HC. Health Care

HC. Health Care Module of SHARE 2013

item label type description
HC001 Question Now we have some questions about your health care in the last 12 months, that is your doctor visits, hospital stays, or the medication you took . It is also important to us tolearn about how much you paid for it out of pock et. By out of pock et payments we mean payments you made directly to your doctor, hospital or pharmacist without gettingreimbursed by your health insurance/national health system/third party payer. This also includes co-payments and deductibles for services partly paid by the healthinsurance/national health system/third party payer.
HC125 Question Let us begin with your health insurance. Overall, how satisfied are you with your own coverage in your basic health insurance/national health system? Are you
HC111 Question Does your own coverage in your basic health insurance/national health system have a deductible, that is, do you have to pay up to a fixed amount for your health careyourself before benefits of the policy can apply?
HC112 Question About how large was your annual deductible in [Year -1]?
HC113 Question Do you have any supplementary health insurance, that is, a supplementary health insurance that pays for services not covered by your . These services may include inpatient services, examinations, visits, dental care, other treatments or drugs.
HC116 Question Do you have any of the following public or private long-term care insurances?
HC002 Question Now please think about the last 12 months. About how many times in total have you seen or talk ed to a medical doctor or qualified nurse about your health? Pleaseexclude dentist visits and hospital stays, but include emergency room or outpatient clinic visits.
HC082 Question Did you pay anything out of pock et for your doctor visits [past your deductible] (in the last twelve months)? Please also include expenses for diagnostic exams, such asimaging or laboratory diagnostics.
HC083 Question How much did you pay overall for your doctor visits (in the last twelve months)?
HC088 Question Earlier we talk ed about medication you may tak e. In the last twelve months, did you pay anything out of pock et for your medication [past your deductible]? Please includeboth drugs that were prescribed by your doctor and those you bought without prescription.
HC089 Question About how much did you pay overall for drugs [past your deductible] in the last twelve months?
HC130 Question Can you tell me about how much you pay for your medication in a typical month?
HC010 Question During the last twelve months, have you seen a dentist or a dental hygienist?
HC092 Question In the last twelve months, did you pay anything out of pock et for your dental care [past your deductible]? Please include payments for diagnoses, treatments, and dentalprostheses.
HC093 Question How much did you pay overall for your dentist care [past your deductible] In the last twelve months?
HC114 Question Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?
HC115 Question Was there a time in the past 12 months when you needed to see a doctor but could not because you had to wait too long?
HC012 Question During the last twelve months, have you been in a hospital overnight? Please consider stays in medical, surgical, psychiatric or in any other specialised wards.
HC013 Question How many times have you been a patient in a hospital overnight during the last twelve months?
HC014 Question How many nights altogether have you spent in hospitals during the last twelve months?
HC064 Question During the last twelve months, have you been a patient overnight in any health care facility other than a hospital, for instance in institutions for medical rehabilitation,convalescence, etc.? Please do not include stays in nursing homes/residential care facilities.
HC066 Question How many nights altogether have you spent in any institution other than a hospital or a nursing home during the last twelve months?
HC094 Question Did you pay anything out of pock et [for your stays in hospitals and other health care facilities/for your hospital stays/for your stays in health care facilities other thanhospitals/for your stays in hospitals and other health care facilities/for your hospital stays/for your stays in health care facilities other than hospitals] in the last twelvemonths?
HC095 Question How much did you pay overall for your hospital stays in the last twelve months?
HC127 Question We already talk ed about the difficulties you may have with various activities because of a health problem. Please look at Card {SHOWCARD_ID}. During the last twelvemonths, did you receive in your own home any professional or paid services listed on this card due to a physical, mental, emotional or memory problem?
HC128 Question In the last twelve months, did you pay anything out of pock et for {FL_HC128_2}?
HC129 Question How much did you pay overall for personal care, domestic task s, meals on wheels or other help in the last twelve months? Please do not include expenses reimbursedby a health or long-term insurance.
HC029 Question During the last twelve months, have you been in a nursing home/residential care facility overnight?
HC031 Question During the last 12 months, how many week s altogether did you stay in a nursing home?
HC096 Question Did you pay anything out of pock et for nursing home stays in the last twelve months? [To remind you, by out of pock et payments we mean payments not reimbursed byyour long-term care insurance]
HC097 Question How much did you pay overall for your nursing home stays in the last twelve months?
Start of HC. Health Care
 
HC001

Now we have some questions about your health care in the last 12 months, that is your doctor visits, hospital stays, or the medication you took . It is also important to us tolearn about how much you paid for it out of pock et. By out of pock et payments we mean payments you made directly to your doctor, hospital or pharmacist without gettingreimbursed by your health insurance/national health system/third party payer. This also includes co-payments and deductibles for services partly paid by the healthinsurance/national health system/third party payer.

