E. Healthcare and Insurance

E. Healthcare and Insurance Module of CHARLS 2013

Start of E. Healthcare and Insurance
 
Question Combination

 
EA001

ARE YOU THE POLICY HOLDER/PRIMARY BENEFICIARY OF HEALTH INSURANCE

E HEALTH CARE AND INSURANCE


PART I MEDICAL INSURANCE

NOW WE WOULD LIKE TO KNOW ABOUT HEALTH INSURANCE OR BENEFITS THAT YOU MIGHT HAVE.

[SHOW CARD 14]

ARE YOU THE POLICY HOLDER/PRIMARY BENEFICIARY OF HEALTH INSURANCE? (CIRCLE ALL THAT APPLY)
expand
 
EA001_1

other

 

End Combination
 
As CNT goes from 1 to 10  »
 
   
 
If CNT includes EA001 »
 
     
   
If CNT = 7 or CNT = 8 »
 
       
     
dummy
       
   
Else
 
       
     
EA002

SUPPLEMENTAL INSURANCE

[ CARD 2 HEALTH INSURANCE ] DO YOU HAVE SUPPLEMENTAL INSURANCE TO THIS PLAN?
expand
       
   
Question Combination

     
   
EA003

New question

您的保险是在哪里办的?
expand
     
   
EA003_1

province

expand
     
   
EA003_2

county

     
   

End Combination
     
   
If 3 includes EA003 and province was assigned an EMPTY value and county was assigned an EMPTY value »
 
       
     
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
       
   
EA004

Ways of reimbursement

WAYS OF REIMBURSEMENT ABOUT [ CARD 2 HEALTH INSURANCE ]
expand
     
   
EA005

THE AGENCY FOR PURCHASING

[ CARD 2 HEALTH INSURANCE ]:

WHICH AGENCY DO YOU PURCHASE THIS PRIMARY PLAN BY ?
expand
     
   
EA006

Your out-of-pocket yearly premium

[ CARD 2 HEALTH INSURANCE ]:

WHAT’S YOUR OUT-OF-POCKET YEARLY PREMIUM?(YUAN)
     
   
If CNT = 1 and Your out-of-pocket yearly premium > 15000 or CNT = 2 and Your out-of-pocket yearly premium > 3000 or CNT = 3 and Your out-of-pocket yearly premium > 1000 or CNT = 4 and Your out-of-pocket yearly premium > 1500 or CNT = 7 and Your out-of-pocket yearly premium > 4000 or CNT = 8 and Your out-of-pocket yearly premium > 2000 »
 
       
     
ERRORRANGEMAX

Exceeding upper limit of range

YOU'VE ENTERED A VALUE THAT IS GREATER THAN [ The maximum value of range ], IF IT'S NOT CORRECT, PLEASE GO BACK AND CORRECT IT.
       
   
Question Combination

     
   
EA007

LOW LINE

WHO PAY THE PREMIUM OF [ CARD 2 HEALTH INSURANCE ] FOR YOU ?(CHOOSE ALL THAT APPLY)
expand
     
   
EA007_1

Others

OTHERS
     
   

End Combination
     
   
If 8 includes EA007 and Others was assigned an EMPTY value »
 
       
     
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
       
   
Question Combination

     
   
EA008

WHEN DID THIS BENEFIT BEGIN

WHEN DID [ CARD 2 HEALTH INSURANCE ] BEGIN?

[IWER: MARK THE YEAR USING FOUR DIGITS. TAKE DOWN THE MONTH AS ITS ACTUAL NUMBER. FOR EXAMPLE, WRITE JANUARY AS '1' NOT '01', DECEMBER AS '12'. IF DO NOT REMEMBER MONTH, FILL ‘0’. ]
     
   
EA008_1

YEAR

YEAR
expand
     
   
EA008_2

MONTH

MONTH
expand
     
   

End Combination
     
   
If YEAR was assigned an EMPTY value or MONTH was assigned an EMPTY value »
 
       
     
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
       
If XRtype = REIW »
 
   
 
If TMP > 0 »
 
     
   
As CNT goes from 1 to 9  »
 
       
     
If BLASTINS = 1 »
 
         
       
EA010_W2
         
 
If New question > 0 »
 
     
   
If ARE YOU THE POLICY HOLDER/PRIMARY BENEFICIARY OF HEALTH INSURANCE > 0 and !( 11 includes EA001 ) »
 
       
     
If New question > 0 »
 
         
       
As CNT goes from 1 to 9  »
 
           
         
If BLASTCOMFIRMINS = 1 »
 
             
           
Question Combination

             
           
EB003

WHEN LOST INSURANCE



WHEN DID YOU LOSE [ CARD 2 HEALTH INSURANCE ]?

