Form 1 Access to Care

SpecWriter Data

Form Version:

4/15/2022 12:53:39 PM

Report Type:

Full Detail

Project Database:
Language:

English

WESSQL300.MEPSFall2022

Spec Label:

This is the cover page. Additional contents currently project specific.

AC - Page 1 of 42

MEPSFall2022

Access to Care (AC) Section
(Rout

Full Detail Spec
BOX_00

Route Details:

(AC1000)

Item Type: Route

Type Class: If Then

01 Box = BOX_00, BOX_10, BOX_20, BOX_30, BOX_40, BOX_50, BOX_60, BOX_70, BOX_80,
BOX_90, BOX_100, BOX_110
02 Loop = LOOP_10, LOOP_20
03 End Loop = END_LP10, END_LP20
04 Single Select = AC10, AC20, AC30, AC40, AC50, AC60, AC70, AC80, AC90, AC100, AC120,
AC140, AC150, AC160, AC170, AC180, AC190, AC200, AC210, AC230, AC240, AC250,
AC270, AC290, AC310
08 Multiple Select = AC110
10 Multiple Select with Fill in Answer Text = AC220, AC260, AC280, AC300, AC320
20 OS Text Field = AC80OS, AC90OS

BOX_10

Route Details:

BOX_20

Route Details:

(AC1005)

Item Type: Route

Type Class: If Then

The AC section is only asked in RndCycle=Fall. If it is RndCycle=Spring continue to the
next section.

(AC1010)

Item Type: Route

Type Class: If Then

Context header display instructions: SEE CONTEXT HEADER SPEC

AC - Page 2 of 42

MEPSFall2022

Access to Care (AC) Section
(Rout

Full Detail Spec
LOOP_10

Route Details:

(AC1015)

Item Type: Route

Type Class: Begin Loop

For each element in the RU-members-roster, ask AC10 - END_LP10.
Loop definition: LOOP_10 collects the name of the usual source of care provider, if any,
for each current RU member. This loop cycles on persons who meet the following
conditions:
-Person is a current RU member (included in person array)
-Person is not deceased (PersRndStatus ≠Deceased)
-Person is not institutionalized (PersRndStatus ≠ Institutionalized)

AC10
Item Type:

(AC1020)
Question

Type Class:

Enumerated

Answer Type:

THAVE_USC

BLAISE NAME: HaveUSC
Field kind: Datafield
ArrayMin:
Field Size:
Answers allowed: 1

Help Available (USCHelp)
Context Header:

Min value:

ArrayMax:

Show Card (

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
Is there a particular doctor's office, clinic, health center, or other place that {you/{PERSON}} usually {go/goes} if
{you/he/she} {are/is} sick or {need/needs} advice about {your/his/her} health?
HELP: F1

Responses:

YES
NO
MORE THAN ONE PLACE
REFUSED
DON'T KNOW

1
2
3
RF
DK

AC30
AC40
AC20
END_LP10
END_LP10

(AC1030)
(AC1035)
(AC1025)
(AC1120)
(AC1120)

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]

AC - Page 3 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC20
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:

(AC1025)
Question
Enumerated
TYESNO
)

BLAISE NAME: GoFirst
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
Would {you/{PERSON}} go to one of these places first or most often if {you/he/she} {are/is} sick?

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

AC30
AC40
END_LP10
END_LP10

(AC1030)
(AC1035)
(AC1120)
(AC1120)

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]

AC - Page 4 of 42

)

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC30
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:

(AC1030)
Question
Enumerated
TGroup
)

BLAISE NAME: USCLoctn
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
Does the medical provider {you/{PERSON}} usually {see/sees} have his or her own practice that is not part of a
group practice, health center, clinic, or other facility?

Responses:

Display
Instructions:

OWN PRACTICE, NOT PART OF
GROUP/FACILITY
PRACTICE IS ASSOCIATED WITH
GROUP/FACILITY
REFUSED
DON'T KNOW

1

BOX_30

(AC1036)

2

BOX_30

(AC1036)

RF
DK

BOX_30
BOX_30

(AC1036)
(AC1036)

Display 'see' if asking about the respondent. Otherwise, display 'sees'
For response 1 "OWN PRACTICE, NOT PART OF GROUP/FACILITY", display the word "NOT"
with an underline.

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]

AC - Page 5 of 42

)

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC40
Item Type:
Type Class:
Answer Type:

(AC1035)
Question
Enumerated
TY_NO_USC

Help Available (USCHelp)
Context Header:

BLAISE NAME: WhyNoUSC
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}

Question Text:
What is the main reason {you/{PERSON}} {do/does} not have a usual source of health care?
HELP: F1

Responses:

SELDOM OR NEVER GETS SICK
RECENTLY MOVED INTO AREA
JUST CHANGED INSURANCE PLANS
NO HEALTH INSURANCE, OTHER
INSURANCE RELATED REASON
DON'T KNOW WHERE TO GO FOR CARE
USUAL SOURCE OF MEDICAL CARE IN
THIS AREA IS NO LONGER AVAILABLE
LIKES TO GO TO DIFFERENT PLACES
FOR DIFFERENT HEALTH NEEDS
DON'T USE DOCTORS/TREAT MYSELF
COST OF MEDICAL CARE
OTHER REASON
REFUSED
DON'T KNOW

1
2
3
4

END_LP10
END_LP10
END_LP10
END_LP10

(AC1120)
(AC1120)
(AC1120)
(AC1120)

5
6

END_LP10
END_LP10

(AC1120)
(AC1120)

7

END_LP10

(AC1120)

8
9
91
RF
DK

END_LP10
END_LP10
END_LP10
END_LP10
END_LP10

(AC1120)
(AC1120)
(AC1120)
(AC1120)
(AC1120)

Display
Instructions:

Testing/Editing
Notes:

BOX_30

Route Details:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]

(AC1036)

Item Type: Route

Type Class: If Then

Ask the provider roster (PV) section.
At the completion of the provider roster (PV) section, continue with BOX_40.