NOW WE HAVE SOME QUESTIONS ABOUT YOUR HEALTH CARE IN THE LAST 12 MONTHS, THAT IS YOUR DOCTOR VISITS, HOSPITAL STAYS, OR THE MEDICATION YOU TOOK . IT IS ALSO IMPORTANT TO US TOLEARN ABOUT HOW MUCH YOU PAID FOR IT OUT OF POCK ET. BY OUT OF POCK ET PAYMENTS WE MEAN PAYMENTS YOU MADE DIRECTLY TO YOUR DOCTOR, HOSPITAL OR PHARMACIST WITHOUT GETTINGREIMBURSED BY YOUR HEALTH INSURANCE/NATIONAL HEALTH SYSTEM/THIRD PARTY PAYER. THIS ALSO INCLUDES CO-PAYMENTS AND DEDUCTIBLES FOR SERVICES PARTLY PAID BY THE HEALTHINSURANCE/NATIONAL HEALTH SYSTEM/THIRD PARTY PAYER.
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HC125

Let us begin with your health insurance. Overall, how satisfied are you with your own coverage in your basic health insurance/national health system? Are you

LET US BEGIN WITH YOUR HEALTH INSURANCE. OVERALL, HOW SATISFIED ARE YOU WITH YOUR OWN COVERAGE IN YOUR BASIC HEALTH INSURANCE/NATIONAL HEALTH SYSTEM? ARE YOU
expand
 
HC111

Does your own coverage in your basic health insurance/national health system have a deductible, that is, do you have to pay up to a fixed amount for your health careyourself before benefits of the policy can apply?

DOES YOUR OWN COVERAGE IN YOUR BASIC HEALTH INSURANCE/NATIONAL HEALTH SYSTEM HAVE A DEDUCTIBLE, THAT IS, DO YOU HAVE TO PAY UP TO A FIXED AMOUNT FOR YOUR HEALTH CAREYOURSELF BEFORE BENEFITS OF THE POLICY CAN APPLY?
expand
 
If Does your own coverage in your basic health insurance/national health system have a deductible, that is, do you have to pay up to a fixed amount for your health careyourself before benefits of the policy can apply? = 1 Yes 5 No  »
 
   
 
HC112

About how large was your annual deductible in [Year -1]?

ABOUT HOW LARGE WAS YOUR ANNUAL DEDUCTIBLE IN [YEAR -1]?
   
HC113

Do you have any supplementary health insurance, that is, a supplementary health insurance that pays for services not covered by your . These services may include inpatient services, examinations, visits, dental care, other treatments or drugs.

DO YOU HAVE ANY SUPPLEMENTARY HEALTH INSURANCE, THAT IS, A SUPPLEMENTARY HEALTH INSURANCE THAT PAYS FOR SERVICES NOT COVERED BY YOUR . THESE SERVICES MAY INCLUDE INPATIENT SERVICES, EXAMINATIONS, VISITS, DENTAL CARE, OTHER TREATMENTS OR DRUGS.
expand
 
HC116

Do you have any of the following public or private long-term care insurances?

DO YOU HAVE ANY OF THE FOLLOWING PUBLIC OR PRIVATE LONG-TERM CARE INSURANCES?
expand
 
HC002

Now please think about the last 12 months. About how many times in total have you seen or talk ed to a medical doctor or qualified nurse about your health? Pleaseexclude dentist visits and hospital stays, but include emergency room or outpatient clinic visits.

NOW PLEASE THINK ABOUT THE LAST 12 MONTHS. ABOUT HOW MANY TIMES IN TOTAL HAVE YOU SEEN OR TALK ED TO A MEDICAL DOCTOR OR QUALIFIED NURSE ABOUT YOUR HEALTH? PLEASEEXCLUDE DENTIST VISITS AND HOSPITAL STAYS, BUT INCLUDE EMERGENCY ROOM OR OUTPATIENT CLINIC VISITS.
expand
 
If Now please think about the last 12 months. About how many times in total have you seen or talk ed to a medical doctor or qualified nurse about your health? Pleaseexclude dentist visits and hospital stays, but include emergency room or outpatient clinic visits. > 0 »
 
   
 
HC082

Did you pay anything out of pock et for your doctor visits [past your deductible] (in the last twelve months)? Please also include expenses for diagnostic exams, such asimaging or laboratory diagnostics.

DID YOU PAY ANYTHING OUT OF POCK ET FOR YOUR DOCTOR VISITS [PAST YOUR DEDUCTIBLE] (IN THE LAST TWELVE MONTHS)? PLEASE ALSO INCLUDE EXPENSES FOR DIAGNOSTIC EXAMS, SUCH ASIMAGING OR LABORATORY DIAGNOSTICS.
expand
   
 
If Did you pay anything out of pock et for your doctor visits [past your deductible] (in the last twelve months)? Please also include expenses for diagnostic exams, such asimaging or laboratory diagnostics. = 1 Yes 5 No  »
 
     
   
HC083

How much did you pay overall for your doctor visits (in the last twelve months)?