[IWER: MARK THE YEAR USING FOUR DIGITS. TAKE DOWN THE MONTH AS ITS ACTUAL NUMBER. FOR EXAMPLE, WRITE JANUARY AS “1” NOT “01”, DECEMBER AS “12”. IF DO NOT REMEMBER MONTH, FILL ‘0’. ]
             
           
EB003_1

YEAR

YEAR
expand
             
           
EB003_2

MONTH

MONTH
expand
             
           

End Combination
             
           
Question Combination

             
           
EB004

REASON



WHY DID YOU LOSE [ CARD 2 HEALTH INSURANCE ] ?
expand
             
           
EB004_1

Other reason

OTHER REASON
             
           

End Combination
             
           
If REASON = 4 and Other reason was assigned an EMPTY value »
 
               
             
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
               
     
Else
 
         
       
Question Combination

         
       
EB002

TYPE OF INSURANCE

[SHOW CARD 14]
WHAT TYPE OF INSURANCE DID YOU HAVE?(CIRCLE ALL THAT APPLY)
expand
         
       
EB002_1

OTHER

         
       

End Combination
         
       
If 10 includes EB002 and OTHER was assigned an EMPTY value »
 
           
         
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
           
       
As CNT goes from 1 to 10  »
 
           
         
If CNT includes EB002 »
 
             
           
Question Combination

             
           
EA008_W2_1

WHEN DID THIS BENEFIT BEGIN

[ CARD 2 HEALTH INSURANCE ]: WHEN DID THIS BENEFIT BEGIN?

[IWER: MARK THE YEAR USING FOUR DIGITS. TAKE DOWN THE MONTH AS ITS ACTUAL NUMBER. FOR EXAMPLE, WRITE JANUARY AS '1' NOT '01', DECEMBER AS '12'. IF DO NOT REMEMBER MONTH, FILL ‘0’. ]
             
           
EA008_W2_1_1

YEAR


expand
             
           
EA008_W2_1_2

MONTH


expand
             
           

End Combination
             
           
If YEAR was assigned an EMPTY value or MONTH was assigned an EMPTY value »
 
               
             
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
               
           
Question Combination

             
           
EB003

WHEN LOST INSURANCE



WHEN DID YOU LOSE [ CARD 2 HEALTH INSURANCE ]?

[IWER: MARK THE YEAR USING FOUR DIGITS. TAKE DOWN THE MONTH AS ITS ACTUAL NUMBER. FOR EXAMPLE, WRITE JANUARY AS “1” NOT “01”, DECEMBER AS “12”. IF DO NOT REMEMBER MONTH, FILL ‘0’. ]
             
           
EB003_1

YEAR

YEAR
expand
             
           
EB003_2

MONTH

MONTH
expand
             
           

End Combination
             
           
Question Combination

             
           
EB004

REASON



WHY DID YOU LOSE [ CARD 2 HEALTH INSURANCE ] ?
expand
             
           
EB004_1

Other reason

OTHER REASON
             
           

End Combination
             
           
If REASON = 4 and Other reason was assigned an EMPTY value »
 
               
             
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
               
   
Else
 
       
     
EA009

REASON FOR NOT HAVING A HEALTH INSURANCE

WHAT IS THE MAIN REASON FOR NOT HAVING A HEALTH INSURANCE?
expand
       
     
If New question > 0 »
 
         
       
As CNT goes from 1 to 9  »
 
           
         
If BLASTCOMFIRMINS = 1 »
 
             
           
Question Combination

             
           
EB003

WHEN LOST INSURANCE



WHEN DID YOU LOSE [ CARD 2 HEALTH INSURANCE ]?

