Allow 'Don't Know' and 'Refusal' options for all questions
Direct responses only by all persons aged >=18 years
IF AGE >= 18 AND DIR=1 THEN ASK
PERM: I am now going to ask you some health related questions.
Yes
No
_________________________________________________________________________________
IF PERM=2 then EXIT module
IF PERM=1 then ASK
DOCTOR: During the past 12 months, how many times have you consulted with a General Practitioner (GP) in relation to your own health?
Note: Consultation with a GP should be on a respondent’s own behalf only, and may take place in GP surgery, at patient’s home or by telephone. Respondent should count all consultations even if they are repeat visits for the same condition. One exclusion exists whereby phone calls for test results should not be counted as a consultation.
PHARM: During the past 12 months, how many times have you consulted with a Pharmacist in relation to your own health?
Note: Consultation with a Pharmacist refers to the provision of health advice to the respondent (e.g. advice on the cause of symptoms and suitable treatment or advice regarding the potential effects of a medication) and includes:
-Attendance for prescription or over-the-counter medications and medical devices (e.g. dressings, home health test kits etc.) where health advice was received
-Attendance for health advice where no medications or medical devices were received
-Attendance for health testing/screening where advice was received.
A health consultation with a Pharmacist does not include:
-Attendance at a pharmacy or other retail outlet to purchase over-the-counter medication without the receipt of health advice(i.e. simply picking a product from a shelf and paying for it at a register).
-Attendance at a pharmacy or other retail outlet to purchase non-medical products,( e.g. hair dye, toiletries, electrical devices).
-A consultation that fulfils the description above, but where the advice was received for another individual.
NURSE: During the past 12 months, how many times have you consulted with a Community/Public Health Nurse in relation to your own health?
Note: Consultation with a Community/Public Health Nurse should be on a respondent’s own behalf only, and may take place in surgery, at patient’s home or by telephone. Respondent should count all consultations even if they are repeat visits for the same condition. One exclusion exists whereby phone calls for test results should not be counted as a consultation.
OTHERAPP: During the past 12 months, how many Other Health Consultations did you have?
Note: 'Other Health Consultations' includes consultations with the following:
- physiotherapists, -occupational therapists, -dieticians, -speech and language therapists, -home helps,
-social workers, -community welfare officers, -counsellors/psychologists/psychotherapists.
'Other Health Consultations' does not include consultations with the following:
-complementary or alternative therapists (e.g. homeopath, acupuncturist, herbalist, faith healer or other alternative medicine practitioners)
-dentists/orthodontists/dental hygienists, opticians, massage therapists, physical therapists
-any health professionals specified in the preceding questions (i.e. General Practitioner, Nurse, and Pharmacist)
A&E: During the past 12 months, how many times have you attended an Accident and Emergency (A&E) department in relation to your own health?
OUTPAT: During the past 12 months, how many times have you attended a medical or surgical specialist as an out-patient in relation to your own health?
Note: An out-patient is a person who attends an out-patient clinic supervised by a medical or surgical specialist/consultant for the purposes of consultation, investigation and/or minor treatment. Out-patient attendances are almost always based on referral by a General Practitioner (GP). Visits to psychiatry and antenatal clinics are included as out-patient attendances. Visits to clinics for physiotherapy, occupational therapy and other allied health professional services should be excluded.
DAYSER: During the past 12 months, how many times have you been admitted to hospital as a day-patient?
Note: A day-patient is a person who is admitted to a hospital (usually to a day bed in a day ward) on a planned basis for care and/or treatment which does not require the use of a hospital bed overnight and who is discharged as scheduled. Dialysis patients treated in dedicated dialysis units are excluded from this definition. Attendance at hospital for blood tests and other routine diagnostic tests not requiring admission are also excluded.
INPAT: During the past 12 months, how many times have you been admitted to a hospital as an in-patient?
Note: An in-patient is a person who is formally admitted to a hospital bed for treatment and care. Persons admitted to day beds and who do not stay overnight are not classified as in-patients, but should be included in the previous question as day-patients. Hospice stay is included in in-patient hospital admissions but nursing homes and respite care are to be excluded.
IF INPAT >0 then ASK
ELSE SKIP to PROCEDURE
PRIVATE: How many of these in-patient stays were in a private hospital?
Note -. Private bed stays in public hospitals are to be excluded. [See list of private hospitals at end of questionnaire.]
TOTNIGHT: In total, how many nights did you spend in hospital during the past 12 months?
Note: This is a total of all nights for all in-patient admissions over the past 12 months.
IF PRIVATE >0 then ASK
ELSE SKIP to PROCEDURE
TOTPRIV: How many of these nights were in a private hospital?
Note: This is a total of all nights for private hospital in-patient admissions over the past 12 months
PROCEDUR: Are you currently on a waiting list for any of the following?
Out-patient visit [i.e. attendance at an out-patient clinic supervised by a medical or surgical specialist/consultant for the purposes of consultation, investigation and/or minor treatment.]]
In-patient admission [e.g. for surgery requiring overnight stay]
A day -care procedure or investigation [i.e. admission to a hospital as a day-patient on a planned basis for care and/or treatment which does not require the use of a hospital bed overnight.]
No
[Allow multiple responses except if option 4 is chosen
IF PROCEDUR=4 then SKIP to PRIVCARE
IF PROCEDUR=1 (even if part of a multiple response)
APPOINT1: From the time your GP referred you for an out-patient attendance, how long have you been waiting for the appointment?
