I_D. Health Care Access and Utilization (HC)

I_D. Health Care Access and Utilization (HC) of LASI 2017-2019

Start of I_D. Health Care Access and Utilization (HC)
 
HC001

The next questions pertain to medical facilities or medical providers you may have visited for care during the last 12 months.

THE NEXT QUESTIONS PERTAIN TO MEDICAL FACILITIES OR MEDICAL PROVIDERS YOU MAY HAVE VISITED FOR CARE DURING THE LAST 12 MONTHS.
 
HC002

In the past 12 months, have you visited any health care facility or any health professional has visited you? [Please identify ALL the facilities that you have visited] [Instruction for CAPI: If response is p freeze all other options]

IN THE PAST 12 MONTHS, HAVE YOU VISITED ANY HEALTH CARE FACILITY OR ANY HEALTH PROFESSIONAL HAS VISITED YOU? [PLEASE IDENTIFY ALL THE FACILITIES THAT YOU HAVE VISITED] [INSTRUCTION FOR CAPI: IF RESPONSE IS P FREEZE ALL OTHER OPTIONS]
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HC003

In the past 12 months, have you consulted any health care provider? [Please identify ALL healthcare providers that you have visited] [Instruction for CAPI: If response is i, freeze all other options]

IN THE PAST 12 MONTHS, HAVE YOU CONSULTED ANY HEALTH CARE PROVIDER? [PLEASE IDENTIFY ALL HEALTHCARE PROVIDERS THAT YOU HAVE VISITED] [INSTRUCTION FOR CAPI: IF RESPONSE IS I, FREEZE ALL OTHER OPTIONS]
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If In the past 12 months, have you visited any health care facility or any health professional has visited you? [Please identify ALL the facilities that you have visited] [Instruction for CAPI: If response is p freeze all other options] <= 0 or HC003 <= h »
 
   
 
HC004

[Ask only if HC002 <= o or HC003 <= h] What were the reasons of your last visit to the healthcare facility? [Multiple answers are allowed]

[ASK ONLY IF HC002 <= O OR HC003 <= H] WHAT WERE THE REASONS OF YOUR LAST VISIT TO THE HEALTHCARE FACILITY? [MULTIPLE ANSWERS ARE ALLOWED]
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If In the past 12 months, have you visited any health care facility or any health professional has visited you? [Please identify ALL the facilities that you have visited] [Instruction for CAPI: If response is p freeze all other options] = p or HC003 = j »
 
   
 
HC005

[Ask if HC002=p and HC003= j] What was your main reason for not seeking a visit?

[ASK IF HC002=P AND HC003= J] WHAT WAS YOUR MAIN REASON FOR NOT SEEKING A VISIT?
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If In the past 12 months, have you consulted any health care provider? [Please identify ALL healthcare providers that you have visited] [Instruction for CAPI: If response is i, freeze all other options] < i »
 
   
 
HC006

[Ask only if HC003 < i] In the past 12 months, did a health care provider ever recommend you to go to the hospital?

[ASK ONLY IF HC003 < I] IN THE PAST 12 MONTHS, DID A HEALTH CARE PROVIDER EVER RECOMMEND YOU TO GO TO THE HOSPITAL?
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If In the past 12 months, have you visited any health care facility or any health professional has visited you? [Please identify ALL the facilities that you have visited] [Instruction for CAPI: If response is p freeze all other options] = a, k, l, m, n, o and HC006 =1 »
 
     
   
HC007

[Ask if HC002=a, k,l,m,n,o and HC006=1 ]What were the reasons you decided against going to a hospital? [Multiple answers are allowed]

[ASK IF HC002=A, K,L,M,N,O AND HC006=1 ]WHAT WERE THE REASONS YOU DECIDED AGAINST GOING TO A HOSPITAL? [MULTIPLE ANSWERS ARE ALLOWED]
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HC101

I am going to ask you some questions on how you would pay for expenses incurred for health care if you were to fall ill or sustain an injury.

I AM GOING TO ASK YOU SOME QUESTIONS ON HOW YOU WOULD PAY FOR EXPENSES INCURRED FOR HEALTH CARE IF YOU WERE TO FALL ILL OR SUSTAIN AN INJURY.
 
HC102

Are you covered by health insurance? [Instruction for the interviewer: Interviewer should explain about health insurance as a type of insurance coverage that pays for medical and surgical expenses that are incurred by the insured. Health insurance can either reimburse the insured for expenses incurred from illness or injury or pay the care provider directly.]