[IWER: MARK THE YEAR USING FOUR DIGITS. TAKE DOWN THE MONTH AS ITS ACTUAL NUMBER. FOR EXAMPLE, WRITE JANUARY AS “1” NOT “01”, DECEMBER AS “12”. IF DO NOT REMEMBER MONTH, FILL ‘0’. ]
             
           
EB003_1

YEAR

YEAR
expand
             
           
EB003_2

MONTH

MONTH
expand
             
           

End Combination
             
           
Question Combination

             
           
EB004

REASON



WHY DID YOU LOSE [ CARD 2 HEALTH INSURANCE ] ?
expand
             
           
EB004_1

Other reason

OTHER REASON
             
           

End Combination
             
           
If REASON = 4 and Other reason was assigned an EMPTY value »
 
               
             
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
               
     
Else
 
         
       
EB001

HEALTH INSURANCE BEFORE

DID YOU HAVE HEALTH INSURANCE BEFORE?
expand
         
       
If HEALTH INSURANCE BEFORE = 1 »
 
           
         
Question Combination

           
         
EB002

TYPE OF INSURANCE

[SHOW CARD 14]
WHAT TYPE OF INSURANCE DID YOU HAVE?(CIRCLE ALL THAT APPLY)
expand
           
         
EB002_1

OTHER

           
         

End Combination
           
         
If 10 includes EB002 and OTHER was assigned an EMPTY value »
 
             
           
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
             
         
As CNT goes from 1 to 10  »
 
             
           
If CNT includes EB002 »
 
               
             
Question Combination

               
             
EA008_W2_1

WHEN DID THIS BENEFIT BEGIN

[ CARD 2 HEALTH INSURANCE ]: WHEN DID THIS BENEFIT BEGIN?

[IWER: MARK THE YEAR USING FOUR DIGITS. TAKE DOWN THE MONTH AS ITS ACTUAL NUMBER. FOR EXAMPLE, WRITE JANUARY AS '1' NOT '01', DECEMBER AS '12'. IF DO NOT REMEMBER MONTH, FILL ‘0’. ]
               
             
EA008_W2_1_1

YEAR


expand
               
             
EA008_W2_1_2

MONTH


expand
               
             

End Combination
               
             
If YEAR was assigned an EMPTY value or MONTH was assigned an EMPTY value »
 
                 
               
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
                 
             
Question Combination

               
             
EB003

WHEN LOST INSURANCE



WHEN DID YOU LOSE [ CARD 2 HEALTH INSURANCE ]?

[IWER: MARK THE YEAR USING FOUR DIGITS. TAKE DOWN THE MONTH AS ITS ACTUAL NUMBER. FOR EXAMPLE, WRITE JANUARY AS “1” NOT “01”, DECEMBER AS “12”. IF DO NOT REMEMBER MONTH, FILL ‘0’. ]
               
             
EB003_1

YEAR

YEAR
expand
               
             
EB003_2

MONTH

MONTH
expand
               
             

End Combination
               
             
Question Combination

               
             
EB004

REASON



WHY DID YOU LOSE [ CARD 2 HEALTH INSURANCE ] ?
expand
               
             
EB004_1

Other reason

OTHER REASON
               
             

End Combination
               
             
If REASON = 4 and Other reason was assigned an EMPTY value »
 
                 
               
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
                 
 
Else
 
     
   
If 11 includes EA001 »
 
       
     
EA009

REASON FOR NOT HAVING A HEALTH INSURANCE

WHAT IS THE MAIN REASON FOR NOT HAVING A HEALTH INSURANCE?
expand
       
     
EB001

HEALTH INSURANCE BEFORE

DID YOU HAVE HEALTH INSURANCE BEFORE?
expand
       
     
If HEALTH INSURANCE BEFORE = 1 »
 
         
       
Question Combination

         
       
EB002

TYPE OF INSURANCE

[SHOW CARD 14]
WHAT TYPE OF INSURANCE DID YOU HAVE?(CIRCLE ALL THAT APPLY)
expand
         
       
EB002_1

OTHER

         
       

End Combination
         
       
If 10 includes EB002 and OTHER was assigned an EMPTY value »
 
           
         
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
           
       
As CNT goes from 1 to 10  »
 
           
         
If CNT includes EB002 »
 
             
           
Question Combination

             
           
EB003

WHEN LOST INSURANCE



WHEN DID YOU LOSE [ CARD 2 HEALTH INSURANCE ]?

