Center for Financing, Access, and Cost Trends (CFACT): Publications by Staff

Frances M. Chevarley

Author: Chevarley F
Title: Patient-provider communication by race/ethnicity and disability status: United States, 2007
Publication: MEPS Statistical Brief No. 312. Available on the MEPS Web site.
Date: February 2011
Abstract: Patient centered care is an important aspect of quality health care and is supported by good provider-patient communication. The provider-patient communication measures used in this report are part of the health care quality measures taken from the health plan version of Consumer Assessment of Healthcare Providers and Systems (CAHPS®), an AHRQ sponsored family of survey instruments designed to measure quality of care from the consumer's perspective.

Estimates in this report are presented by race/ethnicity and disability status as measured by activity limitations. The disability measures used in this report have been used in the National Healthcare Quality and Disparities Reports since 2007. Adults with disabilities are defined to be those with a physical, sensory, and/or mental health condition that can be associated with a decrease in functioning in such day-to-day activities as bathing, walking, doing everyday chores, and/or engaging in work or social activities. Paired measures are used to preserve the qualitative aspects of the data. Limitations in basic activities represent problems with mobility and other basic functioning at the person level. Limitations in complex activities represent limitations encountered when the person, in interaction with his or her environment, attempts to participate in community life.

Author: Chevarley F
Title: Average outpatient out-of-pocket prescription drug costs for the top five most expensive prescription drugs for adults age 65 and over: 2005 and 2006.
Publication: MEPS Statistical Brief No. 288. Available on the MEPS Web site.
Date: July 2010
Abstract: Most adults age 65 and over are covered by Medicare. Traditional Medicare did not cover prescription drugs until 2006 when Medicare Part D was phased in. Average out-of-pocket costs per purchase decreased from 2005 to 2006 for adults age 65 and over for three of the top five most expensive prescription drugs for persons 65 and over in 2005 (Lipitor, Plavix, and Nexium). For adults ages 45-64 with any private insurance, average out-of-pocket costs per purchase decreased from 2005 to 2006 for two of the top five prescriptions for adults age 65 and over in 2005 (Lipitor and Zocor).

Author: Chevarley F
Title: Percentage of persons unable to get or delayed in getting needed medical care, dental care, or prescription medicines: United States, 2007
Publication: MEPS Statistical Brief No. 282. Available on the MEPS Web site.
Date: April 2010
Abstract: In 2007, approximately 1 in 10 persons in the U.S. civilian noninstitutionalized population (approximately 30 million persons) were unable to get or delayed in getting needed medical care, dental care, or prescription medicines in the last 12 months. In 2007, an estimated 5.5 percent of the population were unable to get or delayed in getting needed dental care which was higher than the 4.7 percent of persons who were unable to get or delayed in getting needed medical care and the 3.1 percent of persons who were unable to get or delayed in getting needed prescription medicines.

Author: Chevarley F
Title: Total medical and prescription expenditures by current asthma status and whether asthma daily preventive medicine is being taken, United States, 2006
Publication: MEPS Statistical Brief No. 241. Available on the MEPS Web site.
Date: April 2009
Abstract: Asthma is a chronic respiratory disease in which the airways of the lungs become inflamed and constricted. Data from the 2006 Medical Expenditure Panel Survey (MEPS) show that in 2006, an estimated 7.1 percent of the U.S. civilian noninstitutionalized population (approximately 21.2 million in the U.S.) had 'current' asthma. Current asthma is defined as having been told by a doctor or other health professional that you have asthma, and having had an asthma episode during the past 12 months or reporting to still have asthma. Of those with current asthma, 31.6 percent are taking asthma daily preventive medicines daily or almost every day. Average total medical expenditures and average total prescription expenditures are higher for persons with current asthma than for persons without current asthma and are higher for those with current asthma who take daily preventive medicines.

Author: Chevarley F
Title: Asthma preventive medicine in 2006—Who takes them?
Publication: MEPS Statistical Brief No. 237. Available on the MEPS Web Site.
Date: March 2009
Abstract: Data from the 2006 MEPS show that 7.1 percent of the U.S. civilian noninstitutionalized population (21.3 million people) have current asthma. This means they have been told by a doctor or other health professional at some point in their lives that they have asthma and they reported they had an attack in the past 12 months or reported still having asthma. An estimated 31.6 percent of those with current asthma were taking asthma daily preventive medicines daily or almost every day.

Authors: Brach C, Chevarley F
Title: Demographics and health care access and utilization of Limited-English-Proficient and English-Proficient Hispanics
Publication: MEPS Research Findings No. 28. Available on the MEPS Web Site.
Date: February 2008
Abstract: This report is based on data from the 2004 Household Component of MEPS (MEPS-HC). Updates to prior work are presented through a profile of LEP Hispanic adults and their health care using a large national sample and a respondent-report measure of English proficiency.

