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APPENDIX E
QUESTIONNAIRE: SURVEY OF HEALTH SERVICES RESEARCH
PERSONNEL CONDUCTED BY THE NATIONAL RESEARCH COUNCIL
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OMB No. 68S-78005
Approval Expires March 19 79
· .
t
SURVEY OF HEALTH SERVICES RESEARCH PERSONNEL
CONDUCTED BY THE NATIONAL RESEARCH COUNCIL
THE ACCOMPANYING LETTER requests your assistance in this survey of health services research personnel.
PLEASE READ THE INSTRUCTIONS carefully and answer by printing your reply or entering an "X" in the appropriate box.
PLEASE R ETU RN the completed form in the enclosed envelope to the Commission on Human Resou roes, JH638, National R esearch
Council, 2101 Constitution Ave., NW, Washington, D.C. 20418.
NOTE: ALL INFORMATION YOU PROVIDE WILL BE TREATED AS CONFIDENTIAL AND USED FOR STATISTICAL
PURPOSES ON LY.
. .
_ .. __
1 Date of Birth | 2 State or Foreign 3 Citizenship | 4 Sex
Ma. Day Year l Country of Birth USA Non-USA | Male Female
Specify
1 ~ 20 1 0 20
(9) (10-] I) (12-13) 1 (14-15) (16) (17-18) 1 (19)
(~7) ID
(8) CD
5 What is your racial background?
O O American I ndian or Alaskan Native
1 0 Asian or Pacific islander
2 0 Black
3 0 White
(20)
5a Is your ethnic heritage Hispanic?
O O Yes
1 0 No
(21)
6 List in the table below all COLLEGIATE and GRADUATE DEGREES, excluding honorary degrees, that have been awarded to you.
Use We enclosed SPECIALTIES LIST for ~ degree specified.
Major Field Institution
Granted {Use Specialties List)
Type of Degree ~ Ma. Yr. ~ ame ~ No. Name | Ci y State
. . .
Bachelor's l l l l
. . .
Master's l l l l l
.
ther Degree l l l l l
l pecify l l l _| l
._
l ther Degree l l l l l
i pecify l | | . I
. . . ..
169
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~~'Y1PLOYMENT on AC=EMIC AFFlCD`IION
_
Instructions: Please answer Questions 7 through 1 t with respect to your PRINCIPAL employment or academic affiliation as of
OCTOBER15, 1977.
-
Which BEST describes your PRINCIPAL employment or academic status as of OCTOBER 15~, 19777 {Check only ONE)
O Fult-time degree candidate 5 0 Unemployed and seeking employment
O Holding postdoctoral appointment 6 ~ Unemployed and NOT seeking emDIovment
n Employed full~time {excluding
postdoctoral appointment}
O Employed part-time {excluding
postdoctoral appointments
7 O Retired
8 n Other status, specify-
8 What is the name and location of your PRINCIPAL employer/academic affiliation?
.
Name of I nstitutionJ~gan~zation City
(70)
State
9 Which category below best describes the type of organization of your PRINCIPAL employer/academic affiliations
(Check only ONEJ
US IVERSITY BUSINESS
1 0 Medical school 11 0 Self~mployed
2 0 tJniversity-owned or "affiliated 120 Pharmaceutical firm
teaching hospital 13 0 Other business or industry (including
3 ~ Other health professional school, insurance companies)
~ _ _ .
4 0 Faculty of arts and sciences
O Other, specify-
OTHER EDU(:A7JONAL INSTITUTION
6 O 4year college
7 0 2-year college or technical school
8 0 Other, specify
GOVE RNMENT
9 0 Federal government (including national
laboratory and military)
10 0 State or local government, specify-
10 From the Degree and Employment Spec - Ities List enclosed,
enter both the number and title of the scientific specialty
most cfiosely related to your principal employmentIpostd~
toral appointment. Write in your specialty if it is not OR the
list.
.
Number Title of Specialty
(9-1 l)
170
OTHER SECTORS
14 0 Hospital (other than those included above}
15n Clinic
t 6 0 Nonprofit organization (other than those
included above)
17 0 Other type of employer, specify-
(77-78)
tl Approximately what percent of your time do you devote
to each of the following activities?
Research/deYelopment % ( ~ 2-] 3)
Teaching
Administration/management . % (16-~)
% (14-} 53
Consulting
Professional services
(other than consulting)
Other, specify_
% (~-19)
% (20-2 ~ )
_ % (22-233
100 %
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| HEALTH SERVICES RESEARCH: TRAINING l
DEFINITION: Health services research examines the organization and performance of the health care system so that sound health
care policy may be developed. Through the application of quantitative and systematic research methods, health services research
seeks to increase the efficiency and effectiveness of the health care system to make me products of biomedical and behavioral re-
search available promptly and equitably.
