National Center For Health Statistics
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The National Center for Health Statistics (NCHS) is a U.S. government agency that provides statistical information to guide actions and policies to improve the
public health Public health is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals". Analyzing the det ...
of the American people. It is a unit of the
Centers for Disease Control and Prevention The Centers for Disease Control and Prevention (CDC) is the national public health agency of the United States. It is a United States federal agency, under the Department of Health and Human Services, and is headquartered in Atlanta, Georgi ...
(CDC) and a principal agency of the U.S. Federal Statistical System. It is headquartered at
University Town Center University Town Center, formerly New Town Center, is located in Hyattsville, Prince George's County, Maryland, United States. It was a planned urban center designed by Edward Durell Stone and located on a parcel at the intersection of Belcrest R ...
in
Hyattsville, Maryland Hyattsville is a city in Prince George's County, Maryland, United States, and also a close, urban suburb of Washington, D.C. The population was 21,187 at the 2020 United States Census. History Before Europeans reached the area, the upper ...
, just outside
Washington, D.C. ) , image_skyline = , image_caption = Clockwise from top left: the Washington Monument and Lincoln Memorial on the National Mall, United States Capitol, Logan Circle, Jefferson Memorial, White House, Adams Morgan, ...


History

The
Marine Hospital Service The Marine Hospital Service was an organization of Marine Hospitals dedicated to the care of ill and disabled seamen in the United States Merchant Marine, the U.S. Coast Guard and other federal beneficiaries. The Marine Hospital Service evolved ...
, predecessor of the
Public Health Service In public relations and communication science, publics are groups of individual people, and the public (a.k.a. the general public) is the totality of such groupings. This is a different concept to the sociological concept of the ''Öffentlichkei ...
(PHS), began collecting data on communicable diseases and performing
surveillance Surveillance is the monitoring of behavior, many activities, or information for the purpose of information gathering, influencing, managing or directing. This can include observation from a distance by means of electronic equipment, such as c ...
of the incidence and distribution of diseases due to an 1878 act of Congress. In 1893, another law provided for weekly collection of data from state and municipal authorities. The Division of Sanitary Reports and Statistics was established in 1899 as part of the initial establishment of internal divisions within the Marine Hospital Service. Separately, the Division of Public Health Methods was formed in 1937 within the
National Institute of Health The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government responsible for biomedical and public health research. It was founded in the late ...
. In 1943, these two divisions were merged, retaining the name Division of Public Health Methods but being transferred into the
Office of the Surgeon General The surgeon general of the United States is the operational head of the United States Public Health Service Commissioned Corps (PHSCC) and thus the leading spokesperson on matters of public health in the federal government of the United States. Th ...
. In 1946, the Division of Public Health Methods absorbed the Vital Statistics Division, which dated from 1903, from the
Bureau of the Census The United States Census Bureau (USCB), officially the Bureau of the Census, is a principal agency of the U.S. Federal Statistical System, responsible for producing data about the American people and economy. The Census Bureau is part of the ...
in the Department of Commerce. The merged division was renamed the National Office of Vital Statistics. It was then transferred into the PHS
Bureau of State Services The Bureau of State Services (BSS) was one of three principal operating agencies of the United States Public Health Service (PHS) from 1943 until 1966. The bureau contained the PHS divisions that administered cooperative services to U.S. state ...
in 1949. In 1960, the National Office of Vital Statistics and the National Health Survey merged to form the National Center for Health Statistics. The National Health Survey had been created within PHS in 1956 through the National Health Survey Act (); it was the successor to a seminal national health survey performed by the
Works Progress Administration The Works Progress Administration (WPA; renamed in 1939 as the Work Projects Administration) was an American New Deal agency that employed millions of jobseekers (mostly men who were not formally educated) to carry out public works projects, i ...
during 1935–1936, which had multiple supplemental studies carried out in the intervening decades. During the PHS reorganizations of 1966-1973, the National Center for Health Statistics was part of the Health Services and Mental Health Administration (HSMHA), and afterwards was part of the Health Resources Administration. Since 1987, it has been part of the Centers for Disease Control and Prevention (CDC).