HOW MUCH DID YOU PAY OVERALL FOR YOUR DOCTOR VISITS (IN THE LAST TWELVE MONTHS)?
     
HC088

Earlier we talk ed about medication you may tak e. In the last twelve months, did you pay anything out of pock et for your medication [past your deductible]? Please includeboth drugs that were prescribed by your doctor and those you bought without prescription.

EARLIER WE TALK ED ABOUT MEDICATION YOU MAY TAK E. IN THE LAST TWELVE MONTHS, DID YOU PAY ANYTHING OUT OF POCK ET FOR YOUR MEDICATION [PAST YOUR DEDUCTIBLE]? PLEASE INCLUDEBOTH DRUGS THAT WERE PRESCRIBED BY YOUR DOCTOR AND THOSE YOU BOUGHT WITHOUT PRESCRIPTION.
expand
 
If Earlier we talk ed about medication you may tak e. In the last twelve months, did you pay anything out of pock et for your medication [past your deductible]? Please includeboth drugs that were prescribed by your doctor and those you bought without prescription. = 1 Yes 5 No  »
 
   
 
HC089

About how much did you pay overall for drugs [past your deductible] in the last twelve months?

ABOUT HOW MUCH DID YOU PAY OVERALL FOR DRUGS [PAST YOUR DEDUCTIBLE] IN THE LAST TWELVE MONTHS?
   
 
If About how much did you pay overall for drugs [past your deductible] in the last twelve months? was answered Don't know »
 
     
   
HC130

Can you tell me about how much you pay for your medication in a typical month?

CAN YOU TELL ME ABOUT HOW MUCH YOU PAY FOR YOUR MEDICATION IN A TYPICAL MONTH?
     
HC010

During the last twelve months, have you seen a dentist or a dental hygienist?

DURING THE LAST TWELVE MONTHS, HAVE YOU SEEN A DENTIST OR A DENTAL HYGIENIST?
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If During the last twelve months, have you seen a dentist or a dental hygienist? = 1 Yes 5 No  »
 
   
 
HC092

In the last twelve months, did you pay anything out of pock et for your dental care [past your deductible]? Please include payments for diagnoses, treatments, and dentalprostheses.

IN THE LAST TWELVE MONTHS, DID YOU PAY ANYTHING OUT OF POCK ET FOR YOUR DENTAL CARE [PAST YOUR DEDUCTIBLE]? PLEASE INCLUDE PAYMENTS FOR DIAGNOSES, TREATMENTS, AND DENTALPROSTHESES.
expand
   
 
If In the last twelve months, did you pay anything out of pock et for your dental care [past your deductible]? Please include payments for diagnoses, treatments, and dentalprostheses. = 1 Yes 5 No  »
 
     
   
HC093

How much did you pay overall for your dentist care [past your deductible] In the last twelve months?

HOW MUCH DID YOU PAY OVERALL FOR YOUR DENTIST CARE [PAST YOUR DEDUCTIBLE] IN THE LAST TWELVE MONTHS?
     
HC114

Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?

WAS THERE A TIME IN THE PAST 12 MONTHS WHEN YOU NEEDED TO SEE A DOCTOR BUT COULD NOT BECAUSE OF COST?
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HC115

Was there a time in the past 12 months when you needed to see a doctor but could not because you had to wait too long?

WAS THERE A TIME IN THE PAST 12 MONTHS WHEN YOU NEEDED TO SEE A DOCTOR BUT COULD NOT BECAUSE YOU HAD TO WAIT TOO LONG?
expand
 
HC012

During the last twelve months, have you been in a hospital overnight? Please consider stays in medical, surgical, psychiatric or in any other specialised wards.

DURING THE LAST TWELVE MONTHS, HAVE YOU BEEN IN A HOSPITAL OVERNIGHT? PLEASE CONSIDER STAYS IN MEDICAL, SURGICAL, PSYCHIATRIC OR IN ANY OTHER SPECIALISED WARDS.
expand
 
If During the last twelve months, have you been in a hospital overnight? Please consider stays in medical, surgical, psychiatric or in any other specialised wards. = 1 Yes 5 No  »
 
   
 
HC013

How many times have you been a patient in a hospital overnight during the last twelve months?

HOW MANY TIMES HAVE YOU BEEN A PATIENT IN A HOSPITAL OVERNIGHT DURING THE LAST TWELVE MONTHS?
expand
   
 
HC014

How many nights altogether have you spent in hospitals during the last twelve months?

HOW MANY NIGHTS ALTOGETHER HAVE YOU SPENT IN HOSPITALS DURING THE LAST TWELVE MONTHS?
expand
   
HC064

During the last twelve months, have you been a patient overnight in any health care facility other than a hospital, for instance in institutions for medical rehabilitation,convalescence, etc.? Please do not include stays in nursing homes/residential care facilities.