Less than 1 month
1 month to less than 3 months
3 month to less than 6 months
6 months to less than 9 months
9 months to less than 12 months
12 months or more
IF PROCEDUR=2 (even if part of a multiple response)
APPOINT2: From the time the hospital or consultant referred you for treatment as a hospital in-patient, how long have you been waiting for the hospital admission?
Less than 1 month
1 month to less than 3 months
3 month to less than 6 months
6 months to less than 9 months
9 months to less than 12 months
12 months or more
IF PROCEDUR=3 (even if part of a multiple response)
APPOINT3: From the time the hospital or consultant referred you for a procedure or investigation as a day-patient, how long have you been waiting for the day care procedure or investigation?
Less than 1 month
1 month to less than 3 months
3 month to less than 6 months
6 months to less than 9 months
9 months to less than 12 months
12 months or more
PRIVCARE: Have you private medical insurance either in your own name or through another family member (such as VHI, BUPA, VIVAS, Quinn Healthcare)?
Yes, in own name
Yes, as a family member
No
MEDCARD: Are you covered by a Medical Card?
Yes
No
Note: Ask even if respondent is covered by private medical insurance. In the last QNHS Health module (2001) approximately 5% of those with medical cards also had private insurance. Also the 'Over 70's' are entitled to medical cards.
IF MEDCARD=2 then SKIP to HLTHSTUS
IF MEDCARD=1
CARDTYPE: Which type of Medical Card are you covered by?
Full Medical Card
GP (Family Doctor) Visit Card
Don't know which type of medical card
HLTHSTUS: How is your health in general?
Very Good
Good
Fair
Bad
Very Bad
DISABILITY: Do you have any of the following long-lasting conditions?
('long lasting' here relates to conditions affecting someone for at least 6 months or one, which is likely to affect someone for at least 6 months).
Blindness, or a severe vision impairment
Deafness, or a severe hearing impairment
A condition that substantially limits one or more basic physical activities such as walking, climbing stairs, reaching, lifting or carrying
A learning or intellectual disability
A psychological or emotional condition
Other, including any chronic illness
No, none of the above
[Allow multiple responses]
If DISABILITY=7 then SKIP to HLTHCON
ACTIVITY: Do you have any difficulty in doing any of the following activities?
Learning, remembering or concentrating
Dressing, bathing or getting around inside the home
Going outside the home alone to shop or visit a doctor’s surgery
Working at a job or business or attending school or college
Participating in other activities for example leisure or using transport
No, none of the above
[Allow multiple responses]
HLTHCON: Has your doctor ever diagnosed you with any on the following conditions?
[Conditions will be shown to respondent on card]
Asthma
Chronic bronchitis, chronic obstructive lung disease (COPD), emphysema
Heart attack
Angina (chest pain or tightness on exertion)
Heart Failure
High blood pressure (Hypertension)
High cholesterol
Stroke
Cancer (including malignant tumour, leukaemia, lymphoma)
Diabetes
Rheumatoid arthritis (inflammation of joints)
Osteoarthritis (arthrosis, joint degeneration)
Osteoporosis
Lower back pain/chronic back conditions
Permanent injury, defect or disability due to accident
Anxiety/depression
Epilepsy
Urinary incontinence
Other condition
None of the above
Note: Remember that this question may be of a personal nature to respondent
[Allow multiple responses except if option 20 is chosen
IF HLTHCON =20 then SKIP to SICKCERT
HLTHVAL [1]- [19]:
Yes
No
[Each condition chosen in HLTHCON to be asked this question regarding the first diagnosis of the condition in the previous 12 months]
SICKCERT: During the past 12 months, how many times were you absent from work due to a medically certified sickness?
Note: Include only absences which were medically certified, and if multiple medical certificates were provided for the same absence then only count as a single absence.
IF SICKCERT >0 then ASK
ELSE SKIP to MEDCNSLT
CERTDAYS: During the past 12 months, how many working days in total were you absent from work due to a medically certified sickness?
Note: Include only days that were medically certified absences.
MEDCNSLT: During the past 12 months was there any time when, in your opinion, you needed to visit a GP for a medical examination or treatment for a health problem but you did not attend?
Yes
No
IF MEDCNSLT =2 then SKIP to end
IF MEDCNSLT =1
NOMCNSLT: What was the main reason for not consulting a GP?
Too expensive - could not afford to
Could not get an appointment
Could not take time off work/caring for children or others
Too far to travel/no means of transport
Wanted to wait and see if problem got better on it’s own
Did not know where nearest GP was located
Other
End Module
Private Hospitals
Aut Even Hospital, Kilkenny
Blackrock Clinic, Dublin
Bon Secours Health System (Dublin, Cork, Galway, Tralee)
Clane General Hospital, Kildare
Highfield Private Hospital, Dublin *
Hampstead Private Hospital, Dublin *
Mater Private Hospital, Dublin
Mount Carmel Hospital, Dublin
Shanakiel Hospital, Cork
St. Francis Private Hospital, Mullingar
St. John of God Hospital, Stillorgan, Co. Dublin
St. Joseph's Private Hospital, Sligo
St. Vincent's Private Hospital, Dublin
St. Patrick's Hospital, Dublin