ARE YOU COVERED BY HEALTH INSURANCE? [INSTRUCTION FOR THE INTERVIEWER: INTERVIEWER SHOULD EXPLAIN ABOUT HEALTH INSURANCE AS A TYPE OF INSURANCE COVERAGE THAT PAYS FOR MEDICAL AND SURGICAL EXPENSES THAT ARE INCURRED BY THE INSURED. HEALTH INSURANCE CAN EITHER REIMBURSE THE INSURED FOR EXPENSES INCURRED FROM ILLNESS OR INJURY OR PAY THE CARE PROVIDER DIRECTLY.]
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If Are you covered by health insurance? [Instruction for the interviewer: Interviewer should explain about health insurance as a type of insurance coverage that pays for medical and surgical expenses that are incurred by the insured. Health insurance can either reimburse the insured for expenses incurred from illness or injury or pay the care provider directly.] = 1 Yes 2 No Go to HC109  »
 
   
 
HC103

[Ask only if HC102=1] What types of health insurance are you covered by? [Multiple answers are allowed]

[ASK ONLY IF HC102=1] WHAT TYPES OF HEALTH INSURANCE ARE YOU COVERED BY? [MULTIPLE ANSWERS ARE ALLOWED]
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HC104

[Ask only if HC102=1] What does this health insurance cover ()? [Multiple answers are allowed] [Instruction to the Interviewer: Record the covered services as per the respondents answer]

[ASK ONLY IF HC102=1] WHAT DOES THIS HEALTH INSURANCE COVER ()? [MULTIPLE ANSWERS ARE ALLOWED] [INSTRUCTION TO THE INTERVIEWER: RECORD THE COVERED SERVICES AS PER THE RESPONDENTS ANSWER]
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If Are you covered by health insurance? [Instruction for the interviewer: Interviewer should explain about health insurance as a type of insurance coverage that pays for medical and surgical expenses that are incurred by the insured. Health insurance can either reimburse the insured for expenses incurred from illness or injury or pay the care provider directly.] = 1 Yes 2 No Go to HC109  »
 
   
 
HC105

[Ask only if HC102=1] In which month and year did you first purchase/enroll in the health insurance policy which provides? _______Month [Hard check: if < 1or >12] _________Year [Hard check: if < 1954]

[ASK ONLY IF HC102=1] IN WHICH MONTH AND YEAR DID YOU FIRST PURCHASE/ENROLL IN THE HEALTH INSURANCE POLICY WHICH PROVIDES? _______MONTH [HARD CHECK: IF < 1OR >12] _________YEAR [HARD CHECK: IF < 1954]
   
 
HC106

[Ask only if HC102=1] When did this health insurance benefit begin? _______Month [Hard check: if < 1or >12] _________Year [Hard check: if < 1954]

[ASK ONLY IF HC102=1] WHEN DID THIS HEALTH INSURANCE BENEFIT BEGIN? _______MONTH [HARD CHECK: IF < 1OR >12] _________YEAR [HARD CHECK: IF < 1954]
   
 
HC107

[Ask only if HC102=1] What was the amount of last premium(per year) paid for this policy (In rupees)? [Instruction for the interviewer: Enter 0 if no premium paid per year] __________Rs/year [Soft check: > 35,000 Rs.]

[ASK ONLY IF HC102=1] WHAT WAS THE AMOUNT OF LAST PREMIUM(PER YEAR) PAID FOR THIS POLICY (IN RUPEES)? [INSTRUCTION FOR THE INTERVIEWER: ENTER 0 IF NO PREMIUM PAID PER YEAR] __________RS/YEAR [SOFT CHECK: > 35,000 RS.]
   
 
HC108

[Ask only if HC102=1] What is the maximum amount of insurance coverage (in rupees)? [Instruction for the interviewer: Enter 9 if total amount will be reimbursed by the organization/company where he/she works] _____________Rs. [Soft check: > 50, 00, 000 Rs.]

[ASK ONLY IF HC102=1] WHAT IS THE MAXIMUM AMOUNT OF INSURANCE COVERAGE (IN RUPEES)? [INSTRUCTION FOR THE INTERVIEWER: ENTER 9 IF TOTAL AMOUNT WILL BE REIMBURSED BY THE ORGANIZATION/COMPANY WHERE HE/SHE WORKS] _____________RS. [SOFT CHECK: > 50, 00, 000 RS.]
   
If Are you covered by health insurance? [Instruction for the interviewer: Interviewer should explain about health insurance as a type of insurance coverage that pays for medical and surgical expenses that are incurred by the insured. Health insurance can either reimburse the insured for expenses incurred from illness or injury or pay the care provider directly.] = 2 »
 
   
 
HC109

[Ask only if HC102=2] What is the main reason for not having health insurance?

[ASK ONLY IF HC102=2] WHAT IS THE MAIN REASON FOR NOT HAVING HEALTH INSURANCE?
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If In the past 12 months, have you visited any health care facility or any health professional has visited you? [Please identify ALL the facilities that you have visited] [Instruction for CAPI: If response is p freeze all other options] = b to j »
 
   
 
HC201

[Ask only if HC002= b to j] The following questions pertain to hospitalization (inpatient care) that you have had during the past 12 months.

[ASK ONLY IF HC002= B TO J] THE FOLLOWING QUESTIONS PERTAIN TO HOSPITALIZATION (INPATIENT CARE) THAT YOU HAVE HAD DURING THE PAST 12 MONTHS.
   
 
HC202

[Ask only if HC002=b to j] Over the last 12 months, how many times you were admitted as patient to a hospital/long-term care facility for at least one night? [[Instruction for the interviewer: If R did not stay at hospital, enter ‘0’ for none] ________Tim

[ASK ONLY IF HC002=B TO J] OVER THE LAST 12 MONTHS, HOW MANY TIMES YOU WERE ADMITTED AS PATIENT TO A HOSPITAL/LONG-TERM CARE FACILITY FOR AT LEAST ONE NIGHT? [[INSTRUCTION FOR THE INTERVIEWER: IF R DID NOT STAY AT HOSPITAL, ENTER ‘0’ FOR NONE] ________TIMES [SOFT CHECK: >10] [INSTRUCTION FOR CAPI: IF HC202 =0 GO TO → HC301_INTRO.]
   