12 Have you eve' been or are you currently engaged in health services research ~ Ed above?
O YES 2 0 NO Rf NO, you have completed dais questionnaire BEANIE YOU for your participation
(24) in this survey. J
13 Have you had or are you currently engaged in any TRAII`JING in health services research (e.g., academic course work, dissertation
studies, postdoctoral appointments, workshops}?
1 CI YES 2 O NO
(2 s)
(If NO, please proceed to Question 18J
-
14 In what year did you BEGIN this training in health services research? 19 (26~27)
t5 From the columns below, check ONE BOX in Column ~ which identifies your FIRST TRAINING experience in health services
research, and ONE BOX in Column B which identifies the PRIMARY SOURCE OF SUPPORT for that training.
Column A
TYPE OF TRAINING
{Check only ONE)
TIdESIS/ACADEMIC ~.OURSEWORK
1 0 MA/MS
2 0 Ph.D.
3 0 Other degree, specify
ACADEMIC EMPLOYMENT
4 0 Research assistant
5 0 Research associate
6 0 Instructor
7 0 Professor
8 0 Other, specify—
OTHER ACADEMIC
9 0 Postdoctoral appointment
t O O Other, specify
GOVERNMENT
1 1 0 Employment-training
12 0 On-the-job training
131~ Other, specify-
BIJSI NESS/INDUSTRY
140 Employment-training
15 0 On-thejob training
16 0 Other, specify-
OTHE R
t7 0 Specify
(2 ~29)
171
Column 8
PRIMARY SOURCE OF SUPPORT
{Cheek only ONE)
FEDERAL GOVERNMENT
1 0 Research Want
2 0 Research contract
3 Ofeilowship
4 0 Traineesh~p
O Over, specify.
I NSTI TUTIObJISTATE
6 0 Research !pnt/contract
7 0 Fellowship/traineeship
8 0 Teaching assistantship
9 0 Other, specify
PRIVATE FOUNDATION
10 O Research ~ant~contract
11 0 Fellowship
12 0 Other, specify
OTEtE R
t 3 CI Specify-
(30-31 )
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16 If federal support had NOT been available, which of the following would you have sought as a PRIMARY SOURCE OF
SUPPORT to finance your heals services research training? {Check only ONE:
~ ~ Did not receive federal support
2 0 Other federal training grant/fellowship
3 0 f ederal research granticontract
4 0 University or state funds (including
teaching assistantship}
5 C Personal resources (savings, income,
family assistance, etc.)
6 0 Commercial loans
7 0 Other sources, specify-
8 0 Would not have pursued health services
research training
17 Using the categories below, check ONE BOX in Column A which best characterizes the SPECIALTY AREA of your health
#rv~ research training, and ONE BOX in Column B which rep~e#na the PRIMARY RESEARCH APPROACH reamed.
Column A
SPECIALTY AREA
(Check only ONE)
~ O Health Personnel
2 0 Mental Health Personnel
3 a Ambulatory Care Centers
4 0 Child Health Services
5 ~ Dental Health Services
6 0 Emergency Hea1th Services
7 0 Health Services for me Disadvantaged
8 ~ I ndian Health Services
9 0 Long-term Care
O O Nursing Heady Services
1 1 O Pharmacy-related Health Services
12 0 Rural Health Care Services
13 0 Alcoholism Prevention Programs
O14 Drug Abuse Prevention Programs
15 0 Mental Health Services
16 0 Inflation and Cost Containment
170 Health Insurance
to 0 Quality Assurance of Health Care
Practice/Practi tioners
19 0 Quality Assurance of Health Services
20 0 Health Facilities {including organ iation
and utilization)
21 0 Legal Aspects of Health Ogre {including
regulatory studies)
22 0 Health Politics
23 0 Community Studies related to Health
24 0 treat Education
25 0 Sociobehavioral Aspect of Health Care
(including compliance)
26 0 Health Services Design and Development
{including technology transfer}
27 0 Other, specify_ _
(33-34)
Column B
PR t MAR Y R ESEAR CH APPR OACH
fiCheck only ONE)
1 Cl Health Statistics
2 0 Statistical Indicators {including
heals status indicators)
3 ~ Computer Models
4 0 Case Studies
5 0 Clinical Studies
6 0 Social Experimentation
7 0 Survey Research
8 0 Evaluation Research (including
program evaluation)
9 0 Technology Assesment
10 ~ Decision Analysis--
Policy Analysis
12 ~1 Other, specify-
(3s-36)
The remaining sections explore me EMPLOYMENT experiences of health services research personnel. If you are CURRENTLY a
degree candidate or hold a postdoctoral appointment, please check me box below.