AC - Page 6 of 42

MEPSFall2022

Access to Care (AC) Section
(Rout

Full Detail Spec

BOX_40

Route Details:

(AC1055)

Item Type: Route

Type Class: If Then

If provider added or selected at PV30LU is a person provider, that person provider will be
considered the ‘USC (USUAL SOURCE OF CARE PROVIDER) PROVIDER’ for this person for
this round.
If provider added or selected at PV30LU is a facility provider and PV70=0, that facility
provider will be considered the ‘USC (USUAL SOURCE OF CARE PROVIDER) PROVIDER’ for
this person for this round.
If provider added or selected at PV30LU is a facility provider and PV70 ≠ 0 or empty, the
entry at PV70, in conjunction with the facility provider at PV30LU, will be the ‘USC (USUAL
SOURCE OF CARE PROVIDER) PROVIDER’ for this person for this round.
If the USC provider is a person provider, then the USC type is PERSON-TYPE PROVIDER.
If the USC provider is a facility provider and PV70=0, then the USC type is a FACILITY-TYPE
PROVIDER.
If the USC provider is a facility provider and PV70≠0 or empty, then the USC type is a
PERSON-IN-FACILITY-TYPE PROVIDER and the entry entered at PV70 will be considered the
USC in conjunction with the facility provider selected or added at PV30LU.
If USC provider selected at PV30LU is a FACILITY-TYPE PROVIDER or a PERSON-IN-FACILITYTYPE PROVIDER and AC50 was not already asked for this USC provider in an earlier loop or
AC50 was not already asked in a previous Fall cycle (e.g. round 2 if round 4) or in a
previous Fall cycle AC50 was asked but was coded as missing (RF, DK), go to AC50.
Otherwise, if USC provider selected at PV30LU is (a PERSON-TYPE PROVIDER) or (a
FACILITY-TYPE PROVIDER or a PERSON IN FACILITY TYPE PROVIDER and AC50 has already
been asked for this USC provider in an earlier loop, or in a previous Fall cycle
(Preload.PlaceType)), go to AC60.

AC - Page 7 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC50
Item Type:
Type Class:
Answer Type:

(AC1060)
Question
Enumerated
TPLACETYP

Help Available (PlaceTypeHelp)
Context Header:

BLAISE NAME: PlaceType
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}{{NAME OF MEDICAL CARE PROVIDER......}
{NAME OF FACILITY}

Question Text:
ASK IF NOT OBVIOUS.
{Is {PROVIDER}/Does {PROVIDER} work at} a clinic in a hospital, a hospital outpatient department, an emergency room
at a hospital, or some other kind of place?
HELP: F1

Responses:

Programmer
Instructions:

Display
Instructions:

HOSPITAL CLINIC OR OUTPATIENT
DEPARTMENT
HOSPITAL EMERGENCY ROOM
OTHER KIND OF PLACE
REFUSED
DON'T KNOW

1

AC60

(AC1065)

2
3
RF
DK

AC60
AC60
AC60
AC60

(AC1065)
(AC1065)
(AC1065)
(AC1065)

Note: for questions AC50-AC120, the context header will always display the name of the USC
provider entered at PV30LU for ‘NAME OF FACILITY’. Display the entry entered at PV70 for
‘NAME OF MEDICAL CARE PROVIDER’’ otherwise, use a null display.

Display ‘Is {PROVIDER}’ if USC provider is a ‘FACILITY-TYPE- PROVIDER’.
Display ‘Does {PROVIDER} work at’ if USC provider is a ‘PERSON IN FACILITY-TYPE-PROVIDER’
and display the entry selected or added at PV70 for ‘PROVIDER’

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]

AC - Page 8 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC60
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:

(AC1065)
Question
Enumerated
TGETTOTAK
)

BLAISE NAME: TimeProv
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}{{NAME OF MEDICAL CARE
PROVIDER......} {NAME OF FACILITY}

Question Text:
How long does it usually take {you/{PERSON}} to get to {PROVIDER}?

Responses:

LESS THAN 15 MINUTES
16 TO 30 MINUTES
31 TO 60 MINUTES (1 HOUR)
61 TO 90 MINUTES
91 TO 120 MINUTES (2 HOURS)
MORE THAN 120 MINUTES (2 HOURS)
REFUSED
DON'T KNOW

1
2
3
4
5
6
RF
DK

BOX_50
BOX_50
BOX_50
BOX_50
BOX_50
BOX_50
BOX_50
BOX_50

(AC1070)
(AC1070)
(AC1070)
(AC1070)
(AC1070)
(AC1070)
(AC1070)
(AC1070)

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]

AC - Page 9 of 42

)

MEPSFall2022

Access to Care (AC) Section
(Rout

Full Detail Spec
BOX_50

Route Details:

(AC1070)

Item Type: Route

Type Class: If Then

If this USC provider is a ‘PERSON-TYPE-PROVIDER’ OR 'PERSON IN FACILITYTYPE-PROVIDER' and
⦁ If (Round 2) and (AC70 was not asked for this USC provider in an earlier loop)
or
⦁ If (Round<>2) and (AC70 was not asked in a previous Fall cycle for this USC
provider [Preload.ProvDoc = empty]) and (AC70 was not asked for this USC provider
in an earlier loop in the current round)
or
⦁ If (Round<>2) and (AC70 was coded as refused or don’t know for this USC provider
in a previous Fall cycle [Preload.ProvDoc = RF, DK]) and (AC70 was not asked for
this USC provider in an earlier loop in the current round)
or
⦁ If (Round<>2) and (AC70 was coded ‘1’ (YES) and AC90 was coded as refused or
don’t know for this USC provider in a previous Fall cycle [Preload.ProvDoc = Yes and
Preload.ProvSpecIt=DK, RF]) and (AC70 was not asked for this USC provider in an
earlier loop in the current round)
or
⦁ If (Round<>2) and (AC70 was coded ‘2’ (NO) and AC80 was coded as refused or
don’t know for this USC provider in a previous Fall cycle [Preload.ProvDoc = No and
Preload.ProvOthType=DK, RF]) and (AC70 was not asked for this USC provider in an
earlier loop in the current round), continue with AC70.
Otherwise, go to BOX_60.