[IWER: MARK THE YEAR USING FOUR DIGITS. TAKE DOWN THE MONTH AS ITS ACTUAL NUMBER. FOR EXAMPLE, WRITE JANUARY AS “1” NOT “01”, DECEMBER AS “12”. IF DO NOT REMEMBER MONTH, FILL ‘0’. ]
             
           
EB003_1

YEAR

YEAR
expand
             
           
EB003_2

MONTH

MONTH
expand
             
           

End Combination
             
           
Question Combination

             
           
EB004

REASON



WHY DID YOU LOSE [ CARD 2 HEALTH INSURANCE ] ?
expand
             
           
EB004_1

Other reason

OTHER REASON
             
           

End Combination
             
           
If REASON = 4 and Other reason was assigned an EMPTY value »
 
               
             
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
               
If XRtype = NEWIW »
 
   
 
If 11 includes EA001 »
 
     
   
EA009

REASON FOR NOT HAVING A HEALTH INSURANCE

WHAT IS THE MAIN REASON FOR NOT HAVING A HEALTH INSURANCE?
expand
     
   
EB001

HEALTH INSURANCE BEFORE

DID YOU HAVE HEALTH INSURANCE BEFORE?
expand
     
   
If HEALTH INSURANCE BEFORE = 1 »
 
       
     
Question Combination

       
     
EB002

TYPE OF INSURANCE

[SHOW CARD 14]
WHAT TYPE OF INSURANCE DID YOU HAVE?(CIRCLE ALL THAT APPLY)
expand
       
     
EB002_1

OTHER

       
     

End Combination
       
     
If 10 includes EB002 and OTHER was assigned an EMPTY value »
 
         
       
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
         
     
As CNT goes from 1 to 10  »
 
         
       
If CNT includes EB002 »
 
           
         
Question Combination

           
         
EB003

WHEN LOST INSURANCE



WHEN DID YOU LOSE [ CARD 2 HEALTH INSURANCE ]?

[IWER: MARK THE YEAR USING FOUR DIGITS. TAKE DOWN THE MONTH AS ITS ACTUAL NUMBER. FOR EXAMPLE, WRITE JANUARY AS “1” NOT “01”, DECEMBER AS “12”. IF DO NOT REMEMBER MONTH, FILL ‘0’. ]
           
         
EB003_1

YEAR

YEAR
expand
           
         
EB003_2

MONTH

MONTH
expand
           
         

End Combination
           
         
Question Combination

           
         
EB004

REASON



WHY DID YOU LOSE [ CARD 2 HEALTH INSURANCE ] ?
expand
           
         
EB004_1

Other reason

OTHER REASON
           
         

End Combination
           
         
If REASON = 4 and Other reason was assigned an EMPTY value »
 
             
           
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
             
Question Combination

 
EC001

when did you take the last physical examination

Since last iwer WHEN DID YOU TAKE THE LAST PHYSICAL EXAMINATION?

[IWER: MARK THE YEAR USING FOUR DIGITS. TAKE DOWN THE MONTH AS ITS ACTUAL NUMBER. FOR EXAMPLE, WRITE JANUARY AS “1” NOT “01”, DECEMBER AS “12”. IF DO NOT REMEMBER MONTH, FILL ‘0’.]



expand
 
EC001_1

year

YEAR
expand
 
EC001_2

month

MONTH
expand
 

End Combination
 
If when did you take the last physical examination = 1 and year was assigned an EMPTY value or month was assigned an EMPTY value »
 
   
 
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
   
If when did you take the last physical examination = 1 »
 
   
 
Question Combination

   
 
EC002

Who pay the physical examination cost?

WHO PAIED THE PHYSICAL EXAMINATION COST?
expand
   
 
EC002_1

Other

OTHER
   
 

End Combination
   
 
If Who pay the physical examination cost? = 9 and Other was assigned an EMPTY value »
 
     
   
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
     
ED001

VISITED HOSPITAL LAST MONTH

THE NEXT QUESTIONS PERTAIN TO MEDICAL FACILITIES OR MEDICAL PROVIDERS YOU MAY HAVE VISITED FOR OUTPATIENT CARE DURING THE PAST 1 MONTH(EXLUDING HOSPITALIZATION)

IN THE LAST MONTH HAVE YOU VISITED A PUBLIC HOSPITAL, PRIVATE HOSPITAL, PUBLIC HEALTH CENTER, CLINIC, HEALTH WORKER OR DOCTOR'S PRACTICE, OR BEEN VISITED BY A HEALTH WORKER OR DOCTOR FOR OUTPATIENT CARE?
expand
 
If VISITED HOSPITAL LAST MONTH != 1 »
 
   
 
ED002

WHETHER ILL IN THE LAST MONTH

HAVE YOU BEEN ILL IN THE LAST MONTH?
expand
   
If VISITED HOSPITAL LAST MONTH = 2 and WHETHER ILL IN THE LAST MONTH = 1 »
 
