical providers and health insurers to supplement the data collected in a household health survey. The results of these investigations should prove useful in the design of future surveys.

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