AC70
Item Type:

(AC1075)
Question

Type Class:

Enumerated

Answer Type:

TYESNO

Help Available (MDDOTypes)
Context Header:

BLAISE NAME: ProvDoc
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Show Card (

Max value:

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}{{NAME OF MEDICAL CARE
PROVIDER......} {NAME OF FACILITY}

Question Text:
Is {PROVIDER} a medical doctor?
HELP: F1

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK
AC - Page 10 of 42

AC90
AC80
AC100
AC100

(AC1090)
(AC1080)
(AC1100)
(AC1100)

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]

AC80
Item Type:

(AC1080)
Question

Type Class:

Enumerated

Answer Type:

TOTHTYPE

BLAISE NAME: ProvOthType
Field kind: Datafield

Min value:

ArrayMax:

Max value:

Field Size:
Answers allowed: 1

Help Available (ProvOthTypeHelp)
Context Header:

ArrayMin:

Show Card (

)

Look Up File (

)

{PERSON’S FIRST MIDDLE AND LAST NAME}{{NAME OF MEDICAL CARE
PROVIDER......} {NAME OF FACILITY}

Question Text:
Is {PROVIDER} a nurse, nurse practitioner, physician's assistant, midwife, or some other kind of person?
SELECT 'CHIROPRACTOR' IF CHIROPRACTOR VOLUNTEERED AS TYPE OF MEDICAL PERSON.
HELP: F1

Responses:

Display
Instructions:

Testing/Editing
Notes:

NURSE
NURSE PRACTITIONER
PHYSICIAN'S ASSISTANT
MIDWIFE
CHIROPRACTOR
OTHER
REFUSED
DON'T KNOW

1
2
3
4
5
91
RF
DK

BOX_60
BOX_60
BOX_60
BOX_60
BOX_60
AC80OS
BOX_60
BOX_60

(AC1096)
(AC1096)
(AC1096)
(AC1096)
(AC1096)
(AC1085)
(AC1096)
(AC1096)

Display AC80 and AC80OS on the same form pane.

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]

AC - Page 11 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC80OS
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:

(AC1085)
Question
String

BLAISE NAME: ProvOthTypeOS
Field kind: Datafield
Field Size: 25

{Continuous Answer.} Answers allowed: 1
)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}{{NAME OF MEDICAL CARE PROVIDER......}
{NAME OF FACILITY}

Question Text:
SPECIFY: OTHER TYPE

Responses:
REFUSED
DON'T KNOW
Display
Instructions:

Testing/Editing
Notes:

1

BOX_60

(AC1096)

RF
DK

BOX_60
BOX_60

(AC1096)
(AC1096)

Display AC80 and AC80OS on the same form pane.

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]

AC - Page 12 of 42

)

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC90
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:

(AC1090)
Question
Enumerated
TMDSPECLT
)

BLAISE NAME: ProvSpeclt
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}{{NAME OF MEDICAL CARE
PROVIDER......} {NAME OF FACILITY}

Question Text:
What is {PROVIDER}'s specialty?

Responses:

Display
Instructions:

Testing/Editing
Notes:

GENERAL/FAMILY PRACTICE
INTERNAL MEDICINE
PEDIATRICS
OB/GYN
SURGERY
CHIROPRACTOR
CARDIOLOGIST
DOCTOR OF OSTEOPATHY
OTHER
REFUSED
DON'T KNOW

1
2
3
4
5
6
7
8
91
RF
DK

BOX_60
BOX_60
BOX_60
BOX_60
BOX_60
BOX_60
BOX_60
BOX_60
AC90OS
BOX_60
BOX_60

(AC1096)
(AC1096)
(AC1096)
(AC1096)
(AC1096)
(AC1096)
(AC1096)
(AC1096)
(AC1095)
(AC1096)
(AC1096)

Display AC90 and AC90OS on the same form pane.

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]

AC - Page 13 of 42

)

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC90OS
Item Type:

(AC1095)
Question
String

Type Class:
Answer Type:

Field kind: Datafield
Field Size: 25

{Continuous Answer.} Answers allowed: 1

Help Available (
Context Header:

BLAISE NAME: ProvSpecltOS

)

Show Card (

ArrayMin:

Min value:

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}{{NAME OF MEDICAL CARE PROVIDER......}
{NAME OF FACILITY}

Question Text:
SPECIFY: OTHER SPECIALTY.

Responses:
REFUSED
DON'T KNOW
Display
Instructions:

Testing/Editing
Notes:

BOX_60

Route Details:

1

BOX_60

(AC1096)

RF
DK

BOX_60
BOX_60

(AC1096)
(AC1096)

Display AC90 and AC90OS on the same form pane.

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]

(AC1096)

Item Type: Route

Type Class: If Then

If this USC provider is a 'PERSON-TYPE-PROVIDER' or 'PERSON IN FACILITY TYPE-PROVIDER'
and [(AC100 not already answered this round for this same USC provider in an earlier
cycle) or (if round<>2 and Preload.ProvHispLat=DK, RF, or EMPTY (i.e., AC100 never asked
in previous Fall cycles, DK, or RF) for this same USC provider)], go to AC100.
Otherwise, go to BOX_70.

AC - Page 14 of 42

)

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC100
Item Type:

(AC1100)
Question
Enumerated

Type Class:
Answer Type:

TYESNO

Help Available (
Context Header:

BLAISE NAME: ProvHispLat
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

)

Show Card (

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}{{NAME OF MEDICAL CARE PROVIDER......}
{NAME OF FACILITY}

Question Text:
Is {PROVIDER} Hispanic or Latino?