Authors: Chevarley F, Thierry J, Gill C, Ryerson A, Nosek M
Title: Health, preventive health care, and health care access among women with disabilities in the 1994-1995 National Health Interview Survey, Supplement on Disability
Publication: Womens Health Issues 16(6):297-312
Date: Nov-Dec. 2006
Abstract: Available on PubMed®

Authors: Chevarley F, Owens P, Zodet M, et al.
Title: Health care for children and youth in the United States: Annual report on patterns of coverage, utilization, quality, and expenditures by a county level of urban influence
Publication: Ambulatory Pediatrics 6(5):241-64
Date: Sept-Oct. 2006
Abstract: Available on PubMed®

Author: Chevarley F
Title: Missing data for children's height, weight, and BMI in the Medical Expenditure Panel Survey (MEPS-HC)
Publication: American Statistical Association, Joint Statistical Meetings—Section on Survey Research Methods, pp. 3829-3834 (CD-ROM), Alexandria, VA
Date: 2005

Author: Chevarley F
Title: Utilization and expenditures for children with special health care needs
Publication: MEPS Research Findings No. 24. Available on the MEPS Web site
Date: January 2006
Abstract: Using data from the 2000 MEPS, this report provides estimates of medical care utilization and expenditures for children with and without special health care needs. These estimates include health care use, expenditures, and burden of child's health care costs as a percentage of family income according to demographic and other personal or family characteristics of the child. (Previously published as Working Paper #05010, February 2005.)

Author: Chevarley F
Title: Access to needed medical care among children under 18 years of age with special health care needs, 2002
Publication: MEPS Statistical Brief No. 75. Available on the MEPS Web site
Date: April 2005
Abstract: This statistical brief examines the quality of health care for children with and without special health care needs (SHCN) as it pertains to getting needed care in 2002. The estimates provided in the brief reflect getting needed care as it is defined and reported by the parent or knowledgeable adult respondent to the MEPS-HC.

Authors: Simpson L, Owens P, Zodet M, Chevarley F, et al.
Title: Health care for children and youth in the United States: Annual report on patterns of coverage, utilization, quality, and expenditures by income
Publication: Amb Pediatr 5(1):6-44
Date: Jan-Feb 2005
Abstract: Available on PubMed®

Authors: Simpson L, Zodet M, Chevarley F, et al.
Title: Health care for children and youth in the United States: 2002 Report on trends in access, utilization, quality, and expenditures
Publication: Ambul Pediatr 4(2):131-53
Date: Mar-Apr 2004
Abstract: Available on PubMed®

Author: Chevarley F
Title: Reformatting a self administered questionnaire based on item non-response
Publication: American Statistical Association, 2003 Proceedings, pp. 52-58 (CD-ROM), Alexandria, VA
Date: 2003.

Author: Chevarley F
Title: Children's access to necessary health care, Fall 2001
Publication: MEPS Statistical Brief No. 12. Available on the MEPS Web site
Date: 2003
Abstract: This statistical brief summarizes an access and quality of care measure pertaining to the health care received by noninstitutionalized children of the United States. It presents preliminary findings based on the data obtained from the 2001 MEPS child supplement. All of the questions refer to events experienced in the last 12 months. Only differences that are statistically significant at the 0.05 level are discussed in the text.

Author: Chevarley F
Title: Children's health care quality
Publication: MEPS Statistical Brief No. 3. Available on the MEPS Web site
Date: 2002
Abstract: This statistical brief presents preliminary analyses of what parents report about the quality of their children's medical care based on the 2000 MEPS parent-administered questionnaire.

Authors: Elixhauser A, Machlin S, Zodet M, et al.
Title: Health care for children and youth in the United States: 2001 annual report on access, utilization, quality, and expenditures
Publication: Ambul Pediatr 2(6):419-37
Date: 2002
Abstract: Available on PubMed®

Authors: Machlin S, Valluzzi J, Chevarley F, Thorpe J
Title: Measuring ambulatory health care use in the United States: a comparison of 1996 estimates across four federal surveys
Publication: J Econ Soc Measurement 27(1-2):57-69. AHRQ Pub. No. 03-R020
Date: 2001
Abstract: The U.S. Department of Health and Human Services currently sponsors a number of national surveys that have different primary objectives and methodologies, but all can be used in different ways to produce general estimates of the use of ambulatory care in the United States. Among these surveys are MEPS, the National Health Interview Survey (NHIS), the National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Ambulatory Medical Care Survey (NHAMCS). Through a comparison of 1996 survey estimates, this paper describes important methodological considerations when using these different data sources for measuring ambulatory use. This paper complements a previous article comparing estimates of hospital inpatient utilization across several federal data sources.

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