O Degree Candidate/Postdoctoral
(37)
{You have comp/e~d this questionnaire. THANK YOU for your participation
in Is sun,.ey.J
(32)
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~ HEALTH SERVICES RESEARCH: CURRENT EMPLOYMENT {0~15,1~}
Instructions: Please answer Questions 18 through 23 with respect to your principal employment as of October 15, 1977.
18 What percent of your TOTAL WORK TIME did you devote to heady services research? As. {if ZERO, please
proceed to Question 24) (38 39)
19 If you devoted ANY of your time to health #dices research, specify She PRIMARY and SECONDARY activities in which you
were employed as a heard, services researcher as of October 15, 1977. {Check only ONE in each columns
Health services R & D
Teaching of health services research.
Administrat~on/management of
health services research
C4~su sting (health services research)
Other;ipecify_
1 0
2 r7
PRIMARY SECONDARY
{Check only ONEJ {Check only ONEJ
~ O
2 0
3 0
4 0
~ O
(4o)
3 0
O
5 0
(41)
20 Which of the following federal agencies, if any, supported or sponsored your work in heath service' research?
fiCheck a/1 that app/yJ
1 O No federal support
2 O ADAMHA (National Institute of Mental Health, National Institute on Alcohol and Alcoholism, and National Institute
on Drug Abuse)
3 0 OSH (National Center for Heals Services Research, National Center for Health Statistics)
4 0 N I H (National I nstitutes of Health }
_
5 ~ VA (Veterans Administration)
6 a Other federal agency, please specify __
(4247)
21 Briefly describe Me PRIMARY research problem on which you were working:
22 If you devoted ANY of your time to health services research, indicate the PRIMARY AREA below. {Check only ONEJ
SPECIALTY AREA
{Check only ONEJ
1 0 Health Personnel
2 0 Mental Health Personnel
3 0 Am bu latory Care Centers
4 0 Child Health Services
5 0 Dental Health Services
6 0 Emergency Health Services
7 0 Health Services for We Disadvantaged
8 Qlndian Heals Services
9 0 Long-term Care
100 Nursing Heals Semices
11 0 Pharmacy-related Realm Services
12 0 Rural Health Care Services
t3 0 Alcoholism Prevention Programs
14 0 Drug Abuse Prevention Programs
_
~ 5 ~ Nlental Health Services
16 0 Inflation and Cost Containment
170 Health Insurance
~ 73
8 0 Quality Assurance of Health Care
Practice/Practitioners
19 0 Ouality Assurance of Realm Services
20 0 Heals Facilities {including organization
and utilization}
210 Legal Aspects of Health Gore (including
regulatory studies}
22 0 Health Politics
23 0 Community Studies related to Health
24 0 1 lealth Education
25 0 Sociobehavioral Aspects of Health Care
{including compliance)
26 0 Health Services Design and Development
(including technology transfer)
27 Cl Other, specify-
(48-49)
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23a In your opinion, is formal, specialized training Ibeyond basic science training) necessary to conduct health services research?
1 O YES 2 O NO (so)
b
If YES, what is the minimum level of training necessary to conduct health services research adequately in your opinion?
fiCheck only ONE}
1 0 Postdoctoral training in health services research
2 0 Doctoral training in health services research
3 0 Master's level Gaining in health services research
4 0 Nondegree training in health services research, specify
S O Over, specify . . _ , _
. .
(51)
I REALM "RVIC" RICH: FOLIATION
it. . .
. . . . ~ . . . . . . .
24 In which YEAR did you FIRST ENGAGE in health services research? 1Q
(52-53)
25 Were you engaged In head services research in:
_.
196~64 t O Yes 2 0 No (s
1965-69 1 ~1 Yes 2 ~ No tss
1970-74 1 O Yes 2 ~1 No (56)
197~76 t C] Yes 2 0 No (so)
26 If yew were not engaged in health services research in OCTOBER, 1977, BUT CONDUCTED such research at some time
prior to that date:
O NOT applicable (say
a. Specify the PRIMARY REASON for the fact that you
were not engaged in heals services research in Oc-
tober, 1977. {Check only ONE)
1 0 New research interests
2 0 Inappropriate job setting
3 0 Lack of proper training
4 0 Other, specify.-
~ss)
b. If you were given--the opportunity to repenter health ser-
vices research, what is the primary factor which would
facilitate such an entrance?