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

BOX_70
BOX_70
BOX_70
BOX_70

(AC1101)
(AC1101)
(AC1101)
(AC1101)

Display
Instructions:

Testing/Editing
Notes:

BOX_70

Route Details:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]

(AC1101)

Item Type: Route

Type Class: If Then

If this USC provider is a 'PERSON-TYPE-PROVIDER' or 'PERSON IN FACILITY TYPE-PROVIDER'
and [(AC110 not already answered this round for this same USC provider in an earlier
cycle) or (if round<>2 and Preload.AskProvRace=1 (YES) (i.e., AC110 never asked, or RF, DK
in previous Fall cycles) for this same USC provider)], go to AC110.
Otherwise, go to BOX_80.

AC - Page 15 of 42

)

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC110
Item Type:

(AC1110)
Question
Enumerated

Type Class:
Answer Type:

Tbw_AC19

Help Available (
Context Header:

BLAISE NAME: ProvRace
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 6

ArrayMax:

Max value:

)

Show Card (AC-1)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}{{NAME OF MEDICAL CARE PROVIDER......}
{NAME OF FACILITY}

Question Text:
 AC-1.
What is {PROVIDER}'s race?
ENTER ALL THAT APPLY.

Responses:

WHITE
BLACK/AFRICAN AMERICAN
ASIAN
INDIAN/NATIVE AMERICAN/ALASKA
NATIVE
OTHER PACIFIC ISLANDER
SOME OTHER RACE
REFUSED
DON'T KNOW

1
2
3
4

BOX_80
BOX_80
BOX_80
BOX_80

(AC1111)
(AC1111)
(AC1111)
(AC1111)

5
91
RF
DK

BOX_80
BOX_80
BOX_80
BOX_80

(AC1111)
(AC1111)
(AC1111)
(AC1111)

Display
Instructions:

Testing/Editing
Notes:

BOX_80

Route Details:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]

(AC1111)

Item Type: Route

Type Class: If Then

If this USC provider is a 'PERSON-TYPE-PROVIDER' or 'PERSON IN FACILITY TYPE-PROVIDER'
and [(AC120 not already answered this round for this same USC provider in an earlier
cycle) or (if round<>2 and Preload.ProvGender=DK, RF, or EMPTY (i.e., AC120 never asked
in previous Fall cycles) for this same USC provider)], go to AC120.
Otherwise, go to END_LP10.

AC - Page 16 of 42

)

MEPSFall2022

Access to Care (AC) Section
(Rout

Full Detail Spec

AC120
Item Type:

(AC1115)
Question

Type Class:

Enumerated

Answer Type:

TSMPSEXR

Help Available (
Context Header:

)

BLAISE NAME: ProvGender
Field kind: Datafield
ArrayMin:

Min value:

Field Size:
Answers allowed: 1
Show Card (

ArrayMax:

Max value:

)

Look Up File (

{PERSON’S FIRST MIDDLE AND LAST NAME}{{NAME OF MEDICAL CARE PROVIDER......}
{NAME OF FACILITY}

Question Text:
Is {PROVIDER} male or female?

Responses:

MALE
FEMALE
REFUSED
DON'T KNOW

1
2
RF
DK

END_LP10
END_LP10
END_LP10
END_LP10

(AC1120)
(AC1120)
(AC1120)
(AC1120)

Display
Instructions:

Testing/Editing
Notes:

END_LP10

Route Details:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop10[1..25]

(AC1120)

Item Type: Route

Type Class: End Loop

Cycle on next person in the RU-members-roster who meets the conditions stated in the loop
definition.
If no other persons meet the stated conditions, end LOOP_10 and continue with BOX_90.

AC - Page 17 of 42

)

MEPSFall2022

Access to Care (AC) Section
(Rout

Full Detail Spec
BOX_90

Route Details:

(AC1121)

Item Type: Route

Type Class: If Then

If at least one provider was selected or added as a ‘USC provider’ on the RU- medicalproviders-roster, continue with LOOP_20.
Otherwise, go to AC210.

LOOP_20

Route Details:

(AC1130)

Item Type: Route

Type Class: Begin Loop

For each element in the RU-medical-providers-roster, ask AC140 - END_LP20.
Loop definition: LOOP_20 collects detailed information on each unique usual source of
care provider identified for this RU. This loop cycles on providers who meet the following
condition:
-Provider was selected or added as ‘USC provider’ during the current round for a current
RU member.
Note: if the USC provider being looped on is a 'PERSON IN FACILITY-TYPE-PROVIDER' the
context header in LOOP_20 will
display the name of facility selected or added at PV30LU. if the USC provider being looped
on is a ‘FACILITY- TYPE- PROVIDER', the context header in LOOP_20 will display the facilityprovider name. If the USC provider being looped on is ‘PERSON-TYPE PROVIDER’ the
context header in LOOP_20 will display the person-provider name.
For ‘PROVIDER’ in the question text, display the name of the facility if the USC type is a
FACILITY TYPE PROVIDER, display the name of the person provider, if the USC type is a
PERSON TYPE PROVIDER, and display the name entered at PV70, if the USC type is PERSON
IN FACILITY TYPE PROVIDER.

AC - Page 18 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC140
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:

(AC1140)
Question
Enumerated
TAPPDIFF

BLAISE NAME: PhoneDfclt
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

)

Show Card (AC-2)

Look Up File (

{NAME OF MEDICAL CARE PROVIDER......}
{NAME OF FACILITY}

Question Text:
AC-2.
The next few questions ask about the experience {{PERSON 1},} {PERSON 2},} {PERSON 3},} {PERSON 4},} {PERSON
N},} {or their parents} {have had/has had} with {PROVIDER} . Please think about their overall experiences when answering
the following questions.
How difficult is it to contact {a medical person at} {PROVIDER} during regular business hours over the telephone about a
health problem?

Would you say it is very difficult, somewhat difficult, not too difficult, or not at all difficult?

Responses:

VERY DIFFICULT
SOMEWHAT DIFFICULT
NOT TOO DIFFICULT
NOT AT ALL DIFFICULT
REFUSED
DON'T KNOW

1
2
3
4
RF
DK

AC - Page 19 of 42

)

MEPSFall2022
Full Detail Spec
Programmer
Instructions:

Access to Care (AC) Section
(Ques

If AC50 was coded ‘2’ (HOSPITAL EMERGENCY ROOM) for this USC provider, go to
AC160.
Otherwise, continue with AC150.