DURING THE LAST TWELVE MONTHS, HAVE YOU BEEN A PATIENT OVERNIGHT IN ANY HEALTH CARE FACILITY OTHER THAN A HOSPITAL, FOR INSTANCE IN INSTITUTIONS FOR MEDICAL REHABILITATION,CONVALESCENCE, ETC.? PLEASE DO NOT INCLUDE STAYS IN NURSING HOMES/RESIDENTIAL CARE FACILITIES.
expand
 
If During the last twelve months, have you been a patient overnight in any health care facility other than a hospital, for instance in institutions for medical rehabilitation,convalescence, etc.? Please do not include stays in nursing homes/residential care facilities. = 1 Yes 5 No  »
 
   
 
HC066

How many nights altogether have you spent in any institution other than a hospital or a nursing home during the last twelve months?

HOW MANY NIGHTS ALTOGETHER HAVE YOU SPENT IN ANY INSTITUTION OTHER THAN A HOSPITAL OR A NURSING HOME DURING THE LAST TWELVE MONTHS?
expand
   
If (During the last twelve months, have you been a patient overnight in any health care facility other than a hospital, for instance in institutions for medical rehabilitation,convalescence, etc.? Please do not include stays in nursing homes/residential care facilities. = 1 Yes 5 No ) or (During the last twelve months, have you been in a hospital overnight? Please consider stays in medical, surgical, psychiatric or in any other specialised wards. = 1 Yes 5 No ) »
 
   
 
HC094

Did you pay anything out of pock et [for your stays in hospitals and other health care facilities/for your hospital stays/for your stays in health care facilities other thanhospitals/for your stays in hospitals and other health care facilities/for your hospital stays/for your stays in health care facilities other than hospitals] in the last twelvemonths?

DID YOU PAY ANYTHING OUT OF POCK ET [FOR YOUR STAYS IN HOSPITALS AND OTHER HEALTH CARE FACILITIES/FOR YOUR HOSPITAL STAYS/FOR YOUR STAYS IN HEALTH CARE FACILITIES OTHER THANHOSPITALS/FOR YOUR STAYS IN HOSPITALS AND OTHER HEALTH CARE FACILITIES/FOR YOUR HOSPITAL STAYS/FOR YOUR STAYS IN HEALTH CARE FACILITIES OTHER THAN HOSPITALS] IN THE LAST TWELVEMONTHS?
expand
   
 
If Did you pay anything out of pock et [for your stays in hospitals and other health care facilities/for your hospital stays/for your stays in health care facilities other thanhospitals/for your stays in hospitals and other health care facilities/for your hospital stays/for your stays in health care facilities other than hospitals] in the last twelvemonths? = 1 Yes 5 No  »
 
     
   
HC095

How much did you pay overall for your hospital stays in the last twelve months?

HOW MUCH DID YOU PAY OVERALL FOR YOUR HOSPITAL STAYS IN THE LAST TWELVE MONTHS?
     
HC127

We already talk ed about the difficulties you may have with various activities because of a health problem. Please look at Card {SHOWCARD_ID}. During the last twelvemonths, did you receive in your own home any professional or paid services listed on this card due to a physical, mental, emotional or memory problem?

WE ALREADY TALK ED ABOUT THE DIFFICULTIES YOU MAY HAVE WITH VARIOUS ACTIVITIES BECAUSE OF A HEALTH PROBLEM. PLEASE LOOK AT CARD {SHOWCARD_ID}. DURING THE LAST TWELVEMONTHS, DID YOU RECEIVE IN YOUR OWN HOME ANY PROFESSIONAL OR PAID SERVICES LISTED ON THIS CARD DUE TO A PHYSICAL, MENTAL, EMOTIONAL OR MEMORY PROBLEM?
expand
 
If NOT (96 includes HC127) »
 
   
 
HC128

In the last twelve months, did you pay anything out of pock et for {FL_HC128_2}?

IN THE LAST TWELVE MONTHS, DID YOU PAY ANYTHING OUT OF POCK ET FOR {FL_HC128_2}?
expand
   
 
If In the last twelve months, did you pay anything out of pock et for {FL_HC128_2}? = 1 Yes 5 No  »
 
     
   
HC129

How much did you pay overall for personal care, domestic task s, meals on wheels or other help in the last twelve months? Please do not include expenses reimbursedby a health or long-term insurance.

HOW MUCH DID YOU PAY OVERALL FOR PERSONAL CARE, DOMESTIC TASK S, MEALS ON WHEELS OR OTHER HELP IN THE LAST TWELVE MONTHS? PLEASE DO NOT INCLUDE EXPENSES REIMBURSEDBY A HEALTH OR LONG-TERM INSURANCE.
     
If MN024 = 1 »
 
   
 
HC029

During the last twelve months, have you been in a nursing home/residential care facility overnight?