   
 
ED003

REASON FOR NOT SEEKING A VISIT TO HOSPITAL

WHAT’S THE MAIN REASON FOR NOT SEEKING MEDICAL TREATMENT?
expand
   
If VISITED HOSPITAL LAST MONTH = 1 »
 
   
 
ED004

TYPES OF MEDICAL FACILITY HAVE VISITED

[SHOW CARD 15]

WHICH TYPES OF MEDICAL FACILITY HAVE YOU VISITED IN THE LAST 4 WEEKS FOR OUTPATIENT ?(CIRCLE ALL THAT APPLY)
expand
   
 
As CNT goes from 1 to 8  »
 
     
   
If CNT != 8 and CNT includes ED004 »
 
       
     
ED005

TIMES VISIT / BEEN VISITED BY HOSPITAL

HOW MANY TIMES DID YOU VISIT / BEEN VISITED [ General hospital ] BY DURING THE LAST MONTH?
expand
       
   
     
   
Question Combination

     
   
ED006

TOTAL COST

HOW MUCH DID ALL THE VISITS TO COST DURING THE LAST MONTH?(YUAN)

[IWER: IF POSSIBLE, PLEASE CHECK THE LIST OF COST]
expand
     
   
ED006_1

TOTAL COST

A. TOTAL COST
     
   

End Combination
     
   
If TOTAL COST = 1 and TOTAL COST was assigned an EMPTY value »
 
       
     
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
       
   
If TOTAL COST = 1 and TOTAL COST > 30000 »
 
       
     
ERRORRANGEMAX

Exceeding upper limit of range

YOU'VE ENTERED A VALUE THAT IS GREATER THAN [ The maximum value of range ], IF IT'S NOT CORRECT, PLEASE GO BACK AND CORRECT IT.
       
   
If TOTAL COST was not answered »
 
       
     
ED006_BRACKET

Unfolding brackets

IF R IS UNWILLING TO ANSWER OR DOES NOT REMEMBER, ASK UNFOLDING BRACKET QUESTIONS HERE. [50/100/200/500/1,000]
       
   
If TOTAL COST = 1 or TOTAL COST was not answered and ED006_BRACKET.BRACKET_MIN !was not answered and ED006_BRACKET.BRACKET_MAX !was not answered »
 
       
     
Question Combination

       
     
ED007

Self-paid part

WHAT WAS THE SELF-PAID PART FOR DURING THE LAST MONTH?(YUAN)

[IWER: IF POSSIBLE, PLEASE CHECK THE LIST OF COST]
expand
       
     
ED007_1

SELF-PAID PART

B. SELF-PAID PART
       
     

End Combination
       
     
If Self-paid part = 1 and SELF-PAID PART was assigned an EMPTY value »
 
         
       
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
         
     
If Self-paid part = 1 and SELF-PAID PART > 30000 »
 
         
       
ERRORRANGEMAX

Exceeding upper limit of range

YOU'VE ENTERED A VALUE THAT IS GREATER THAN [ The maximum value of range ], IF IT'S NOT CORRECT, PLEASE GO BACK AND CORRECT IT.
         
     
If Self-paid part was not answered »
 
         
       
ED007_BRACKET
         
 
ED008

THE HEALTH CARE PROVIDER LAST TIME

NOW I’D LIKE TO ASK YOU SOME QUESTIONS ABOUT YOUR MOST RECENT VISIT TO A HEALTH CARE PROVIDERS LAST MONTH.

[IWER:PLEASE SHOW CARD 1 TO R.]

WHICH HEALTH CARE PROVIDER DID YOU GO TO VISIT THE LAST TIME DURING THE LAST MONTH?
expand
   
 
ED009

THIS FACILITY PUBLIC OR PRIVATE

IS THIS FACILITY PUBLIC OR PRIVATE?
expand
   
 
If THE HEALTH CARE PROVIDER LAST TIME includes [ 1 , 2 , 3 ] »
 
     
   
ED010

THE LEVEL OF THIS FACILITY

WHAT’S THE LEVEL OF THIS FACILITY?
expand
     
 
ED011

Name of medical facilities

WHAT IS THE NAME OF THIS HEALTH CARE PROVIDER?
   
