Data on the prevalence and adverse consequences of, and use of medical care for, three disorders ultimately treatable by surgical intervention are used in the Health Insurance Study (HIS) to investigate the effect of different levels of insurance on health status and quality of care. The three conditions--hernia, varicose veins, and hemorrhoids--were selected because of their fairly widespread prevalence, potential for causing temporary or chronic incapacity and disability, possibility of serious complications if untreated, and responsiveness to both medical and surgical therapy. This volume reviews pertinent medical literature, details the HIS definitions of these disorders, describes HIS methods for measuring their presence and impact on people's lives, presents and discusses enrollment data for the six HIS sites, and introduces disease-specific quality-of-care criteria. An appendix deals with the extent to which the HIS-enrolled population had tonsil disease or had ever had tonsil or gall bladder surgery.
This report is part of the RAND Corporation Report series. The report was a product of the RAND Corporation from 1948 to 1993 that represented the principal publication documenting and transmitting RAND's major research findings and final research.
Our mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit www.rand.org/about/research-integrity.
The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.