~ O Available research support
2 0 Opportunity for advanced research training
3 0 Appropriate job setting
4 O Income potential
5 Cl Other, specify-
(60,
27 What is the BASIN: SALARY. "soc~ated with your principal employment? (Round to the nearest thousand}
$ _per year (6~-63) S. peracademicyear(9-10months) (64-66)
reincludes your salary before deductions for income tax, social security, retirement, etc., but DOES NOT include bonuses, overtime
summer teaching, consulting or over payment for professional work.
28 Please indicate the total number of booIcs/articles you have had published for each category specified.
AT ANY TIME
J
~ 975-77
Total No. of Total No. of
Total No. of Health Services Total No. of Health Services
Publications Research Publications Publications Research Publications
Books (~10) (3 ~-12) (~3-~4) (I 5-1,
Articles (-I) _ (~°-~)
{You have completed this questionnaire. THANK YOU for your participation in this survey. J
174
-
(23-24) (25-2
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DEGREE ANG
MATHEMATICAL "IENCES
OC,0 A ~gebr.
OTC} Anely~is ~ Functional Ansfysis
Q20 - Gaoma~ry
030 - Logic
040 ~ u mt,.r Thecr V
052 P'obab'I ty
055 Math. Stat~stics (see atso 544, 670, 725, 729)
060 - Topology
0432 - Ooerat~ons Resea~rch (~e alca d7R)
085
~G
091
098
094
- ApP I fed Matt~emat~cs
· Comb~r~atorics & f ~nite Mathemetics
- Physical Mathematics
· MatHematics, General
· Mathematics, Other.
COMPUTER SCJ£NCES
07t - TH.QRY
072 - S~fT`~ere SYsterns
073 · !-ar-..~are SYstems
O74. ~ntettigon'Systems
07g · Co—puter Scie~ces, OtHer
PHYSICS & AStRONOMY
101 - Astronomy
102 - Ast~ochys,cs
110 A~c - 'c ~ Motecular~qc,cs
120- Ele:sromagne~is
t30. Mec-~.cs
~ 32 ^~oust,cs
134 P.;~;ds
13~ - ~,as_e Phys~cs
1 35 ~ r, cs
13& ~ ~e- - ai Pl~ys~cs
140 Eleme~arv Parr~cies
t 5C hi uclea, Ss~uctu re
160 So'~c Stete
198 ~ Phys cs 5e~e~a!
1ag - Ph~s-s, Othe..
CHEM1STR Y
EMPLOYMENT SPECIALTIES LIST
ENGINEERING
400 - Aeronautical ~ Astronsutical
410 - Aoricu Itural
415 - Biom~ical
420 - Civil
430 - Chemical
435 - Ceramic
440- Elactrical
445 - Elactronics
450 · Industrial ~ Menufacturing
455 - Nuclear
460 - E ngi necring Mechen ics
465 - Engineering PHYsics
470 - MachJnical
475 - Matellurgy ~ Phys. Met. Engr.
476 - sY"~ns D - ign ~ Systems Schnca
(se. siso 072, 073, 074}
478 - Operations Re - arct' (~ sIso 082
479 · fuel Tachnolo'ly ~ Pctrol. En''r.
410 · Sanitery B. E nvironmentel
486 - Mining
497 - Matar'alsScience Engr.
498 - Engin~ring, General
499 - Engineering, Other.
AGRICULTURAL SCIENCES
500. Agronomy
501 · Agriculturat Economics
5{t? - An~me' t~usbandry
504 - f ish & W~tdlife
505 - Fores~ry
506 - ~orticuiture
507 - Soils ~ Soi' Scicnce
5t 0 Anirnat Science B' Animal ~utrition
511 - Phytopathology
517 · Food Science & Tectinology
(see also 573)
5113 · Agr~culture, Genere,
5?g - Agriculture, Other.
MEDICAL SCIENCES
520
200- Ana!~t,ca' 522
210- ~norganic 524
215 · Synt~et~c i norgenic ~ Organometailic 526
220- 0~3anic 527
225 - SYnthet~c Orgenic & Mature' Products 528
230- Nuc~ear
?~0.Physcal 536
2J.5 - Q'~ant~m
250 · Theo~et.ca' 538
255 StrVCtU,8t 539 - Medical Sc~ences Other
260- Ag,~cul~ure! ~ Food
265 · Thermodynami~s ~ Meterial Properties
270- Phermacauticat
275 - Potyrners
280 - BioeMemistry (~ee also 540)
285 - Chemice' OYnamics
298 · Chem~strY, Gene,~t
299 - Chemittry, Other.
