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Since the inception of a national vital statistics system, the states and the federal government have worked together cooperatively to promote standards and consistency among state vital statistics systems. The U. S. Standard Certificates of Birth and Death, and Report of Fetal Death are the principal means of promoting uniformity in the data collected by the states. These documents are reviewed and revised approximately every 10 years through a process that includes broad input from data providers and users. In 1997, the National Center for Health Statistics (NCHS) appointed a panel of vital statistics data providers and users to evaluate the (1989) certificates. That panel completed its work in April 1999, and submitted recommended revisions to NCHS. ; "5/2004; 2/2005; Updated 7/11/2012" ; Mode of access: Internet from the NCHS web site as an Acrobat .pdf file (1.1 MB, 250 p.). ; Note: This document replaces Instruction Manual Part 3b, "Classification and coding instructions for fetal death records.�

"Health, United States, 2009 is the 33rd report on the health status of the Nation and is submitted by the Secretary of the Department of Health and Human Services to the President and the Congress of the United States in compliance with Section 308 of the Public Health Service Act. This report was compiled by the Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS). The National Committee on Vital and Health Statistics served in a review capacity. The Health, United States series presents national trends in health statistics. Each report includes an executive summary, highlights, a chartbook, trend tables, extensive appendixes, and an index."--preface. ; Complete report -- Executive summary -- Highlights -- Chartbook -- Trend tables -- Appendixes -- Index -- In brief edition -- 2009 special feature: medical technology. ; National Center for Health Statistics. ; Title from resource home page (National Center for Health Statistics, viewed March 29, 2010) ; "Overall responsibility for planning and coordinating the content of this edition of Health, United States rested with the Office of Analysis and Epidemiology, National Center for Health Statistics (NCHS), under the direction of Amy B. Bernstein, Diane M. Makuc, and Linda T. Bilheimer."--acknowledgements. ; "January 2010." ; "Disability is a complex concept and can include the presence of physical or mental impairments that limit a person's ability to perform an important activity and affect the use of, or need for, supports, accommodations, or interventions required to improve functioning. Information on disability in the U.S. population is critical to health planning and policy. Several current initiatives are under way to coordinate and standardize measurement of disability across federal data systems. This year's report introduces the first detailed trend table (Table 55) using data from the NCHS National Health Interview Survey (NHIS) to create disability measures consistent with two of the conceptual components that have been indentified in disability models and disability legislation: basic actions difficulty and complex activity limitation. Basic actions difficulty captures limitations or difficulties in movement and sensory, emotional, or mental functioning that are associated with some health problem. Complex activity limitation describes limitations or restrictions on a person's ability to participate fully in social role activities such as working or maintaining a household. Data on health insurance coverage from NHIS for persons with basic actions difficulty or complex activity limitation have been added to Tables 137-140. Health, United States also includes the following disability-related information for the civilian noninstitutionalized population: vision and hearing limitations for adults (Table 56), and disability-related information for Medicare enrollees (Table 144), Medicaid recipients (Table 145), and veterans with service-connected disabilities (Figure 3 and Table 147)." - p. iii-iv ; National Center for Health Statistics. Health, United States, 2009: With Special Feature on Medical Technology. Hyattsville, MD. 2010. ; Includes bibliographical references and index.

The Model State Vital Statistics Act is a document designed to be used by State Registrars of Vital Statistics and State Legislators when considering revision of the Vital Statistics laws. The main objectives of the 1977 Revision of the Model Act are: (1) To incorporate current social customs and practices and current technology into the policies and Procedures of the vital statistics system in the various States; (2) to promote the uniformity of these policies and procedures to the end that all vital records will be readily acceptable in all places as prima facie evidence of the facts therein recorded: (3) to enhance the level of comparability of vital statistics data among the various States; and (4) to minimize duplication within the vital statistics system and thereby achieve maximum administrative economy. The historical philosophy of the vital statistics systems in the United States is that vital events be registered only in the State in which they occur. This concept is maintained in this Revision of the Model Act. The jurisdiction of the State Registrar extends only to boundaries of his State and standards for registration may be set and enforced only for those events occurring within those boundaries. This is a very important concept in maintaining the validity of vital records in their use for legal purposes. If it is to be respected, the appropriate procedures for recording birth and death information for United States citizens born or dying in foreign countries and certification of birth information for aliens adopted by United States citizens must continue to be the responsibility of those Federal Agencies which retain jurisdiction over recording these events. While this revision of the Model Act does not constitute an abrupt departure from earlier Model Vital Statistics Acts, there are several modifications that should be noted. The most significant change relates to the establishment of a centralized system for the collection, processing, registration and certification of vital records in each State, whereby all vital events are reported directly to the State Office of Vital Statistics. However, the Model Act contains authorization for local offices to perform those functions the State Registrar may direct, including the receipt and processing of vital records and the issuance of certified copies, when such offices can be shown to be an aid to efficient and effective operation of the system. The Model Act further provides for the options of allowing such local offices to work with records only for their designated geographic area or to be given access to the entire State file and allowing them to issue certified copies with- out regard to where the event occurred within the State. The important concept, however, is that these offices are part of the State Office of Vital Statistics and are under the direct control of the State Registrar. ; "May 1978." ; These revisions replace the 1959 Revision of the Model State Vital Statistics Act (PHS:794) and the1973 Revision of the Model State Vital Statistics Regulations (PHCRS Dec. #616.6).

The National Center for Health Statistics (NCHS) is a unique public resource for health information. As the Nation's principal health statistics agency, NCHS provides statistical information to guide actions and policies to improve the health of the American people. NCHS's mission is to monitor America's health, and our activities mirror the multi-faceted aspects of health care. NCHS surveys and data systems provide fundamental public health and health policy statistics that meet the needs of a wide range of users. NCHS data are used to track changes in health and health care, particularly as major changes are occurring in private markets and in Federal and State policy. NCHS provides mechanisms for obtaining consistent, uniform statistics that allow for comparison across population groups, types of health care providers, and States; for planning, targeting, and assessing the effectiveness of public health programs, and for identifying health problems, risk factors, and disease patterns. This type of information is important to understanding trends that allow NCHS to anticipate the future directions in the health care system and in health behaviors. In 1960 the National Office of Vital Statistics and the National Health Survey merged to form NCHS. Since 1987 NCHS has been a part of the Centers for Disease Control and Prevention. Under Sections 304, 306, and 308 of the Public Health Service Act, NCHS has legislative authority for its programs. The Act authorizes data collection, analysis, and dissemination of a broad range of health and health-related areas and provides specific legislative authority to enable the Center to protect the confidentiality of information received in its surveys. In addition the Act provides for NCHS to undertake and support research, demonstrations, and evaluations regarding survey methods and to provide technical assistance to State and local jurisdictions. ; "November 1997."

The report describes the method and instruments used to collect and process drug information for the 1980 National Ambulatory Medical Care Survey. It explains in detail the development of the system by which the drug information was classified and coded, and offers a complete set of coding instructions along with an alphabetized list of 7,227 drugs that office-based physicians might prescribe. Finally, it presents the plan for analyzing the drug data and reporting it to potential users. ; [by Hugo Koch and William H. Campbell]. ; Includes bibliographical references.