 
ED012

WHETHER BEEN VISITED

DID THE PROVIDER VISIT YOU AT HOME?
expand
   
 
If WHETHER BEEN VISITED != 1 »
 
     
   
ED013

Distance to Medical facility

HOW MANY KILOMETERS IS IT FROM THE MEDICAL FACILITY TO YOUR RESIDENCE?
     
   
If Distance to Medical facility > 200 »
 
       
     
ERRORRANGEMAX

Exceeding upper limit of range

YOU'VE ENTERED A VALUE THAT IS GREATER THAN [ The maximum value of range ], IF IT'S NOT CORRECT, PLEASE GO BACK AND CORRECT IT.
       
   
Question Combination

     
   
ED014

TRAVEL TIME TO THAT FACILITY

WHAT IS THE TRAVEL TIME (ONE-WAY) TO THAT FACILITY?
     
   
ED014_1

UNIT hour

     
   

End Combination
     
   
ED014_2

Travel method

WHAT MODE OF TRAVEL DO YOU USE TO GET TO THAT FACILITY?
expand
     
   
If UNIT hour = 1 and TRAVEL TIME TO THAT FACILITY > 59 »
 
       
     
ERRORRANGEMAX

Exceeding upper limit of range

YOU'VE ENTERED A VALUE THAT IS GREATER THAN [ The maximum value of range ], IF IT'S NOT CORRECT, PLEASE GO BACK AND CORRECT IT.
       
   
If UNIT hour = 2 and TRAVEL TIME TO THAT FACILITY > 10 »
 
       
     
ERRORRANGEMAX

Exceeding upper limit of range

YOU'VE ENTERED A VALUE THAT IS GREATER THAN [ The maximum value of range ], IF IT'S NOT CORRECT, PLEASE GO BACK AND CORRECT IT.
       
   
If Travel method != 1 »
 
       
     
ED015

THE TOTAL TRANSPORTATION COST TO THE FACILITY

WHAT WAS THE TOTAL TRANSPORTATION COST TO THE FACILITY (INCLUDING FUEL COST, ONE WAY TRIP)?(YUAN)
       
 
Question Combination

   
 
ED016

LOCATION OF THE HOSPITAL

WHERE IS THE HEALTH CARE PROVIDER LOCATED?
   
 
ED016_1

PROVINCE

1. PROVINCE
expand
   
 
ED016_1_1

PROVINCE

TPROVINCE
expand
   
 
ED016_2

COUNTY/CITY

2. COUNTY/CITY
expand
   
 
ED016_2_1

COUNTY/CITY

   
 
ED016_3

TOWNSHIP/DISTRICT

3. TOWNSHIP/DISTRICT
expand
   
 
ED016_3_1

TOWNSHIP/DISTRICT

   
 
ED016_4

VILLAGE/STREET

4. VILLAGE/STREET
expand
   
 
ED016_4_1

VILLAGE/STREET

   
 

End Combination
   
 
If PROVINCE = 2 and PROVINCE was assigned an EMPTY value or COUNTY/CITY = 2 and COUNTY/CITY was assigned an EMPTY value or TOWNSHIP/DISTRICT = 2 and TOWNSHIP/DISTRICT was assigned an EMPTY value or VILLAGE/STREET = 2 and VILLAGE/STREET was assigned an EMPTY value »
 
     
   
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
     
 
If PROVINCE != 1 and PROVINCE != 2 and COUNTY/CITY != 1 and PROVINCE != 2 and TOWNSHIP/DISTRICT != 1 and TOWNSHIP/DISTRICT != 2 and VILLAGE/STREET != 1 and VILLAGE/STREET != 2 »
 
     
   
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
     
 
If WHETHER BEEN VISITED = 2 »
 
     
   
ED017

PURPOSE OF VIST

WHAT WAS THE PURPOSE OF VISIT? (CIRCLE ALL THAT APPLY) ?
expand
     
   
If 4 includes ED017 »
 
       
     
ED018

THE DISEASE NAME

COULD YOU TELL ME THE DISEASE NAME?
       