DURING THE LAST TWELVE MONTHS, HAVE YOU BEEN IN A NURSING HOME/RESIDENTIAL CARE FACILITY OVERNIGHT?
expand
   
 
If During the last twelve months, have you been in a nursing home/residential care facility overnight? = 1 Yes, temporarily 3 Yes, permanently 5 No  »
 
     
   
HC031

During the last 12 months, how many week s altogether did you stay in a nursing home?

DURING THE LAST 12 MONTHS, HOW MANY WEEK S ALTOGETHER DID YOU STAY IN A NURSING HOME?
expand
     
 
If (During the last twelve months, have you been in a nursing home/residential care facility overnight? = 1 Yes, temporarily 3 Yes, permanently 5 No ) or (During the last twelve months, have you been in a nursing home/residential care facility overnight? = 3) »
 
     
   
HC096

Did you pay anything out of pock et for nursing home stays in the last twelve months? [To remind you, by out of pock et payments we mean payments not reimbursed byyour long-term care insurance]

DID YOU PAY ANYTHING OUT OF POCK ET FOR NURSING HOME STAYS IN THE LAST TWELVE MONTHS? [TO REMIND YOU, BY OUT OF POCK ET PAYMENTS WE MEAN PAYMENTS NOT REIMBURSED BYYOUR LONG-TERM CARE INSURANCE]
expand
     
   
If Did you pay anything out of pock et for nursing home stays in the last twelve months? [To remind you, by out of pock et payments we mean payments not reimbursed byyour long-term care insurance] = 1 Yes 5 No  »
 
       
     
HC097

How much did you pay overall for your nursing home stays in the last twelve months?

HOW MUCH DID YOU PAY OVERALL FOR YOUR NURSING HOME STAYS IN THE LAST TWELVE MONTHS?
       
End of HC. Health Care
Start of HC. Health Care

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HC001
Now we have some questions about your health care in the last 12 months, that is your doctor visits, hospital stays, or the medication you took . It is also important to us tolearn about how much you paid for it out of pock et. By out of pock et payments we mean payments you made directly to your doctor, hospital or pharmacist without gettingreimbursed by your health insurance/national health system/third party payer. This also includes co-payments and deductibles for services partly paid by the healthinsurance/national health system/third party payer.

NOW WE HAVE SOME QUESTIONS ABOUT YOUR HEALTH CARE IN THE LAST 12 MONTHS, THAT IS YOUR DOCTOR VISITS, HOSPITAL STAYS, OR THE MEDICATION YOU TOOK . IT IS ALSO IMPORTANT TO US TOLEARN ABOUT HOW MUCH YOU PAID FOR IT OUT OF POCK ET. BY OUT OF POCK ET PAYMENTS WE MEAN PAYMENTS YOU MADE DIRECTLY TO YOUR DOCTOR, HOSPITAL OR PHARMACIST WITHOUT GETTINGREIMBURSED BY YOUR HEALTH INSURANCE/NATIONAL HEALTH SYSTEM/THIRD PARTY PAYER. THIS ALSO INCLUDES CO-PAYMENTS AND DEDUCTIBLES FOR SERVICES PARTLY PAID BY THE HEALTHINSURANCE/NATIONAL HEALTH SYSTEM/THIRD PARTY PAYER.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Continue


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HC125
Let us begin with your health insurance. Overall, how satisfied are you with your own coverage in your basic health insurance/national health system? Are you

LET US BEGIN WITH YOUR HEALTH INSURANCE. OVERALL, HOW SATISFIED ARE YOU WITH YOUR OWN COVERAGE IN YOUR BASIC HEALTH INSURANCE/NATIONAL HEALTH SYSTEM? ARE YOU
- - - - - - - - - - - - - - - - - - - - - - - - -
1 very satisfied
2 somewhat satisfied
3 somewhat dissatisfied
4 very dissatisfied


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HC111
Does your own coverage in your basic health insurance/national health system have a deductible, that is, do you have to pay up to a fixed amount for your health careyourself before benefits of the policy can apply?

DOES YOUR OWN COVERAGE IN YOUR BASIC HEALTH INSURANCE/NATIONAL HEALTH SYSTEM HAVE A DEDUCTIBLE, THAT IS, DO YOU HAVE TO PAY UP TO A FIXED AMOUNT FOR YOUR HEALTH CAREYOURSELF BEFORE BENEFITS OF THE POLICY CAN APPLY?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No


If Does your own coverage in your basic health insurance/national health system have a deductible, that is, do you have to pay up to a fixed amount for your health careyourself before benefits of the policy can apply? (HC111) = 1 Yes 5 No  »

|  ========================================================================
HC112
About how large was your annual deductible in [Year -1]?

ABOUT HOW LARGE WAS YOUR ANNUAL DEDUCTIBLE IN [YEAR -1]?