EARtH, ENVIRONMENTAL AND
MARI~IE SCIENCES
30t - M~~6rJ~O5J\~~ ~etrology
305 - Geoctlern~st~y
310 - Strat~graphy. Sedimentation
320 Peleontology
330 - Structurel Cicotogy
341 - Geopt~ysics (Sol'd Ea rh)
350 - C;eo~norph ~ Glacial G.ology
391 - Applied Geot. Geah E ngr.
~ Econ. Gcol.
395 · Fue' Tech. & Petrol. Engr.
(see sIso 479)
360 - ~yorology ~ Wate, R - ources
370 · Oceenogrept~y
3g7 - Ma~ine Sciences, Other ~
~ I - AtmosDneric Physics 6, Chemistry
382 - Atmospheric Dynamics
38 3 - At mospher ic S ciences, OtHer ~
388 - Env onmente'Scienc" G-nerel
(se. also 480, 528)
399 - E n vi ro n menta ~ S c ienc - , Other '
39i3 Earttl Scieneas, Genere'
399 - Eartn ScienCes, Other
PSYCHOLOGY
600 - Clinice'
610 - Coun~l ing ~ Guidence
620 - Devalopmcntel & Gerontologic~t
630 - Eduenion
635 - Schoot Psycho logy
641 - Experimentat
642 - Comperative
6~13 - Physiological
650 - t ndustrial ~ Pcrsonnal
660 - Personalilv,
670 - Peychotnetrics (~ also 055, 544, 725, 729)
680 - Socis'
698 - Psycilology, General
699 - Psychology, Other.
SOCIAL SCIENCES
700. Anthropology
703 - Archeology
708 - Communications.
709 - ~ inguistics
7 ~ O - Sociology
?20 · E conomics (tee also 501 )
725 · Economerric' t~e sIso 055, 5 - , 670, 729)
729 · Social Stetistics (s e also 055, S44, 670, 725)
740 - Geography
7~15 - Are. Stud ies ~
751 - Political Science
752 - Public Administration
755 - Internationd Relations
770 - Urban 8. Regionsi Planning
775 - ~istory & Philosophy of Science
798 - Socist Sciences, Gcnere'
799 - Social Sciences, Other
HIJMANtTlES
- Medicine ~ Surgery
- Public Health 8. EpiJamiology
- V.terinery Medicine
- Hosp~tal Administration
- ~ursing
- Perasitology
- Environmente. Health
- PatHotogy
· PHarmacolo9y
· Phermacy
- Med ical Scienc:~ Ger,.~.
BIOLOGICAL SCIENCES
540 · El~ochemistrY (s" a150 280)
542 - Biophysics
543- 8iomathematics
544- Biometrics, Biostatistics
( - a also 055, 670, 725, 729)
545 - Anatomy
5~6 - Cytology
547 - E mUrYO 109Y
548 - Immunology
550- Botany
560 - Ecology
562 · ~'rdrobiology
564 - 1~ ;:rob iology ~ Bacteriology
566 - Physiology, Animal
567 - Physiology, Plant
569 - Zoology
570 - Genetics
571 - Enton~olo9Y
572 - Molecular Biology
57 3 - Food Sci~ce ~ Technolo,~y 1~ also 517 )
574- BeHavio,JEttlology
576 - Nutrition th Dietatics
578 - Biologica' Sciences, Generel
579 - 8iologice1 Scienc - , Ott~er.
802 - ~istory 8. Criticism of Art
804- History, American
805 - H istory, E uropeen
806 - History, Other.
808 American S tud ies
830 ~usic
831 - SP6.Ch ~S a Dramasic Art (se. also 885)
833 · Religion (see also 881 )
834 - Philosophy
836 · comPerative Litereture
878 - Humenities, General
879 - Humeniths, Other.
891 - ~ ibrary & Archivel Sciences
LANGUAGES & LITERATURE
811 - American
812 - Engli~h
821 - Germen
822 · R ussis n
823 · French
824 - S pan ish & P ortugue"
826 · Itaiian
827 - Cl~icel.
829 · Other Languages.
EDUCATION & OTHER
PROFESSIONAL FIELDS
g38 - Education
80t · Art, Applied
88 1 - TheolollY (~e 81so 833)
882 · Busine# Administratior
883 - Home Economict
884 - Journalism
885 · Sp~ch 1& Hcering Scicaces (~ ·~so 8311
886 - Law, Jurtsprudencc
887 · Social Work
897 Prof~ional F ;dd, Other
899 - OTHER FIE LDS.
17 5 ~tdentify the specific field in the space on the questionnaire.
OCR for page 176
Representative terms from entire chapter:
health personnel