Display
Instructions:

Display ‘a medical person at’ if USC provider being looped on is a ‘FACILITY-TYPEPROVIDER’.
Otherwise, use a null display.
Display 'have had' if roster list displayed at the question text includes the respondent
or includes more than 1 person. Otherwise, display 'has had'.
Roster definition: Roster 1 - Report
This item displays RU-members-roster for display. Display RU member’s first, middle,
and last names (Person.FullName). Display “you” rather than the respondent’s name,
when respondent’s name is included in the list. Separate each name with a comma
and before the last RU member’s name display an “and”.
Roster filter:
Display all persons on the RU-members-roster who identified provider being asked
about as person's USC provider for the current round.
Display “or their parents” if all the RU members displayed in the roster are <=17
years old (or age category 1-3), otherwise, use a null display.

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop20[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop20[1..25]

AC - Page 20 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC150
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:

(AC1145)
Question
Enumerated
TYESNO
)

BLAISE NAME: OffHours
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

{NAME OF MEDICAL CARE PROVIDER......}{NAME OF FACILITY}

Question Text:
Does {PROVIDER} have office hours at night or on weekends?

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

AC160
AC160
AC160
AC160

(AC1150)
(AC1150)
(AC1150)
(AC1150)

Display
Instructions:

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop20[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop20[1..25]

AC - Page 21 of 42

)

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC160
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:

(AC1150)
Question
Enumerated
TAPPDIFF

BLAISE NAME: AfterHours
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

)

Show Card (AC-2)

Look Up File (

{NAME OF MEDICAL CARE PROVIDER.......}{NAME OF FACILITY}

Question Text:
AC-2.
How difficult is it to contact {a medical person at} {PROVIDER} after their regular hours in case of urgent medical needs?
Would you say it is very difficult, somewhat difficult, not too difficult, or not at all difficult?

Responses:

Display
Instructions:

Testing/Editing
Notes:

VERY DIFFICULT
SOMEWHAT DIFFICULT
NOT TOO DIFFICULT
NOT AT ALL DIFFICULT
REFUSED
DON'T KNOW

1
2
3
4
RF
DK

AC170
AC170
AC170
AC170
AC170
AC170

(AC1155)
(AC1155)
(AC1155)
(AC1155)
(AC1155)
(AC1155)

Display ‘a medical person at’ if USC provider being looped on is a 'FACILITY- TYPEPROVIDER’. Otherwise, use a null display.

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop20[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop20[1..25]

AC - Page 22 of 42

)

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC170
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:

(AC1155)
Question
Enumerated
TYESNO
)

BLAISE NAME: OthTrtmt
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

)

{NAME OF MEDICAL CARE PROVIDER......} {NAME OF FACILITY}

Question Text:
Does {someone at} {PROVIDER} usually ask about prescription medications and treatments other doctors may give
{{PERSON 1},} {{PERSON 2},} {{PERSON 3},} {{PERSON 4},}{{and} PERSON N}?

Responses:

Display
Instructions:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

AC180
AC180
AC180
AC180

(AC1160)
(AC1160)
(AC1160)
(AC1160)

Display ‘someone at’ if USC provider being looped on is a ‘FACILITY- TYPE- PROVIDER’.
Otherwise, use a null display.
Roster definition: Roster 1 - Report
This item displays RU-members-roster for display. Display RU member’s first, middle, and
last names (Person.FullName).
Display “you” rather than the respondent’s name, when respondent’s name is included in
the list.
Display reference person’s name when the respondent is a proxy. Separate each name with
a comma and before the last RU member’s name display an “and”.
Roster filter:
Display all persons on the RU-members-roster who identified provider being asked about as
person's USC provider for the current round.

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop20[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop20[1..25]

AC - Page 23 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC180
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:

(AC1160)
Question
Enumerated
TALUSUALY

BLAISE NAME: AskChoose
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

)

Show Card (AC-3)

Look Up File (

{NAME OF MEDICAL CARE PROVIDER.......} {NAME OF FACILITY}

Question Text:
 AC-3.
If there were a choice between treatments, how often would {a medical person at} {PROVIDER} ask {{PERSON 1},}
{PERSON 2},} {PERSON 3},} {PERSON 4},}{PERSON N},} {or their parents} to help make the decision?
Would you say never, sometimes, usually, or always?

Responses:

NEVER
SOMETIMES
USUALLY
ALWAYS
REFUSED
DON'T KNOW

1
2
3
4
RF
DK

AC - Page 24 of 42

AC190
AC190
AC190
AC190
AC190
AC190

(AC1165)
(AC1165)
(AC1165)
(AC1165)
(AC1165)
(AC1165)

)

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
Display
Instructions:

Roster definition: Roster 1 - Report
This item displays RU-members-roster for display. Display RU member’s first, middle, and
last names (Person.FullName).
Display “you” rather than the respondent’s name, when respondent’s name is included in
the list.
Display reference person’s name, when the respondent is a proxy. Separate each name with
a comma and before the last RU member’s name display an “and”.
Roster filter:
Display all persons on the RU-members-roster who identified provider being asked about as
person's USC provider for the current round.
Display “or their parents” if all the RU members displayed in the roster are <=17 years old
(or age category 1-3), otherwise, use a null display.
Display ‘a medical person at’ if USC provider being looped on is a ‘FACILITY- TYPEPROVIDER’. Otherwise, use a null display.

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop20[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop20[1..25]

AC - Page 25 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC190
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:

(AC1165)
Question
Enumerated
TYESNO
)

BLAISE NAME: ExplOpt
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

{NAME OF MEDICAL CARE PROVIDER.......} {NAME OF FACILITY}

Question Text:
Does {a medical person at} {PROVIDER} present and explain all options to {{PERSON 1},} {{PERSON 2},} {{PERSON
3},} {{PERSON 4},} {{and} PERSON N} {or their parents}?