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HC113
Do you have any supplementary health insurance, that is, a supplementary health insurance that pays for services not covered by your . These services may include inpatient services, examinations, visits, dental care, other treatments or drugs.

DO YOU HAVE ANY SUPPLEMENTARY HEALTH INSURANCE, THAT IS, A SUPPLEMENTARY HEALTH INSURANCE THAT PAYS FOR SERVICES NOT COVERED BY YOUR . THESE SERVICES MAY INCLUDE INPATIENT SERVICES, EXAMINATIONS, VISITS, DENTAL CARE, OTHER TREATMENTS OR DRUGS.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No


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HC116
Do you have any of the following public or private long-term care insurances?

DO YOU HAVE ANY OF THE FOLLOWING PUBLIC OR PRIVATE LONG-TERM CARE INSURANCES?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Public
2 Private mandatory
3 Private voluntary/supplementary
96 None


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HC002
Now please think about the last 12 months. About how many times in total have you seen or talk ed to a medical doctor or qualified nurse about your health? Pleaseexclude dentist visits and hospital stays, but include emergency room or outpatient clinic visits.

NOW PLEASE THINK ABOUT THE LAST 12 MONTHS. ABOUT HOW MANY TIMES IN TOTAL HAVE YOU SEEN OR TALK ED TO A MEDICAL DOCTOR OR QUALIFIED NURSE ABOUT YOUR HEALTH? PLEASEEXCLUDE DENTIST VISITS AND HOSPITAL STAYS, BUT INCLUDE EMERGENCY ROOM OR OUTPATIENT CLINIC VISITS.
- - - - - - - - - - - - - - - - - - - - - - - - -
0..98


If Now please think about the last 12 months. About how many times in total have you seen or talk ed to a medical doctor or qualified nurse about your health? Pleaseexclude dentist visits and hospital stays, but include emergency room or outpatient clinic visits. (HC002) > 0 »

|  ========================================================================
HC082
Did you pay anything out of pock et for your doctor visits [past your deductible] (in the last twelve months)? Please also include expenses for diagnostic exams, such asimaging or laboratory diagnostics.

DID YOU PAY ANYTHING OUT OF POCK ET FOR YOUR DOCTOR VISITS [PAST YOUR DEDUCTIBLE] (IN THE LAST TWELVE MONTHS)? PLEASE ALSO INCLUDE EXPENSES FOR DIAGNOSTIC EXAMS, SUCH ASIMAGING OR LABORATORY DIAGNOSTICS.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No


If Did you pay anything out of pock et for your doctor visits [past your deductible] (in the last twelve months)? Please also include expenses for diagnostic exams, such asimaging or laboratory diagnostics. (HC082) = 1 Yes 5 No  »

| |  ========================================================================
| | 
HC083
How much did you pay overall for your doctor visits (in the last twelve months)?

HOW MUCH DID YOU PAY OVERALL FOR YOUR DOCTOR VISITS (IN THE LAST TWELVE MONTHS)?

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HC088
Earlier we talk ed about medication you may tak e. In the last twelve months, did you pay anything out of pock et for your medication [past your deductible]? Please includeboth drugs that were prescribed by your doctor and those you bought without prescription.

EARLIER WE TALK ED ABOUT MEDICATION YOU MAY TAK E. IN THE LAST TWELVE MONTHS, DID YOU PAY ANYTHING OUT OF POCK ET FOR YOUR MEDICATION [PAST YOUR DEDUCTIBLE]? PLEASE INCLUDEBOTH DRUGS THAT WERE PRESCRIBED BY YOUR DOCTOR AND THOSE YOU BOUGHT WITHOUT PRESCRIPTION.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No


If Earlier we talk ed about medication you may tak e. In the last twelve months, did you pay anything out of pock et for your medication [past your deductible]? Please includeboth drugs that were prescribed by your doctor and those you bought without prescription. (HC088) = 1 Yes 5 No  »

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HC089
About how much did you pay overall for drugs [past your deductible] in the last twelve months?

ABOUT HOW MUCH DID YOU PAY OVERALL FOR DRUGS [PAST YOUR DEDUCTIBLE] IN THE LAST TWELVE MONTHS?

If About how much did you pay overall for drugs [past your deductible] in the last twelve months? (HC089) was answered Don't know »

| |  ========================================================================
| | 
HC130
Can you tell me about how much you pay for your medication in a typical month?

CAN YOU TELL ME ABOUT HOW MUCH YOU PAY FOR YOUR MEDICATION IN A TYPICAL MONTH?

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HC010
During the last twelve months, have you seen a @Bdentist@B or a dental hygienist?

DURING THE LAST TWELVE MONTHS, HAVE YOU SEEN A @BDENTIST@B OR A DENTAL HYGIENIST?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No


If During the last twelve months, have you seen a @Bdentist@B or a dental hygienist? (HC010) = 1 Yes 5 No  »

|  ========================================================================
HC092
In the last twelve months, did you pay anything out of pock et for your dental care [past your deductible]? Please include payments for diagnoses, treatments, and dentalprostheses.

