H. Medical and Nursing Care Services

H. Medical and Nursing Care Services Module of JSTAR 2013

item label type description
11H-000 Question May I continue?
11H-001 Question I will read out the names of a series of illnesses. Have you been newly diagnosed with or advised to seek medical advice for any of those illnesses since the time of the last interview?
11H-001-1 Question Heart disease (angina, heart failure, cardiac infarction, heart valve disease, etc.)
11H-001-2 Question High blood pressure
11H-001-3 Question Hyperlipidemia
11H-001-4 Question Cerebral stroke, cerebrovascular accident
11H-001-5 Question Diabetes
11H-001-6 Question Chronic lung disease (chronic bronchitis, emphysema, etc.; excluding lung cancer)
11H-001-7 Question Asthma
11H-001-8 Question Liver disease (hepatitis B or C, hepatic cirrhosis, etc.; excluding liver cancer)
11H-001-9 Question Ulcer or other
11H-001-10 Question Joint disorder (arthritis, rheumatism)
11H-001-11 Question Femoral neck fracture
11H-001-12 Question Osteoporosis
11H-001-13 Question Eye disease (cataracts, glaucoma, etc.)
11H-001-14 Question Ear disorder (hearing loss, etc.)
11H-001-15 Question Bladder disorder (incontinence, difficulty in urinating, enlarged prostate)
11H-001-16 Question Parkinson’s disease
11H-001-17 Question Depression, emotional disorder
11H-001-18 Question Dementia
11H-001-19 Question Skin disorder
11H-001-20 Question Cancer or other malignant tumor (including leukemia, lymphoma; excluding benign skin cancer)
11H-001-21 Question Other (Specify the most serious one: __________)
11H-001-1-2 Question If the answer to 11H-001-1 is 1, 2, or 3, go to 11H-001-1-3; if 4, go to 11H-001-2-2.
11H-001-1-3 Question Are you regularly taking any medicine prescribed by your doctor for your heart disease?
11H-001-2-2 Question If the answer to 11H-001-2 is 1, 2, or 3, go to 11H-001-2-3; if 4, go to 11H-001-3-2.
11H-001-2-3 Question Are you regularly taking any medicine prescribed by your doctor for your high blood pressure?
11H-001-3-2 Question If the answer to 11H-001-3 is 1, 2, or 3, go to 11H-001-3-3; if 4, go to 11H-001-4-2.
11H-001-3-3 Question Are you regularly taking any medicine prescribed by your doctor for your hyperlipidemia?
11H-001-4-2 Question If the answer to 11H-001-4 is 1, 2, or 3, go to 11H-001-4-3; if 4, go to 11H-001-5-2.
11H-001-4-3 Question Are you regularly taking any medicine prescribed by your doctor for your cerebral stroke and/or cerebrovascular accidents?
11H-001-5-2 Question If the answer to 11H-001-5 is 1, 2, or 3, go to 11H-001-5-3; if 4, go to 11H-001-20-2.
11H-001-5-3 Question What treatment are you on for your diabetes? Please select all that apply.
11H-001-20-2 Question If the answer to 11H-001-20 is 1, 2, or 3, go to 11H-001-20-3; if 4, go to 11H-001-22.
11H-001-20-3 Question Where is/are your cancer(s) or malignant tumor(s) located? Please select 1 or 0 for each respective organ of the part of the body listed below to indicate the presence or absence of any malignant tumor.
11H-001-22 Question If the respondent is female, go to 11H-002; if male, go to 11H-003.
11H-002 Question In the past two years, did you have a mammogram?
11H-003 Question In the past two years, did you have your stool tested for the presence of blood as a way to screen for colon cancer?
11H-004 Question In the past 12-month period, did you have any physical examination, excluding those performed as part of treatment at a hospital?
11H-004-1 Question Which of the following examinations did you take? Select all that apply.
11H-004-2 Question How much did you pay for your health examinations? If there was no payment, please say so.
11H-004-3 Question Why did you not have any physical examinations? Please select all that apply.
11H-005 Question Which of the following types of health insurance do you have? If you are not sure, please check your insurance card.
11H-006 Question Are you the primary insured or a dependent?
11H-007 Question Did you or any of your family members postpone doctor visits during the past 12-month period despite being in need of treatment?
11H-007-2 Question Why did you or your family member(s) postpone doctor visits? Please select all that apply.
11H-008 Question If the respondent is age 65 or above, go to 11H-009; otherwise, go to 11H-010.
11H-009 Question Are you entitled to and taking advantage of subsidies (partial exemption from co-payments) under the medical expense assistance program for the low-income elderly (age 65 and above)?
11H-010 Question Have you ever been certified as requiring assistance or care under the public Long-term Care Insurance Program?
11H-010-2 Question Are you participating in any such program?
11H-011 Question If the answer to 11H-005 is 4 or 5, or if the answer to 11H-010 is 1, go to 11H-012; if the answer to 11H-005 is 7, go to 11H-012b; otherwise, go to 11H-013.
11H-012 Question Would you permit us to see the records?
11H-012b Question We have been told that we would be given access to the records if we obtain your signed approval. Would you permit us to see the records?
11H-012-2a Question Thank you. Could I ask you to provide us with your health and long-term care insurance card numbers?
11H-012-2b Question Thank you. Could I ask you to provide us with your health and long-term care insurance card numbers?