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

AC - Page 26 of 42

BOX_100
BOX_100
BOX_100
BOX_100

(AC1166)
(AC1166)
(AC1166)
(AC1166)

)

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
Display
Instructions:

Roster definition: Roster 1 - Report
This item displays RU-members-roster for display. Display RU member’s first, middle, and
last names (Person.FullName).
Display “you” rather than the respondent’s name, when respondent’s name is included in
the list.
Display reference person’s name, when the respondent is a proxy. Separate each name with
a comma and before the last RU member’s name display an “and”.
Roster filter:
Display all persons on the RU-members-roster who identified provider being asked about as
person's USC provider for the current round.
Display “or their parents” if all the RU members displayed in the roster are <=17 years old
(or age category 1-3), otherwise, use a null display.
Display ‘a medical person at’ if USC provider being looped on is a ‘FACILITY- TYPE-PROVIDER’.

Testing/Editing
Notes:

BOX_100

Route Details:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop20[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop20[1..25]

(AC1166)

Item Type: Route

Type Class: If Then

If at least one person who identified the USC provider currently being looped on as their
USC provider AND RE1170_09 was coded ‘3’ (NOT WELL) or ‘4’ (NOT AT ALL) in
any round for that person (preload.EngCompLevel), continue with AC200.
Otherwise, go to END_LP20.

AC - Page 27 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC200
Item Type:
Type Class:
Answer Type:
Help Available (
Context Header:

(AC1175)
Question
Enumerated
TYESNO
)

BLAISE NAME: LangPref
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

{NAME OF MEDICAL CARE PROVIDER.......} {NAME OF FACILITY}

Question Text:
Does {someone at} {PROVIDER} speak the language {{PERSON 1},} {{PERSON 2},} {{PERSON 3},} {{PERSON 4},}
{{and} PERSON N} {or their parents} prefer(s) or provide translator services?

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

AC - Page 28 of 42

END_LP20
END_LP20
END_LP20
END_LP20

(AC1180)
(AC1180)
(AC1180)
(AC1180)

)

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
Display
Instructions:

Display 'someone at' if USC provider being looped on is a 'FACILITY-TYPE- PROVIDER.'
Otherwise, use a null display.
Roster definition: Roster 1 - Report
This item displays RU-members-roster for display. Display RU member’s first, middle, and
last names (Person.FullName ). Display "you"
rather than the respondent’s name, when respondent’s name is included in the list.
Display reference person’s name, when the respondent is a proxy. Separate each name with
a comma and before the last RU member’s name display an "and".
Roster filter:
Display all persons on the RU-members-roster who:
- Identified provider being asked about as person's USC provider for the current round and
-Coded RE1170_09 as ‘3’ (NOT WELL) or ‘4’ (NOT AT ALL) in any round.
Display "or their parents" if all the RU members displayed in the roster are <=17 years old (or
age category 1-3), otherwise, use a null display.

Testing/Editing
Notes:

END_LP20

Route Details:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop20[1..25]
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AC_Loop20[1..25]

(AC1180)

Item Type: Route

Type Class: End Loop

Cycle on next provider in the RU-medical-providers-ros ter who meets the conditions
stated in the loop definition.
If no other providers meet the stated conditions, end LOOP_20 and continue with
AC210.

AC - Page 29 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC210
Item Type:
Type Class:
Answer Type:
Help Available (

(AC1185)
Question
Enumerated
TYESNO
)

BLAISE NAME: DelayCare
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

)

Question Text:
The following questions are about the use of health care. Do not include dental care or prescription medicines.
Please think about the last 12 months, that is, between {MONTH YEAR-1} and today. {{Have you/Has {PERSON}}
delayed seeking medical care/Has medical care been delayed for anyone in the household} because of worry
about the cost?

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

AC220
AC230
AC230
AC230

(AC1186)
(AC1187)
(AC1187)
(AC1187)

Programmer
Instructions:

If coded ‘1’ (YES) and a MULTI-PERSON RU, continue with AC220.
If coded ‘1’ (YES) and a SINGLE-PERSON RU, automatically code person at AC220, and go to
AC230.

Display
Instructions:

For ‘MONTH YEAR-1’ display the month of the current interview and the current interview
year minus 1.
Display ‘{Have you/Has {PERSON}} delayed seeking medical care’ if SINGLE-PERSON RU.
Otherwise, display ‘Has medical care been delayed for anyone in the household’.

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.DelayCare
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.DelayCare

AC - Page 30 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC220
Item Type:
Type Class:
Answer Type:
Help Available (

(AC1186)
Question
Enumerated

BLAISE NAME: DelayWho
Field kind: Datafield

ArrayMin:

Field Size:
TFIRSTMIDLASTNA Answers allowed: 99 ArrayMax:
)

Show Card (

)

Min value:
Max value:
Look Up File (

)

Question Text:
Who was that?
PROBE: Did anyone else delay seeking medical care because of worry about the cost?
ENTER ALL THAT APPLY.

Responses:

Programmer
Instructions:
Display
Instructions:

{FIRST NAME [MIDDLE NAME] LAST
NAME}1
{FIRST NAME [MIDDLE NAME] LAST
NAME}2
{FIRST NAME [MIDDLE NAME] LAST
NAME}3
{FIRST NAME [MIDDLE NAME] LAST
NAME}4
{FIRST NAME [MIDDLE NAME] LAST
NAME}N

1
2
3
4
5

Go to AC230.

Roster 2 - no add/edit/delete
Roster definition:
This item displays RU members roster for selection. Display RU member’s first, middle, and
last name (Person.FullName).
Roster filter:
No filter; display all.

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.DelayWho
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.DelayWho

AC - Page 31 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC230
Item Type:
Type Class:
Answer Type:
Help Available (

(AC1187)
Question
Enumerated
TYESNO
)

BLAISE NAME: AffrdCare
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

)

Question Text:
In the last 12 months, was there any time when {{you/{PERSON}}/anyone in the household} needed medical
care, but did not get it because {{you/he/she}/they} couldn’t afford it?