IN THE LAST TWELVE MONTHS, DID YOU PAY ANYTHING OUT OF POCK ET FOR YOUR DENTAL CARE [PAST YOUR DEDUCTIBLE]? PLEASE INCLUDE PAYMENTS FOR DIAGNOSES, TREATMENTS, AND DENTALPROSTHESES.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No


If In the last twelve months, did you pay anything out of pock et for your dental care [past your deductible]? Please include payments for diagnoses, treatments, and dentalprostheses. (HC092) = 1 Yes 5 No  »

| |  ========================================================================
| | 
HC093
How much did you pay overall for your dentist care [past your deductible] In the last twelve months?

HOW MUCH DID YOU PAY OVERALL FOR YOUR DENTIST CARE [PAST YOUR DEDUCTIBLE] IN THE LAST TWELVE MONTHS?

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HC114
Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?

WAS THERE A TIME IN THE PAST 12 MONTHS WHEN YOU NEEDED TO SEE A DOCTOR BUT COULD NOT BECAUSE OF COST?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No


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HC115
Was there a time in the past 12 months when you needed to see a doctor but could not because you had to wait too long?

WAS THERE A TIME IN THE PAST 12 MONTHS WHEN YOU NEEDED TO SEE A DOCTOR BUT COULD NOT BECAUSE YOU HAD TO WAIT TOO LONG?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No


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HC012
During the last twelve months, have you been in a hospital overnight? Please consider stays in medical, surgical, psychiatric or in any other specialised wards.

DURING THE LAST TWELVE MONTHS, HAVE YOU BEEN IN A HOSPITAL OVERNIGHT? PLEASE CONSIDER STAYS IN MEDICAL, SURGICAL, PSYCHIATRIC OR IN ANY OTHER SPECIALISED WARDS.
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1 Yes
5 No


If During the last twelve months, have you been in a hospital overnight? Please consider stays in medical, surgical, psychiatric or in any other specialised wards. (HC012) = 1 Yes 5 No  »

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HC013
How many times have you been a patient in a hospital overnight during the last twelve months?

HOW MANY TIMES HAVE YOU BEEN A PATIENT IN A HOSPITAL OVERNIGHT DURING THE LAST TWELVE MONTHS?
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1..10


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HC014
How many nights altogether have you spent in hospitals during the last twelve months?

HOW MANY NIGHTS ALTOGETHER HAVE YOU SPENT IN HOSPITALS DURING THE LAST TWELVE MONTHS?
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1..365


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HC064
During the last twelve months, have you been a patient overnight in any health care facility other than a hospital, for instance in institutions for medical rehabilitation,convalescence, etc.? Please do not include stays in nursing homes/residential care facilities.

DURING THE LAST TWELVE MONTHS, HAVE YOU BEEN A PATIENT OVERNIGHT IN ANY HEALTH CARE FACILITY OTHER THAN A HOSPITAL, FOR INSTANCE IN INSTITUTIONS FOR MEDICAL REHABILITATION,CONVALESCENCE, ETC.? PLEASE DO NOT INCLUDE STAYS IN NURSING HOMES/RESIDENTIAL CARE FACILITIES.
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No


If During the last twelve months, have you been a patient overnight in any health care facility other than a hospital, for instance in institutions for medical rehabilitation,convalescence, etc.? Please do not include stays in nursing homes/residential care facilities. (HC064) = 1 Yes 5 No  »

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HC066
How many nights altogether have you spent in any institution other than a hospital or a nursing home during the last twelve months?

HOW MANY NIGHTS ALTOGETHER HAVE YOU SPENT IN ANY INSTITUTION OTHER THAN A HOSPITAL OR A NURSING HOME DURING THE LAST TWELVE MONTHS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1..365


If (During the last twelve months, have you been a patient overnight in any health care facility other than a hospital, for instance in institutions for medical rehabilitation,convalescence, etc.? Please do not include stays in nursing homes/residential care facilities. (HC064) = 1 Yes 5 No ) or (During the last twelve months, have you been in a hospital overnight? Please consider stays in medical, surgical, psychiatric or in any other specialised wards. (HC012) = 1 Yes 5 No ) »

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HC094
Did you pay anything out of pock et [for your stays in hospitals and other health care facilities/for your hospital stays/for your stays in health care facilities other thanhospitals/for your stays in hospitals and other health care facilities/for your hospital stays/for your stays in health care facilities other than hospitals] in the last twelvemonths?

