---
title: "Physician induction interview: Natl Ambul Med Care Survey. | Sutter Health"
description: "Some MD induction interview questions were challenging in a multispecialty practice setting. Improving design/adm of NAMCS data collection is part of NCHS QI."
url: "https://www.sutterhealth.org/research/publications/physician-induction-interview-natl-ambul-med-care-survey-1055312453"
---

1.  [Home](https://www.sutterhealth.org/) /
2.  [Research](https://www.sutterhealth.org/research) /
3.  [Research publications](https://www.sutterhealth.org/research/publications) /
4.  Physician induction interview: Natl Ambul Med Care Survey.

# Collecting practice-level data in a changing physician office-based ambulatory care environment: a pilot study examining the physician induction interview component of the National Ambulatory Medical Care Survey.

Halley MC, Rendle KA, Gugerty B, Lau DT, & Luft HS.

_Vital Health Stat 2. 2017 Nov;(176):1-18._

2017-11-01

## Abstract

****Objective**** This report examines ways to improve National Ambulatory Medical Care Survey (NAMCS) data on practice and physician characteristics in multispecialty group practices.

****Methods**** From February to April 2013, the National Center for Health Statistics (NCHS) conducted a pilot study to observe the collection of the NAMCS physician interview information component in a large multispecialty group practice. Nine physicians were randomly sampled using standard NAMCS recruitment procedures; eight were eligible and agreed to participate. Using standard protocols, three field representatives conducted NAMCS physician induction interviews (PIIs) while trained ethnographers observed and audio recorded the interviews. Transcripts and field notes were analyzed to identify recurrent issues in the data collection process.

****Results**** The majority of the NAMCS items appeared to have been easily answered by the physician respondents. Among the items that appeared to be difficult to answer, three themes emerged: (a) physician respondents demonstrated an inconsistent understanding of "location" in responding to questions; (b) lack of familiarity with administrative matters made certain questions difficult for physicians to answer; and (c) certain primary care-oriented questions were not relevant to specialty care providers.

****Conclusions**** Some PII survey questions were challenging for physicians in a multispecialty practice setting. Improving the design and administration of NAMCS data collection is part of NCHS' continuous quality improvement process.

All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

[PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/29148968)

## Research topics

-   [Health Services](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Services%5C%22%22)

## Related publications

[View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication)

-   Publication
    
    ### [Comparison of outpatient satisfaction survey scores for Asian physicians and non-Hispanic white physicians.](https://www.sutterhealth.org/research/publications/outpt-satisfaction-survey-scores-asian-vs-nhw-mds-1055312501)
    
    Garcia LC, Chung S, Liao L, Altamirano J, Fassiotto M, Maldonado B, Heidenreich P, Palaniappan L.
    
    JAMA Netw Open. 2(2):e190027. doi: 10.1001/jamanetworkopen.2019.0027.
    
    2019 Feb 01
    
-   Publication
    
    ### [Quality management and perceptions of teamwork and safety climate in European hospitals.](https://www.sutterhealth.org/research/publications/qual-mgmt-teamwork-safety-european-hospitals-1055312928)
    
    Kristensen S, Hammer A, Bartels P, Suñol R, Groene O, Thompson CA, Arah OA, Kutaj-Wasikowska H, Michel P, Wagner C.
    
    Int J Qual Health Care. pii: mzv079. \[Epub ahead of print\]
    
    2015 Oct 06
    
-   Publication
    
    ### [Implementation of care management: an analysis of recent AHRQ research.](https://www.sutterhealth.org/research/publications/care-mgmt-implementation-ahrq-research-1055312536)
    
    Tomoaia-Cotisel A, Farrell TW, Solberg LI, Berry CA, Calman NS, Cronholm PF, Donahue KE, Driscoll DL, Hauser D, McAllister JW, Mehta SN, Reid RJ, Tai-Seale M, Wise CG, Fetters MD, Holtrop JS, Rodriguez HP, Brunker CP, McGinley EL, Day RL, Scammon DL, Harrison MI, Genevro JL, Gabbay RA, Magill MK.
    