 
If [Ask only if HC002=b to j] Over the last 12 months, how many times you were admitted as patient to a hospital/long-term care facility for at least one night? [[Instruction for the interviewer: If R did not stay at hospital, enter ‘0’ for none] ________Tim >= 1 »
 
     
   
HC203

[Ask only if HC202. 1] How many nights have you spent in the hospital during the past 12 months? Number of nights ____ [Hard check: <1]

[ASK ONLY IF HC202. 1] HOW MANY NIGHTS HAVE YOU SPENT IN THE HOSPITAL DURING THE PAST 12 MONTHS? NUMBER OF NIGHTS ____ [HARD CHECK: <1]
     
   
HC204

[Ask only if HC202>=1] For the last hospitalization, how many months ago were you admitted to the hospital? [Instruction for the interviewer: This question asks how many months ago and not in which month the respondent was admitted. Please be careful while filling the answer, enter 0if less than one month ] Months ago ____ [Hard check: if < 1or >12] [Hard check: if < 1or >=53]

[ASK ONLY IF HC202>=1] FOR THE LAST HOSPITALIZATION, HOW MANY MONTHS AGO WERE YOU ADMITTED TO THE HOSPITAL? [INSTRUCTION FOR THE INTERVIEWER: THIS QUESTION ASKS HOW MANY MONTHS AGO AND NOT IN WHICH MONTH THE RESPONDENT WAS ADMITTED. PLEASE BE CAREFUL WHILE FILLING THE ANSWER, ENTER 0IF LESS THAN ONE MONTH ] MONTHS AGO ____ [HARD CHECK: IF < 1OR >12] [HARD CHECK: IF < 1OR >=53]
     
   
HC205

[Ask only if HC202 . 1] Which type of facility did you visit during your last hospitalization?

[ASK ONLY IF HC202 . 1] WHICH TYPE OF FACILITY DID YOU VISIT DURING YOUR LAST HOSPITALIZATION?
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HC206

[Ask only if HC202 . 1] How many nights did you spend in the hospital during your last hospitalization? Number of nights ____ [Hard check: > 1]

[ASK ONLY IF HC202 . 1] HOW MANY NIGHTS DID YOU SPEND IN THE HOSPITAL DURING YOUR LAST HOSPITALIZATION? NUMBER OF NIGHTS ____ [HARD CHECK: > 1]
     
   
If [Ask only if HC202 . 1] How many nights did you spend in the hospital during your last hospitalization? Number of nights ____ [Hard check: > 1] >= 1 »
 
       
     
HC207

[Ask only if HC206 . 1] Why were you hospitalized?

[ASK ONLY IF HC206 . 1] WHY WERE YOU HOSPITALIZED?
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If [Ask only if HC206 . 1] Why were you hospitalized? = 1 or 2 »
 
         
       
HC208

[Ask only if HC207=1 or 2] What is the main reason of your last hospitalization?

[ASK ONLY IF HC207=1 OR 2] WHAT IS THE MAIN REASON OF YOUR LAST HOSPITALIZATION?
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HC209

[Ask only if HC206.1] During your last hospitalization, what kind of treatment/services did you receive? [Multiple answers are allowed]

[ASK ONLY IF HC206.1] DURING YOUR LAST HOSPITALIZATION, WHAT KIND OF TREATMENT/SERVICES DID YOU RECEIVE? [MULTIPLE ANSWERS ARE ALLOWED]
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HC210

[Ask only if HC206.1] In your recent visit, how much did you or your household pay for: [Instruction for the Interviewer: Only one response for each category is possible. Either fill the amount or enter 0 if service is free or record dont know or not applicable.]

[ASK ONLY IF HC206.1] IN YOUR RECENT VISIT, HOW MUCH DID YOU OR YOUR HOUSEHOLD PAY FOR: [INSTRUCTION FOR THE INTERVIEWER: ONLY ONE RESPONSE FOR EACH CATEGORY IS POSSIBLE. EITHER FILL THE AMOUNT OR ENTER 0 IF SERVICE IS FREE OR RECORD DONT KNOW OR NOT APPLICABLE.]
       
     
HC210A1

In your recent visit, how much did you or your household pay for: Health care providers fees (consultation charges)

IN YOUR RECENT VISIT, HOW MUCH DID YOU OR YOUR HOUSEHOLD PAY FOR: HEALTH CARE PROVIDERS FEES (CONSULTATION CHARGES)
       
     
HC210A2

In your recent visit, how much did you or your household pay for: Medicines from hospital

IN YOUR RECENT VISIT, HOW MUCH DID YOU OR YOUR HOUSEHOLD PAY FOR: MEDICINES FROM HOSPITAL
       
     
HC210A3

In your recent visit, how much did you or your household pay for: Medicines from outside

IN YOUR RECENT VISIT, HOW MUCH DID YOU OR YOUR HOUSEHOLD PAY FOR: MEDICINES FROM OUTSIDE
       
     
HC210A4

In your recent visit, how much did you or your household pay for: Tests/investigation