Responses:

YES
NO
REFUSED
DON'T KNOW

Programmer
Instructions:

If coded ‘1’ (YES) and a MULTI-PERSON RU, continue with AC240.
If coded ‘1’ (YES) and a SINGLE-PERSON RU, automatically code person at AC240, and go to
AC250.

1
2
RF
DK

AC240
AC250
AC250
AC250

(AC1188)
(AC1189)
(AC1189)
(AC1189)

Display
Instructions:

Display ‘{you/{PERSON}}’ if SINGLE-PERSON RU. Otherwise, display ‘anyone in the
household’.

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AffrdCare
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AffrdCare

AC - Page 32 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC240
Item Type:
Type Class:
Answer Type:
Help Available (

(AC1188)
Question
Enumerated

BLAISE NAME: AffrdWho
Field kind: Datafield

ArrayMin:

Field Size:
TFIRSTMIDLASTNA Answers allowed: 99 ArrayMax:
)

Show Card (

Min value:
Max value:

)

Look Up File (

)

Question Text:
Who was that?
PROBE: Did anyone else need medical care but did not get it because they couldn’t afford it?
ENTER ALL THAT APPLY.

Responses:

Programmer
Instructions:
Display
Instructions:

{FIRST NAME [MIDDLE NAME] LAST
NAME}1
{FIRST NAME [MIDDLE NAME] LAST
NAME}2
{FIRST NAME [MIDDLE NAME] LAST
NAME}3
{FIRST NAME [MIDDLE NAME] LAST
NAME}4
{FIRST NAME [MIDDLE NAME] LAST
NAME}N

1
2
3
4
5

Go to AC250.

Roster 2 - no add/edit/delete
Roster definition:
This item displays RU members roster for selection. Display RU member’s first, middle, and
last name (Person.FullName).
Roster filter:
No filter; display all.

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AffrdWho
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AffrdWho

AC - Page 33 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC250
Item Type:
Type Class:
Answer Type:
Help Available (

(AC1189)
Question
Enumerated
TYESNO
)

BLAISE NAME: DelayCareDN
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

)

Question Text:
Now please think only about dental care. In the last 12 months [that is, between {MONTH YEAR-1} and today],
{have you/has {PERSON}} delayed seeking dental care (including check-ups)/has dental care (including checkups) been delayed for anyone in the household} because of worry about the cost?

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

AC270
AC270
AC270

(AC1191)
(AC1191)
(AC1191)

Programmer
Instructions:

If coded ‘1’ (YES) and a MULTI-PERSON RU, continue with AC260.
If coded ‘1’ (YES) and a SINGLE-PERSON RU, automatically code person at AC260, and go to
AC270.

Display
Instructions:

For ‘MONTH YEAR-1’ display the month of the current interview and the current interview
year minus 1.
Display ‘{have you/Has {PERSON}} delayed seeking dental care (including check-ups)’ if
SINGLE-PERSON RU. Otherwise, display ‘has dental care been delayed (including check-ups)
for anyone in the household’.

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.DelayCareDN
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.DelayCareDN

AC - Page 34 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC260
Item Type:
Type Class:
Answer Type:
Help Available (

(AC1190)
Question
Enumerated

BLAISE NAME: DelayWhoDN
Field kind: Datafield

ArrayMin:

Field Size:
TFIRSTMIDLASTNA Answers allowed: 99 ArrayMax:
)

Show Card (

)

Min value:
Max value:
Look Up File (

)

Question Text:
Who was that?
PROBE: Did anyone else delay seeking dental care (including check-ups) because of worry about the cost?
ENTER ALL THAT APPLY.

Responses:

Programmer
Instructions:
Display
Instructions:

{FIRST NAME [MIDDLE NAME] LAST
NAME}1
{FIRST NAME [MIDDLE NAME] LAST
NAME}2
{FIRST NAME [MIDDLE NAME] LAST
NAME}3
{FIRST NAME [MIDDLE NAME] LAST
NAME}4
{FIRST NAME [MIDDLE NAME] LAST
NAME}N

1
2
3
4
5

Go to AC270.

Roster 2 - no add/edit/delete
Roster definition:
This item displays RU members roster for selection. Display RU member’s first, middle, and
last name
(Person.FullName).
Roster filter:
No filter; display all.

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.DelayWhoDN
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.DelayWhoDN

AC - Page 35 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC270
Item Type:
Type Class:
Answer Type:
Help Available (

(AC1191)
Question
Enumerated
TYESNO
)

BLAISE NAME: AffrdCareDN
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

)

Question Text:
In the last 12 months, was there any time when {{you/{PERSON}}/anyone in the household} needed dental care,
but did not get it because {{you/he/she}/they} couldn’t afford it?

Responses:

Programmer
Instructions:

Display
Instructions:

Testing/Editing
Notes:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

AC290
AC290
AC290

(AC1193)
(AC1193)
(AC1193)

If coded ‘1’ (YES) and a MULTI-PERSON RU, continue with AC280.
If coded ‘1’ (YES) and a SINGLE-PERSON RU, automatically code person at AC280, and go to
AC290.

Display ‘{you/{PERSON}}’ if SINGLE-PERSON RU. Otherwise, display ‘anyone in the
household’.

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AffrdCareDN
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AffrdCareDN

AC - Page 36 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC280
Item Type:
Type Class:
Answer Type:
Help Available (

(AC1192)
Question
Enumerated

BLAISE NAME: AffrdWhoDN
Field kind: Datafield

ArrayMin:

Field Size:
TFIRSTMIDLASTNA Answers allowed: 99 ArrayMax:
)

Show Card (

Min value:
Max value:

)

Look Up File (

)

Question Text:
Who was that?
PROBE: Did anyone else need dental care but did not get it because they couldn’t afford it?
ENTER ALL THAT APPLY.