     
ED019

THE FIRST VISIT OR A FOLLOW-UP VISIT

WAS THE VISIT THE FIRST VISIT OR A FOLLOW-UP VISIT FOR THE SYMPTOM?
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ED020

outpatient

WAS THE VISIT ORDINARY OUTPATIENT SERVICE OR EMERGENCY?
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ED021

KIND OF TREATMENT

[SHOW CARD 16]

WHAT KIND OF TREATMENT DID YOU RECEIVE? (CIRCLE ALL THAT APPLY)
expand
       
 
Question Combination

   
 
ED023

Total cost of medical treatment

WHAT WAS THE TOTAL COST OF THIS VISIT, INCLUDING BOTH TREATMENT AND MEDICATION COST(INCLUDES PRESCRIPTIONS YOU RECEIVED)?
expand
   
 
ED023_1

MONEY

   
 

End Combination
   
 
If Total cost of medical treatment = 1 and MONEY was assigned an EMPTY value »
 
     
   
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
     
 
If Total cost of medical treatment = 1 and MONEY > 30000 »
 
     
   
ERRORRANGEMAX

Exceeding upper limit of range

YOU'VE ENTERED A VALUE THAT IS GREATER THAN [ The maximum value of range ], IF IT'S NOT CORRECT, PLEASE GO BACK AND CORRECT IT.
     
 
If Total cost of medical treatment was not answered »
 
     
   
ED023_BRACKET

Unfolding brackets

IF R IS UNWILLING TO ANSWER OR DOES NOT REMEMBER, ASK UNFOLDING BRACKET QUESTIONS HERE. [25/100/200/500/1,200]
     
 
If Total cost of medical treatment = 1 or ED023_BRACKET.BRACKET_MAX !was not answered and Total cost of medical treatment was not answered and ED023_BRACKET.BRACKET_MIN !was not answered »
 
     
   
Question Combination

     
   
ED024

How much you paid after insurance reimbursement

HOW MUCH DID YOU PAY OUT OF POCKET, AFTER REIMBURSEMENT FROM INSURANCE?
expand
     
   
ED024_1

MONEY

     
   

End Combination
     
   
If How much you paid after insurance reimbursement was not answered »
 
       
     
ED024_BRACKET

Unfolding brackets

IF R IS UNWILLING TO ANSWER OR DOES NOT REMEMBER, ASK UNFOLDING BRACKET QUESTIONS HERE. [15/30/100/300/1,000]
       
   
If How much you paid after insurance reimbursement = 1 and MONEY was assigned an EMPTY value »
 
       
     
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
       
   
If How much you paid after insurance reimbursement = 1 or How much you paid after insurance reimbursement was not answered and ED024_BRACKET.BRACKET_MIN !was not answered and ED024_BRACKET.BRACKET_MAX !was not answered »
 
       
     
Question Combination

       
     
ED025

Who pay the physical examination cost?

WHO CONTRIBUTE MOST FOR PAYING THE OUT-OF-POCKET COST?
expand
       
     
ED025_1

Other

OTHER
       
     

End Combination
       
     
If Who pay the physical examination cost? = 8 and Other was assigned an EMPTY value »
 
         
       
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
         
   
Question Combination

     
   
ED026

The total medication cost

WHAT WAS THE TOTAL MEDICATION COST FOR THIS VISIT, INCLUDING PRESCRIPTIONS YOU RECEIVED?
expand
     
   
ED026_1

MONEY

     
   

End Combination
     
   
If The total medication cost was not answered »
 
       
     
ED026_BRACKET

Unfolding brackets

IF R IS UNWILLING TO ANSWER OR DOES NOT REMEMBER, ASK UNFOLDING BRACKET QUESTIONS HERE. [10/30/80/250/600]
       
   
If The total medication cost = 1 or The total medication cost was not answered and ED026_BRACKET.BRACKET_MIN !was not answered and ED026_BRACKET.BRACKET_MAX !was not answered »
 
       
     
If The total medication cost = 1 »
 
         
       
If MONEY was assigned an EMPTY value »
 
           
         
ERRORMISSINGANSWER

ErrorMissingAnswer

YOU'VE MISSED SOME ANSWERS. PLEASE GO BACK AND CORRECT IT.
           
       
If MONEY > 5000 »
 
           
         
ERRORRANGEMAX

Exceeding upper limit of range

YOU'VE ENTERED A VALUE THAT IS GREATER THAN [ The maximum value of range ], IF IT'S NOT CORRECT, PLEASE GO BACK AND CORRECT IT.
           
       
If MONEY > ED023_1 »
 
           
         
ERRORRANGEMAX

Exceeding upper limit of range

YOU'VE ENTERED A VALUE THAT IS GREATER THAN [ The maximum value of range ], IF IT'S NOT CORRECT, PLEASE GO BACK AND CORRECT IT.