IN YOUR RECENT VISIT, HOW MUCH DID YOU OR YOUR HOUSEHOLD PAY FOR: TESTS/INVESTIGATION
       
     
HC210A5

In your recent visit, how much did you or your household pay for: Hospital and nursing home charges including bed charges, food

IN YOUR RECENT VISIT, HOW MUCH DID YOU OR YOUR HOUSEHOLD PAY FOR: HOSPITAL AND NURSING HOME CHARGES INCLUDING BED CHARGES, FOOD
       
     
HC210A6

In your recent visit, how much did you or your household pay for: Operation theater charges, surgery charges and related expenses

IN YOUR RECENT VISIT, HOW MUCH DID YOU OR YOUR HOUSEHOLD PAY FOR: OPERATION THEATER CHARGES, SURGERY CHARGES AND RELATED EXPENSES
       
     
HC210A7

In your recent visit, how much did you or your household pay for: Blood, oxygen cylinder

IN YOUR RECENT VISIT, HOW MUCH DID YOU OR YOUR HOUSEHOLD PAY FOR: BLOOD, OXYGEN CYLINDER
       
     
HC210A8

In your recent visit, how much did you or your household pay for: Transportation

IN YOUR RECENT VISIT, HOW MUCH DID YOU OR YOUR HOUSEHOLD PAY FOR: TRANSPORTATION
       
     
HC210A9

In your recent visit, how much did you or your household pay for: Expenses of the accompanying person(s) (food / accommodation)

IN YOUR RECENT VISIT, HOW MUCH DID YOU OR YOUR HOUSEHOLD PAY FOR: EXPENSES OF THE ACCOMPANYING PERSON(S) (FOOD / ACCOMMODATION)
       
     
HC210A10

In your recent visit, how much did you or your household pay for: Expenditure not elsewhere reported (others)

IN YOUR RECENT VISIT, HOW MUCH DID YOU OR YOUR HOUSEHOLD PAY FOR: EXPENDITURE NOT ELSEWHERE REPORTED (OTHERS)
       
     
If HC210A = Don’t know’ or ‘Refused »
 
         
       
HC210B

[Ask if respondent answered Dont know or Refused to any of the category in HC210a] What was the total amount that you or your household spent on this visit? Total expenditure________ [Hard check: HC210b < sum of HC210a (1-10)]

[ASK IF RESPONDENT ANSWERED DONT KNOW OR REFUSED TO ANY OF THE CATEGORY IN HC210A] WHAT WAS THE TOTAL AMOUNT THAT YOU OR YOUR HOUSEHOLD SPENT ON THIS VISIT? TOTAL EXPENDITURE________ [HARD CHECK: HC210B < SUM OF HC210A (1-10)]
         
HC211A

What were the sources through which you met the expenses for health care and what is the amount covered? Personal income

WHAT WERE THE SOURCES THROUGH WHICH YOU MET THE EXPENSES FOR HEALTH CARE AND WHAT IS THE AMOUNT COVERED? PERSONAL INCOME
 
HC211B

What were the sources through which you met the expenses for health care and what is the amount covered? Household income excluding personal income

WHAT WERE THE SOURCES THROUGH WHICH YOU MET THE EXPENSES FOR HEALTH CARE AND WHAT IS THE AMOUNT COVERED? HOUSEHOLD INCOME EXCLUDING PERSONAL INCOME
 
HC211C

What were the sources through which you met the expenses for health care and what is the amount covered? Savings

WHAT WERE THE SOURCES THROUGH WHICH YOU MET THE EXPENSES FOR HEALTH CARE AND WHAT IS THE AMOUNT COVERED? SAVINGS
 
HC211D

What were the sources through which you met the expenses for health care and what is the amount covered? Loans (bank/friends/relatives)

WHAT WERE THE SOURCES THROUGH WHICH YOU MET THE EXPENSES FOR HEALTH CARE AND WHAT IS THE AMOUNT COVERED? LOANS (BANK/FRIENDS/RELATIVES)
 
HC211E

What were the sources through which you met the expenses for health care and what is the amount covered? Contribution from friends/relatives

WHAT WERE THE SOURCES THROUGH WHICH YOU MET THE EXPENSES FOR HEALTH CARE AND WHAT IS THE AMOUNT COVERED? CONTRIBUTION FROM FRIENDS/RELATIVES
 
HC211F

What were the sources through which you met the expenses for health care and what is the amount covered? Selling assets/property

WHAT WERE THE SOURCES THROUGH WHICH YOU MET THE EXPENSES FOR HEALTH CARE AND WHAT IS THE AMOUNT COVERED? SELLING ASSETS/PROPERTY
 
HC211G

What were the sources through which you met the expenses for health care and what is the amount covered? Insurance coverage

WHAT WERE THE SOURCES THROUGH WHICH YOU MET THE EXPENSES FOR HEALTH CARE AND WHAT IS THE AMOUNT COVERED? INSURANCE COVERAGE
 
HC211H

What were the sources through which you met the expenses for health care and what is the amount covered? Reimbursement from employer

WHAT WERE THE SOURCES THROUGH WHICH YOU MET THE EXPENSES FOR HEALTH CARE AND WHAT IS THE AMOUNT COVERED? REIMBURSEMENT FROM EMPLOYER
 
HC211I

What were the sources through which you met the expenses for health care and what is the amount covered? Other, please specify _______

WHAT WERE THE SOURCES THROUGH WHICH YOU MET THE EXPENSES FOR HEALTH CARE AND WHAT IS THE AMOUNT COVERED? OTHER, PLEASE SPECIFY _______
 
HC212

Who took care of you most of the time when you were admitted in the hospital?