11H-013 Question In the past 12-month period, did you visit a doctor, acupuncturist, or bonesetter?
11H-014 Question Are you making regular monthly visits to any hospital, medical or acupuncture clinic, or bonesetting studio?
11H-014-1-1 Question How often do you go there? Please answer in terms of the number of times per week, month, or year.
11H-014-1-2 Question How much did you pay for medical expenses and/or treatment on average per visit, including any amount paid for prescription drugs? If there was no payment, please say so.
11H-014-2-1 Question In this and the next question, please answer about the facility which you visit most frequently. How often do you go there?
11H-014-2-2 Question How much did you pay for medical expenses and/or treatment on average per visit, including any amount paid for prescription drugs? If there was no payment, please say so.
11H-014-2-3 Question How much did you pay on average per month for medical expenses and/or treatment at all of these facilities?
11H-015 Question Was the outpatient treatment covered by your insurance or was it outside of the coverage?
11H-016 Question In the past 12-month period, did you go to a dentist or a dental hygienist?
11H-017 Question In the past 12-month period, how many times in total did you see a dentist or dental hygienist?
11H-018 Question How much did you pay in total for the treatment during the past 12-month period?
11H-019 Question Was the dental treatment you received during the past 12-month period covered by your insurance or was it outside of the coverage?
11H-020 Question Have you been hospitalized overnight or longer during the past 12-month period?
11H-021 Question How many times have you been hospitalized overnight or longer during the past 12-month period?
11H-022 Question How many night(s) did you spend in the hospital in total during the past 12-month period?
11H-023 Question How much did you pay in total for hospitalization during the past 12-month period? If there was no payment, please say so.
11H-024 Question Was the cost of the hospitalization covered by your insurance or was it outside of the coverage?
11H-025 Question What percentage of medical costs are you required to pay out of pocket for services covered by public health insurance?
11H-026 Question I would like to ask you about your situation with respect to the public Long-term Care Insurance Program. When were you first certified as requiring assistance or care under the program?
11H-027 Question For which level of assistance or care were you certified at the time?
11H-028 Question For which level of assistance or care are you currently certified?
11H-029 Question For assistance and care services under the Long-term Care Insurance Program, how much did you pay out of pocket per month over the past 12-month period? If there was none, please say so.
11H-030 Question In the past 12-month period, did you receive any assistance or care service at home or as a visitor at facilities?
11H-030-1 Question Physical care
11H-030-2 Question Housekeeping assistance
11H-030-3 Question Home visit for bathing assistance
11H-030-4 Question Nurse visit
11H-030-5 Question Home rehabilitation
11H-030-6 Question Rehabilitation at facilities (Day stay service)
11H-030-7 Question Rehabilitation at care facilities (Day care service)
11H-030-8 Question Short-term stay at care facilities
11H-030-9 Question Did not use any of the above services
11H-030-10 Question Don’t know
11H-030-11 Question Refused to answer
11H-031 Question Were you or have you been institutionalized in any care facility for any length of time during the past 12-month period?
11H-032 Question In which of the following facilities were you or have you been institutionalized? If you don’t know what type, could you tell me the name of the facility?
11H-033 Question How long did you stay in total?
11H-034 Question In the past 12-month period, how much did you spend per month on the purchase of care services and goods, other than those covered by your long-term care insurance?
11H-035 Question In the past 12-month period, did you provide personal care to your family members, relatives, friends, or neighbors, or help them with such tasks as housekeeping and filling out documents?
11H-036 Question Let me ask more specifically. Did you provide personal care involving physical contact, such as helping change clothes, bathing, eating, and going to the bathroom?
11H-036-1 Question To whom did you provide such personal care?
11H-036-2 Question Among the person(s) you cited in the previous question, to whom did you provide care most frequently?
11H-036-3 Question Over the past 12-month period, how often did you provide such care? Please select the one that best describes your answer.
11H-036b Question During the past 12-month period, did you help anyone with household tasks, such as cooking, doing laundry, changing light bulbs, moving furniture, shopping, and tending the garden?
11H-036b-1 Question Who did you help with such household tasks?
11H-036b-3 Question Over the past 12-month period, how often did you provide such help? Please select the one that best describes your answer.
11H-037 Question During the past 12-month period, did you receive personal care from your family members, relatives, friends, or neighbors, or were you helped by any of such persons with non-personal tasks such as housekeeping and filling out documents?
11H-038 Question Did you receive personal care involving physical contact, such as help with changing clothes, bathing, eating, and going to the bathroom?
11H-038-1 Question From whom did you receive such personal care? Please identify each person in terms of his/her relationship to you.
11H-038-2 Question Among the person(s) you cited in the previous question, who provided you with such personal care most frequently?
11H-038-3 Question Over the past 12-month period, how often did you receive such personal care? Please select the one that best describes your answer.
11H-039 Question During the past 12-month period, did you receive help with household tasks, such as cooking, doing laundry, changing light bulbs, moving furniture, shopping, and tending the garden?
11H-039-1 Question Who helped you with such household tasks? Please identify each person in terms of his/her relationship to you.
11H-039-2 Question Among the person(s) you cited in the previous question, who helped you most frequently with household tasks?
11H-039-3 Question Over the past 12-month period, how often did you receive help with household tasks?
11H-040 Question Interviewer read-out: This concludes this section. Thank you for your cooperation.]
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