DID YOU PAY ANYTHING OUT OF POCK ET [FOR YOUR STAYS IN HOSPITALS AND OTHER HEALTH CARE FACILITIES/FOR YOUR HOSPITAL STAYS/FOR YOUR STAYS IN HEALTH CARE FACILITIES OTHER THANHOSPITALS/FOR YOUR STAYS IN HOSPITALS AND OTHER HEALTH CARE FACILITIES/FOR YOUR HOSPITAL STAYS/FOR YOUR STAYS IN HEALTH CARE FACILITIES OTHER THAN HOSPITALS] IN THE LAST TWELVEMONTHS?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No


If Did you pay anything out of pock et [for your stays in hospitals and other health care facilities/for your hospital stays/for your stays in health care facilities other thanhospitals/for your stays in hospitals and other health care facilities/for your hospital stays/for your stays in health care facilities other than hospitals] in the last twelvemonths? (HC094) = 1 Yes 5 No  »

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HC095
How much did you pay overall for your hospital stays in the last twelve months?

HOW MUCH DID YOU PAY OVERALL FOR YOUR HOSPITAL STAYS IN THE LAST TWELVE MONTHS?

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HC127
We already talk ed about the difficulties you may have with various activities because of a health problem. Please look at Card {SHOWCARD_ID}. During the last twelvemonths, did you receive in your own home any professional or paid services listed on this card due to a physical, mental, emotional or memory problem?

WE ALREADY TALK ED ABOUT THE DIFFICULTIES YOU MAY HAVE WITH VARIOUS ACTIVITIES BECAUSE OF A HEALTH PROBLEM. PLEASE LOOK AT CARD {SHOWCARD_ID}. DURING THE LAST TWELVEMONTHS, DID YOU RECEIVE IN YOUR OWN HOME ANY PROFESSIONAL OR PAID SERVICES LISTED ON THIS CARD DUE TO A PHYSICAL, MENTAL, EMOTIONAL OR MEMORY PROBLEM?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Help with
2 Help with
4 Help with other activities (e.g. filling a drug dispenser)
96 None of the above


If NOT (96 IN HC127) »

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HC128
In the last twelve months, did you pay anything out of pock et for {FL_HC128_2}?

IN THE LAST TWELVE MONTHS, DID YOU PAY ANYTHING OUT OF POCK ET FOR {FL_HC128_2}?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No


If In the last twelve months, did you pay anything out of pock et for {FL_HC128_2}? (HC128) = 1 Yes 5 No  »

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HC129
How much did you pay overall for personal care, domestic task s, meals on wheels or other help in the last twelve months? Please do not include expenses reimbursedby a health or long-term insurance.

HOW MUCH DID YOU PAY OVERALL FOR PERSONAL CARE, DOMESTIC TASK S, MEALS ON WHEELS OR OTHER HELP IN THE LAST TWELVE MONTHS? PLEASE DO NOT INCLUDE EXPENSES REIMBURSEDBY A HEALTH OR LONG-TERM INSURANCE.

If MN024 = 1 »

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HC029
During the last twelve months, have you been in a nursing home/residential care facility overnight?

DURING THE LAST TWELVE MONTHS, HAVE YOU BEEN IN A NURSING HOME/RESIDENTIAL CARE FACILITY OVERNIGHT?
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes, temporarily
3 Yes, permanently
5 No


If During the last twelve months, have you been in a nursing home/residential care facility overnight? (HC029) = 1 Yes, temporarily 3 Yes, permanently 5 No  »

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HC031
During the last 12 months, how many week s altogether did you stay in a nursing home?

DURING THE LAST 12 MONTHS, HOW MANY WEEK S ALTOGETHER DID YOU STAY IN A NURSING HOME?
- - - - - - - - - - - - - - - - - - - - - - - - -
1..52


If (During the last twelve months, have you been in a nursing home/residential care facility overnight? (HC029) = 1 Yes, temporarily 3 Yes, permanently 5 No ) or (During the last twelve months, have you been in a nursing home/residential care facility overnight? (HC029) = 3) »

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HC096
Did you pay anything out of pock et for nursing home stays in the last twelve months? [To remind you, by out of pock et payments we mean payments not reimbursed byyour long-term care insurance]

DID YOU PAY ANYTHING OUT OF POCK ET FOR NURSING HOME STAYS IN THE LAST TWELVE MONTHS? [TO REMIND YOU, BY OUT OF POCK ET PAYMENTS WE MEAN PAYMENTS NOT REIMBURSED BYYOUR LONG-TERM CARE INSURANCE]
- - - - - - - - - - - - - - - - - - - - - - - - -
1 Yes
5 No


| |  If Did you pay anything out of pock et for nursing home stays in the last twelve months? [To remind you, by out of pock et payments we mean payments not reimbursed byyour long-term care insurance] (HC096) = 1 Yes 5 No  »

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HC097
How much did you pay overall for your nursing home stays in the last twelve months?

HOW MUCH DID YOU PAY OVERALL FOR YOUR NURSING HOME STAYS IN THE LAST TWELVE MONTHS?

End of HC. Health Care