WHO TOOK CARE OF YOU MOST OF THE TIME WHEN YOU WERE ADMITTED IN THE HOSPITAL?
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If [Ask only if HC202 . 1] How many nights did you spend in the hospital during your last hospitalization? Number of nights ____ [Hard check: > 1] >= 1 »
 
   
 
HC213

[Ask only if HC206.1] Were you working at the time when you were last hospitalized?

[ASK ONLY IF HC206.1] WERE YOU WORKING AT THE TIME WHEN YOU WERE LAST HOSPITALIZED?
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HC214

Could you say how many person (work) days you and the person(s) accompanying you lost due to sickness? [Enter 0if the respondent did not miss any working days] (Ask only if HC213=1) Yours _______ (Ask only if HC 212<16) Accompanying person(s)______

COULD YOU SAY HOW MANY PERSON (WORK) DAYS YOU AND THE PERSON(S) ACCOMPANYING YOU LOST DUE TO SICKNESS? [ENTER 0IF THE RESPONDENT DID NOT MISS ANY WORKING DAYS] (ASK ONLY IF HC213=1) YOURS _______ (ASK ONLY IF HC 212<16) ACCOMPANYING PERSON(S)______
 
If [Ask only if HC202 . 1] How many nights did you spend in the hospital during your last hospitalization? Number of nights ____ [Hard check: > 1] >= 1 »
 
   
 
HC215

[Ask only if HC206.1] What was your health status when you left the hospital?

[ASK ONLY IF HC206.1] WHAT WAS YOUR HEALTH STATUS WHEN YOU LEFT THE HOSPITAL?
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If [Ask only if HC202 . 1] Which type of facility did you visit during your last hospitalization? != 1 or 4 »
 
     
   
HC216

[Ask only if HC215!= 1 or 4] Why did you want to leave the hospital before you were recovered? [Multiple answers are allowed]

[ASK ONLY IF HC215!= 1 OR 4] WHY DID YOU WANT TO LEAVE THE HOSPITAL BEFORE YOU WERE RECOVERED? [MULTIPLE ANSWERS ARE ALLOWED]
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HC217

[Ask only if HC206.1] Do you still suffer from the ailment you originally sought treatment for?

[ASK ONLY IF HC206.1] DO YOU STILL SUFFER FROM THE AILMENT YOU ORIGINALLY SOUGHT TREATMENT FOR?
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HC218

Did your treatment continue after discharge?

DID YOUR TREATMENT CONTINUE AFTER DISCHARGE?
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If Did your treatment continue after discharge? >= 1 Yes 2 No Go to HC220  »
 
   
 
HC219

[Ask only if HC218=1] How long was the duration of treatment after discharge? [Hard check: Allow to enter number only for one option and at the same time freeze remaining options]

[ASK ONLY IF HC218=1] HOW LONG WAS THE DURATION OF TREATMENT AFTER DISCHARGE? [HARD CHECK: ALLOW TO ENTER NUMBER ONLY FOR ONE OPTION AND AT THE SAME TIME FREEZE REMAINING OPTIONS]
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HC220

How many kilometers from your residence is the health care facility in which you were most recently admitted? Distance to health care facility: ________km [Soft check: >1000 km]

HOW MANY KILOMETERS FROM YOUR RESIDENCE IS THE HEALTH CARE FACILITY IN WHICH YOU WERE MOST RECENTLY ADMITTED? DISTANCE TO HEALTH CARE FACILITY: ________KM [SOFT CHECK: >1000 KM]
 
HC221

What is your travel time (one-way) to that facility? ______Hours AND ___ minutes [Hard check (For Minutes): Should not be >59 minutes]

WHAT IS YOUR TRAVEL TIME (ONE-WAY) TO THAT FACILITY? ______HOURS AND ___ MINUTES [HARD CHECK (FOR MINUTES): SHOULD NOT BE >59 MINUTES]
 
HC222

What was the main transportation mode you used last time when you visited that facility?

WHAT WAS THE MAIN TRANSPORTATION MODE YOU USED LAST TIME WHEN YOU VISITED THAT FACILITY?
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If [Ask only if HC202 . 1] How many nights did you spend in the hospital during your last hospitalization? Number of nights ____ [Hard check: > 1] >= 1 »
 
   
 
HC223

[Ask only if HC206.1]After hospitalization, what was the change in your health condition? [Instruction for the interviewer: Read options to respondent]

[ASK ONLY IF HC206.1]AFTER HOSPITALIZATION, WHAT WAS THE CHANGE IN YOUR HEALTH CONDITION? [INSTRUCTION FOR THE INTERVIEWER: READ OPTIONS TO RESPONDENT]
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HC224

For your last hospitalization or stay at long-term care facility, how would you rate the following: ....your experience about the length of the time you waited before being attended to

