Overview
Dataset Summary
The National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS) are nationally representative surveys conducted by the National Center for Health Statistics (NCHS) to study the use of ambulatory medical care services in the United States.
NAMCS focuses on office-based ambulatory care visits, while NHAMCS includes hospital-based outpatient departments and emergency department visits. Strengths of these datasets include detailed and relatively clean diagnosis and medication data, information on services provided by physicians and advanced practice clinicians, and limited vital signs and biomarker data. Because sampling is based on visits rather than individuals, the surveys are best suited for visit-level analyses.
Caveats
- Sampling frame is based on visits, not individuals; population-based estimates at the person level cannot be generated.
- NHAMCS data collection ended in 2022.
- NAMCS patient record data were last collected in 2019.
- Cross-sectional design limits longitudinal inference.
Examples of Outcomes Examined
- Prescription patterns
- Imaging and referral utilization
- Use of preventive services
- Patterns of emergency department use
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