    Med Care Res Rev. 2016 Oct 20. pii: 1077558716673459. \[Epub ahead of print\]
    
    2016 Oct 20
    
-   Publication
    
    ### [What's keeping us so busy in primary care?](https://www.sutterhealth.org/research/publications/what-is-keeping-us-so-busy-in-primary-care-1055312677)
    
    Tai-Seale M.
    
    N Engl J Med. 363(5):495; author reply 496. doi: 10.1056/NEJMc1006151.
    
    2010 Jul 29
    
-   Publication
    
    ### [Effect of Physician-specific Pay-for-Performance Incentives in a Large Group Practice](https://www.sutterhealth.org/research/publications/physician-specific-pay-for-performance-incentives-1055312564)
    
    Chung S, Palaniappan LP, Trujillo LM, Rubin HR, Luft HS
    
    Am J Manag Care. 16(2):e35-42
    
    2010 Feb 01
    

[View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication)

```json
{"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]}
```

```json
{"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/physician-induction-interview-natl-ambul-med-care-survey-1055312453#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Physician induction interview: Natl Ambul Med Care Survey."}]}
```

```json
{"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/physician-induction-interview-natl-ambul-med-care-survey-1055312453#medicalscholarlyarticle","name":"Collecting practice-level data in a changing physician office-based ambulatory care environment: a pilot study examining the physician induction interview component of the National Ambulatory Medical Care Survey.","headline":"Physician induction interview: Natl Ambul Med Care Survey.","abstract":"Objective This report examines ways to improve National Ambulatory Medical Care Survey (NAMCS) data on practice and physician characteristics in multispecialty group practices. Methods From February to April 2013, the National Center for Health Statistics (NCHS) conducted a pilot study to observe the collection of the NAMCS physician interview information component in a large multispecialty group practice. Nine physicians were randomly sampled using standard NAMCS recruitment procedures; eight were eligible and agreed to participate. Using standard protocols, three field representatives conducted NAMCS physician induction interviews (PIIs) while trained ethnographers observed and audio recorded the interviews. Transcripts and field notes were analyzed to identify recurrent issues in the data collection process. Results The majority of the NAMCS items appeared to have been easily answered by the physician respondents. Among the items that appeared to be difficult to answer, three themes emerged: (a) physician respondents demonstrated an inconsistent understanding of \"location\" in responding to questions; (b) lack of familiarity with administrative matters made certain questions difficult for physicians to answer; and (c) certain primary care-oriented questions were not relevant to specialty care providers. Conclusions Some PII survey questions were challenging for physicians in a multispecialty practice setting. Improving the design and administration of NAMCS data collection is part of NCHS' continuous quality improvement process. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.","description":"Some MD induction interview questions were challenging in a multispecialty practice setting. Improving design/adm of NAMCS data collection is part of NCHS QI.","keywords":["Health Services"],"datePublished":"2017-11-01","url":"https://www.sutterhealth.org/research/publications/physician-induction-interview-natl-ambul-med-care-survey-1055312453","inLanguage":"en-US","identifier":[{"@type":"PropertyValue","propertyID":"PMID","value":"29148968"}],"sameAs":["https://pubmed.ncbi.nlm.nih.gov/29148968/"],"isPartOf":{"@type":"Periodical","name":"Vital Health Stat"},"author":[{"@type":"Person","name":"Halley MC"},{"@type":"Person","name":"Rendle KA"},{"@type":"Person","name":"Gugerty B"},{"@type":"Person","name":"Lau DT"},{"@type":"Person","name":"Luft HS"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"Health Services","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Health+Services%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/physician-induction-interview-natl-ambul-med-care-survey-1055312453","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/physician-induction-interview-natl-ambul-med-care-survey-1055312453#breadcrumblist"}}}
```