FOR YOUR LAST HOSPITALIZATION OR STAY AT LONG-TERM CARE FACILITY, HOW WOULD YOU RATE THE FOLLOWING: ....YOUR EXPERIENCE ABOUT THE LENGTH OF THE TIME YOU WAITED BEFORE BEING ATTENDED TO
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HC225

For your last hospitalization or stay at long-term care facility, how would you rate the following: ...your experience of being treated respectfully

FOR YOUR LAST HOSPITALIZATION OR STAY AT LONG-TERM CARE FACILITY, HOW WOULD YOU RATE THE FOLLOWING: ...YOUR EXPERIENCE OF BEING TREATED RESPECTFULLY
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HC226

For your last hospitalization or stay at long-term care facility, how would you rate the following: ...your experience of how clearly health care providers explained things to you

FOR YOUR LAST HOSPITALIZATION OR STAY AT LONG-TERM CARE FACILITY, HOW WOULD YOU RATE THE FOLLOWING: ...YOUR EXPERIENCE OF HOW CLEARLY HEALTH CARE PROVIDERS EXPLAINED THINGS TO YOU
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HC227

For your last hospitalization or stay at long-term care facility, how would you rate the following: ...your experience the way the health care staff ensured that you could talk privately to providers

FOR YOUR LAST HOSPITALIZATION OR STAY AT LONG-TERM CARE FACILITY, HOW WOULD YOU RATE THE FOLLOWING: ...YOUR EXPERIENCE THE WAY THE HEALTH CARE STAFF ENSURED THAT YOU COULD TALK PRIVATELY TO PROVIDERS
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HC228

For your last hospitalization or stay at long-term care facility, how would you rate the following: ...your experience of seeing a health care provider of your choice

FOR YOUR LAST HOSPITALIZATION OR STAY AT LONG-TERM CARE FACILITY, HOW WOULD YOU RATE THE FOLLOWING: ...YOUR EXPERIENCE OF SEEING A HEALTH CARE PROVIDER OF YOUR CHOICE
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HC229

For your last hospitalization or stay at long-term care facility, how would you rate the following: ...your experience of the cleanliness in the health facility

FOR YOUR LAST HOSPITALIZATION OR STAY AT LONG-TERM CARE FACILITY, HOW WOULD YOU RATE THE FOLLOWING: ...YOUR EXPERIENCE OF THE CLEANLINESS IN THE HEALTH FACILITY
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HC230

[Ask only if HC206.1] Overall, how satisfied were you with healthcare you received during the hospital stay?

[ASK ONLY IF HC206.1] OVERALL, HOW SATISFIED WERE YOU WITH HEALTHCARE YOU RECEIVED DURING THE HOSPITAL STAY?
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If In the past 12 months, have you consulted any health care provider? [Please identify ALL healthcare providers that you have visited] [Instruction for CAPI: If response is i, freeze all other options] < i »
 
   
 
HC301

[Ask only if HC003 < i] I would like to ask you some questions about your consultation with a healthcare provider including folk healers (outpatient) in the past 12 months.

[ASK ONLY IF HC003 < I] I WOULD LIKE TO ASK YOU SOME QUESTIONS ABOUT YOUR CONSULTATION WITH A HEALTHCARE PROVIDER INCLUDING FOLK HEALERS (OUTPATIENT) IN THE PAST 12 MONTHS.
   
 
HC302

[Ask only if HC00310 times]

[ASK ONLY IF HC00310 TIMES]
   
 
If [Ask only if HC00310 times] > 0 »
 
     
   
HC303

[Ask only if HC302>0] In which month and year was your most recent visit? Month: ____ [Hard check: 1-12] Year: ______ [2015-2016]

[ASK ONLY IF HC302>0] IN WHICH MONTH AND YEAR WAS YOUR MOST RECENT VISIT? MONTH: ____ [HARD CHECK: 1-12] YEAR: ______ [2015-2016]
     
   
HC304

[Ask only if HC302>0] Which type of health care provider did you visit, or came to visit you, most recently in the past 12 months?

[ASK ONLY IF HC302>0] WHICH TYPE OF HEALTH CARE PROVIDER DID YOU VISIT, OR CAME TO VISIT YOU, MOST RECENTLY IN THE PAST 12 MONTHS?
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HC305

[Ask only if HC302>0] Which type of facility did you last visit to see that healthcare provider?

[ASK ONLY IF HC302>0] WHICH TYPE OF FACILITY DID YOU LAST VISIT TO SEE THAT HEALTHCARE PROVIDER?
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HC306

[Ask only if HC302>0] What was the main purpose of your visit?