Responses:

Programmer
Instructions:
Display
Instructions:

{FIRST NAME [MIDDLE NAME] LAST
NAME}1
{FIRST NAME [MIDDLE NAME] LAST
NAME}2
{FIRST NAME [MIDDLE NAME] LAST
NAME}3
{FIRST NAME [MIDDLE NAME] LAST
NAME}4
{FIRST NAME [MIDDLE NAME] LAST
NAME}N

1
2
3
4
5

Go to AC290.

Roster 2 - no add/edit/delete
Roster definition:
This item displays RU members roster for selection. Display RU member’s first, middle, and
last name
(Person.FullName).
Roster filter:
No filter; display all.

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AffrdWhoDN
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AffrdWhoDN

AC - Page 37 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC290
Item Type:
Type Class:
Answer Type:
Help Available (

(AC1193)
Question
Enumerated
TYESNO
)

BLAISE NAME: DelayCarePM
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

)

Question Text:
Please think about the last 12 months, that is, between {MONTH YEAR-1} and today. {{Have you/Has {PERSON}}
delayed getting prescription medicines/Have prescription medicines been delayed for anyone in the household}
because of worry about the cost?

Responses:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

AC310
AC310
AC310

(AC1195)
(AC1195)
(AC1195)

Programmer
Instructions:

If coded ‘1’ (YES) and a MULTI-PERSON RU, continue with AC300.
If coded ‘1’ (YES) and a SINGLE-PERSON RU, automatically code person at AC300, and go to
AC310.

Display
Instructions:

For ‘MONTH YEAR-1’ display the month of the current interview and the current interview
year minus 1.
Display “Have you/Has {PERSON}} delayed getting prescription medicines” if SINGLE-PERSON
RU. Otherwise, display ‘Have prescription medicines been delayed for anyone in the
household”.

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.DelayCarePM
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.DelayCarePM

AC - Page 38 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC300
Item Type:
Type Class:
Answer Type:
Help Available (

(AC1194)
Question
Enumerated

BLAISE NAME: DelayWhoPM
Field kind: Datafield

ArrayMin:

Field Size:
TFIRSTMIDLASTNA Answers allowed: 99 ArrayMax:
)

Show Card (

Min value:
Max value:

)

Look Up File (

)

Question Text:
Who was that?
PROBE: Did anyone else delay getting prescription medicines because of worry about the cost?
ENTER ALL THAT APPLY.

Responses:

Programmer
Instructions:
Display
Instructions:

{FIRST NAME [MIDDLE NAME] LAST
NAME}1
{FIRST NAME [MIDDLE NAME] LAST
NAME}2
{FIRST NAME [MIDDLE NAME] LAST
NAME}3
{FIRST NAME [MIDDLE NAME] LAST
NAME}4
{FIRST NAME [MIDDLE NAME] LAST
NAME}N

1
2
3
4
5

Go to AC310.

Roster 2 - no add/edit/delete
Roster definition:
This item displays RU members roster for selection. Display RU member’s first, middle, and
last name
(Person.FullName).
Roster filter:
No filter; display all.

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.DelayWhoPM
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.DelayWhoPM

AC - Page 39 of 42

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC310
Item Type:
Type Class:
Answer Type:
Help Available (

(AC1195)
Question
Enumerated
TYESNO
)

BLAISE NAME: AffrdCarePM
Field kind: Datafield

ArrayMin:

Min value:

Field Size:
Answers allowed: 1

ArrayMax:

Max value:

Show Card (

)

Look Up File (

Question Text:
In the last 12 months, was there any time when {{you/{PERSON}}/anyone in the household} needed prescription
medicines, but did not get them because {{you/he/she}/they} couldn’t afford it?

Responses:

Programmer
Instructions:

Display
Instructions:

Testing/Editing
Notes:

YES
NO
REFUSED
DON'T KNOW

1
2
RF
DK

BOX_110
BOX_110
BOX_110

(AC1215)
(AC1215)
(AC1215)

If coded ‘1’ (YES) and a MULTI-PERSON RU, continue with AC320.
If coded ‘1’ (YES) and a SINGLE-PERSON RU, automatically code person at AC320 and go to
BOX_110.

Display ‘{you/{PERSON}}’ if SINGLE-PERSON RU. Otherwise, display ‘anyone in the
household’.

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AffrdCarePM
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AffrdCarePM

AC - Page 40 of 42

)

MEPSFall2022

Access to Care (AC) Section
(Ques

Full Detail Spec
AC320
Item Type:
Type Class:
Answer Type:
Help Available (

(AC1196)
Question
Enumerated

BLAISE NAME: AffrdWhoPM
Field kind: Datafield

ArrayMin:

Field Size:
TFIRSTMIDLASTNA Answers allowed: 99 ArrayMax:
)

Show Card (

)

Min value:
Max value:
Look Up File (

)

Question Text:
Who was that?
PROBE: Did anyone else need prescription medicines but did not get it because they couldn’t afford it?
ENTER ALL THAT APPLY.

Responses:

Programmer
Instructions:
Display
Instructions:

{FIRST NAME [MIDDLE NAME] LAST
NAME}1
{FIRST NAME [MIDDLE NAME] LAST
NAME}2
{FIRST NAME [MIDDLE NAME] LAST
NAME}3
{FIRST NAME [MIDDLE NAME] LAST
NAME}4
{FIRST NAME [MIDDLE NAME] LAST
NAME}N

1
2
3
4
5

Go to BOX_110.

Roster 2 - no add/edit/delete
Roster definition:
This item displays RU members roster for selection. Display RU member’s first, middle, and
last name
(Person.FullName).
Roster filter:
No filter; display all.

Testing/Editing
Notes:

Variable collected at MEPS(Fall/Spring)YYYY.AC_Main.AffrdWhoPM
Variable stored at MEPS(Fall/Spring)YYYY.AC_Main.AffrdWhoPM

AC - Page 41 of 42

MEPSFall2022

Access to Care (AC) Section
(Rout

Full Detail Spec
BOX_110

Route Details:

(AC1215)

Item Type: Route

Type Class: If Then

Go to next questionnaire section.

[End of AC]

AC - Page 42 of 42