[ASK ONLY IF HC302>0] WHAT WAS THE MAIN PURPOSE OF YOUR VISIT?
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If [Ask only if HC302>0] What was the main purpose of your visit? = d or e »
 
       
     
HC307

[Ask only if HC306=d or e] What is the main reason of your recent outpatient visit? [Instruction for the interviewer: Please ask to see the medical records if available]

[ASK ONLY IF HC306=D OR E] WHAT IS THE MAIN REASON OF YOUR RECENT OUTPATIENT VISIT? [INSTRUCTION FOR THE INTERVIEWER: PLEASE ASK TO SEE THE MEDICAL RECORDS IF AVAILABLE]
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HC308

[Ask only if HC306=d or e]What kind of treatment and/or diagnostics did you receive? [Multiple answers are allowed]

[ASK ONLY IF HC306=D OR E]WHAT KIND OF TREATMENT AND/OR DIAGNOSTICS DID YOU RECEIVE? [MULTIPLE ANSWERS ARE ALLOWED]
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HC309
     
   
HC309a1
     
   
HC309a2
     
   
HC309a3
     
   
HC309a4
     
   
HC309a5
     
   
HC309a6
     
   
HC309a7
     
   
HC309a8
     
   
HC309a9
     
   
HC309a10
     
   
If HC309A = Don’t know’ or ‘Refused »
 
       
     
HC309B

[Ask if respondent Dont know or Refused to answer any of the category in HC309a] What was the total amount that you or your household spent on this visit? Total expenditure____________ Hard check: HC309b < sum of HC309a (1-10)]

[ASK IF RESPONDENT DONT KNOW OR REFUSED TO ANSWER ANY OF THE CATEGORY IN HC309A] WHAT WAS THE TOTAL AMOUNT THAT YOU OR YOUR HOUSEHOLD SPENT ON THIS VISIT? TOTAL EXPENDITURE____________ HARD CHECK: HC309B < SUM OF HC309A (1-10)]
       
   
HC310
     
   
HC311

[Ask only if HC302>0] Could you say how many person (work) hours you and the person(s) accompanying you lost due to the sickness associated with your last hospital visit? [Instruction for the interviewer: Please enter 0 if the respondent did not miss any working hour] Yours__________ Accompanying person(s)____________

[ASK ONLY IF HC302>0] COULD YOU SAY HOW MANY PERSON (WORK) HOURS YOU AND THE PERSON(S) ACCOMPANYING YOU LOST DUE TO THE SICKNESS ASSOCIATED WITH YOUR LAST HOSPITAL VISIT? [INSTRUCTION FOR THE INTERVIEWER: PLEASE ENTER 0 IF THE RESPONDENT DID NOT MISS ANY WORKING HOUR] YOURS__________ ACCOMPANYING PERSON(S)____________
     
HC312

Who accompanied you during your most recent outpatient visit?

WHO ACCOMPANIED YOU DURING YOUR MOST RECENT OUTPATIENT VISIT?
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If [Ask only if HC302>0] What was the main purpose of your visit? != a »
 
   
 
HC313

[Ask only if HC306!=a] Do you still suffer from the ailment you originally sought treatment for?

[ASK ONLY IF HC306!=A] DO YOU STILL SUFFER FROM THE AILMENT YOU ORIGINALLY SOUGHT TREATMENT FOR?
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If [Ask only if HC302>0] Which type of facility did you last visit to see that healthcare provider? != 14 »
 
   
 
HC314

[Ask only if HC305 != 14] How many kilometers is the health care facility from your residence? Distance to medical facility: ____________km [Soft check: >50 Km]

[ASK ONLY IF HC305 != 14] HOW MANY KILOMETERS IS THE HEALTH CARE FACILITY FROM YOUR RESIDENCE? DISTANCE TO MEDICAL FACILITY: ____________KM [SOFT CHECK: >50 KM]
   
 
HC315

[Ask only if HC305 != 14] What was your travel time (one-way) to that facility? ______Hours AND ___ minutes [Hard check (For Minutes): Should not be >60 minutes]

[ASK ONLY IF HC305 != 14] WHAT WAS YOUR TRAVEL TIME (ONE-WAY) TO THAT FACILITY? ______HOURS AND ___ MINUTES [HARD CHECK (FOR MINUTES): SHOULD NOT BE >60 MINUTES]
   
 
HC316

[Ask only if HC305 != 14] What was the main transportation mode you used last time you visited that facility?

[ASK ONLY IF HC305 != 14] WHAT WAS THE MAIN TRANSPORTATION MODE YOU USED LAST TIME YOU VISITED THAT FACILITY?
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If [Ask only if HC302>0] What was the main purpose of your visit? != a »
 
   
 
HC317

[Ask only if HC306!=a] What was the outcome of your most recent visit to the health care provider? [Instruction for the interviewer: Read options to respondent]

[ASK ONLY IF HC306!=A] WHAT WAS THE OUTCOME OF YOUR MOST RECENT VISIT TO THE HEALTH CARE PROVIDER? [INSTRUCTION FOR THE INTERVIEWER: READ OPTIONS TO RESPONDENT]
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If [Ask only if HC00310 times] > 0 »
 
   
 
HC318

For your last visit to a hospital or health care facility, how would you rate the following: ...your experience about the length of time you waited before being attended to

FOR YOUR LAST VISIT TO A HOSPITAL OR HEALTH CARE FACILITY, HOW WOULD YOU RATE THE FOLLOWING: ...YOUR EXPERIENCE ABOUT THE LENGTH OF TIME YOU WAITED BEFORE BEING ATTENDED TO
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HC319

For your last visit to a hospital or health care facility, how would you rate the following: ...your experience of being treated respectfully

FOR YOUR LAST VISIT TO A HOSPITAL OR HEALTH CARE FACILITY, HOW WOULD YOU RATE THE FOLLOWING: ...YOUR EXPERIENCE OF BEING TREATED RESPECTFULLY
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HC320

For your last visit to a hospital or health care facility, how would you rate the following: your experience how clearly health care providers explained things to you

FOR YOUR LAST VISIT TO A HOSPITAL OR HEALTH CARE FACILITY, HOW WOULD YOU RATE THE FOLLOWING: YOUR EXPERIENCE HOW CLEARLY HEALTH CARE PROVIDERS EXPLAINED THINGS TO YOU
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HC321

For your last visit to a hospital or health care facility, how would you rate the following: ...your experience of the way the health care staff is ensured that you could talk privately to providers

FOR YOUR LAST VISIT TO A HOSPITAL OR HEALTH CARE FACILITY, HOW WOULD YOU RATE THE FOLLOWING: ...YOUR EXPERIENCE OF THE WAY THE HEALTH CARE STAFF IS ENSURED THAT YOU COULD TALK PRIVATELY TO PROVIDERS
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HC322

For your last visit to a hospital or health care facility, how would you rate the following: your experience of getting a health care provider of your choice

FOR YOUR LAST VISIT TO A HOSPITAL OR HEALTH CARE FACILITY, HOW WOULD YOU RATE THE FOLLOWING: YOUR EXPERIENCE OF GETTING A HEALTH CARE PROVIDER OF YOUR CHOICE
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HC323

For your last visit to a hospital or health care facility, how would you rate the following: ...your experience about the cleanliness in the health facility

FOR YOUR LAST VISIT TO A HOSPITAL OR HEALTH CARE FACILITY, HOW WOULD YOU RATE THE FOLLOWING: ...YOUR EXPERIENCE ABOUT THE CLEANLINESS IN THE HEALTH FACILITY
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HC324

[Ask only if HC302>0]Overall, how satisfied were you with health care you received at this visit?

[ASK ONLY IF HC302>0]OVERALL, HOW SATISFIED WERE YOU WITH HEALTH CARE YOU RECEIVED AT THIS VISIT?
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HC325

[Ask only if HC302>0] How much in total did you spend on all your outpatient visits to health care facilities/providers (including your most recent visit) during last 12 months? ______Rs. (total amount spent) [Soft check: > 5000 Rs.] [Hard check:

[ASK ONLY IF HC302>0] HOW MUCH IN TOTAL DID YOU SPEND ON ALL YOUR OUTPATIENT VISITS TO HEALTH CARE FACILITIES/PROVIDERS (INCLUDING YOUR MOST RECENT VISIT) DURING LAST 12 MONTHS? ______RS. (TOTAL AMOUNT SPENT) [SOFT CHECK: > 5000 RS.] [HARD CHECK:
   
HC326

During the past 12 months, have you used any of the following medications or health supplements without consulting a healthcare provider? Do not include the medicines you have already mentioned earlier in inpatient and outpatient sections. [Multiple answers are allowed] [Instruction for CAPI: If response is d, freeze all other options]

DURING THE PAST 12 MONTHS, HAVE YOU USED ANY OF THE FOLLOWING MEDICATIONS OR HEALTH SUPPLEMENTS WITHOUT CONSULTING A HEALTHCARE PROVIDER? DO NOT INCLUDE THE MEDICINES YOU HAVE ALREADY MENTIONED EARLIER IN INPATIENT AND OUTPATIENT SECTIONS. [MULTIPLE ANSWERS ARE ALLOWED] [INSTRUCTION FOR CAPI: IF RESPONSE IS D, FREEZE ALL OTHER OPTIONS]
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If For your last visit to a hospital or health care facility, how would you rate the following: your experience how clearly health care providers explained things to you < s »
 
   
 
HC327

[Ask only if HC326 5000 Rs.]

[ASK ONLY IF HC326 5000 RS.]
   
 
If [Ask only if HC326 5000 Rs.] > 0 »
 
     
   
HC328A

How much of this amount was reimbursed by Government employer

HOW MUCH OF THIS AMOUNT WAS REIMBURSED BY GOVERNMENT EMPLOYER
     
   
HC328B

How much of this amount was reimbursed by Private Employer

HOW MUCH OF THIS AMOUNT WAS REIMBURSED BY PRIVATE EMPLOYER
     
   
HC328X
     
   
HC328D

How much of this amount was reimbursed by Other Agencies

HOW MUCH OF THIS AMOUNT WAS REIMBURSED BY OTHER AGENCIES
     
   
HC328E

How much of this amount was reimbursed by None [For the Interviewer]

HOW MUCH OF THIS AMOUNT WAS REIMBURSED BY NONE [FOR THE INTERVIEWER]
     
 
HC329

How often did the respondent receive assistance in answering this section?

HOW OFTEN DID THE RESPONDENT RECEIVE ASSISTANCE IN ANSWERING THIS SECTION?
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HC331

[Ask only if HC329>1]=1] What is his/her relationship to [R]? [Instruction for the interviewer: If unknown, please ask to the proxy.]

[ASK ONLY IF HC329>1]=1] WHAT IS HIS/HER RELATIONSHIP TO [R]? [INSTRUCTION FOR THE INTERVIEWER: IF UNKNOWN, PLEASE ASK TO THE PROXY.]
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End of I_D. Health Care Access and Utilization (HC)