' About NCHS: Celebrating 50 Years


Data collection programs

NCHS collects data with surveys, from other agencies and U.S. states, from administrative sources, and from partnerships with private health partners. NCHS collects data from birth and death records, medical records, interview surveys, and through direct physical examinations and laboratory testing. These diverse sources give perspectives to help understand the U.S. population's health, health outcomes, and influences on health.

' Mostly Medicaid.
There ar
four major data collection programs at NCHS


National Vital Statistics System

The
National Vital Statistics System The National Vital Statistics System (NVSS) is an inter-governmental system of sharing data on the vital statistics of the population of the United States. It involves coordination between the different state health departments of the US states and ...
(NVSS) collects official vital statistics data based on the collection and registration of birth and death events at the state and local levels. NCHS works in partnership with the vital registration systems in each
jurisdiction Jurisdiction (from Latin 'law' + 'declaration') is the legal term for the legal authority granted to a legal entity to enact justice. In federations like the United States, areas of jurisdiction apply to local, state, and federal levels. Jur ...
to produce critical information on such topics as teenage births and birth rates, prenatal care and birth weight,
risk factor In epidemiology, a risk factor or determinant is a variable associated with an increased risk of disease or infection. Due to a lack of harmonization across disciplines, determinant, in its more widely accepted scientific meaning, is often use ...
s for adverse pregnancy outcomes, infant mortality rates, leading causes of death, and
life expectancy Life expectancy is a statistical measure of the average time an organism is expected to live, based on the year of its birth, current age, and other demographic factors like sex. The most commonly used measure is life expectancy at birth ...
.


National Health Interview Survey

The
National Health Interview Survey The National Health Interview Survey (NHIS) is an annual, cross-sectional survey intended to provide nationally representative estimates on a wide range of health status and utilization measures among the nonmilitary, noninstitutionalized populat ...
(NHIS) provides information on the health status of the U.S. civilian noninstitutionalized population through confidential
interviews An interview is a structured conversation where one participant asks questions, and the other provides answers.Merriam Webster DictionaryInterview Dictionary definition, Retrieved February 16, 2016 In common parlance, the word "interview" r ...
conducted in households by
Census Bureau The United States Census Bureau (USCB), officially the Bureau of the Census, is a principal agency of the Federal Statistical System of the United States, U.S. Federal Statistical System, responsible for producing data about the Americans, Ame ...
interviewers. NHIS is the Nation's largest in-person household health survey, providing data on health status, access to and use of health services,
health insurance Health insurance or medical insurance (also known as medical aid in South Africa) is a type of insurance that covers the whole or a part of the risk of a person incurring medical expenses. As with other types of insurance, risk is shared among ma ...
coverage,
immunization Immunization, or immunisation, is the process by which an individual's immune system becomes fortified against an infectious agent (known as the immunogen). When this system is exposed to molecules that are foreign to the body, called ''non-sel ...
s,
risk factor In epidemiology, a risk factor or determinant is a variable associated with an increased risk of disease or infection. Due to a lack of harmonization across disciplines, determinant, in its more widely accepted scientific meaning, is often use ...
s, and health-related
behavior Behavior (American English) or behaviour (British English) is the range of actions and mannerisms made by individuals, organisms, systems or artificial entities in some environment. These systems can include other systems or organisms as wel ...
s.


National Health and Nutrition Examination Survey

The
National Health and Nutrition Examination Survey The National Health and Nutrition Examination Survey (NHANES) is a survey research program conducted by the National Center for Health Statistics (NCHS) to assess the health and nutritional status of adults and children in the United States, and t ...
(NHANES) is NCHS's most in-depth and logistically complex survey, operating out of mobile examination centers that travel to randomly selected sites throughout the U.S. to assess the health and nutritional status of Americans. This survey combines personal interviews with standardized
physical examination In a physical examination, medical examination, or clinical examination, a medical practitioner examines a patient for any possible medical signs or symptoms of a medical condition. It generally consists of a series of questions about the patien ...
s,
diagnostic procedure Diagnosis is the identification of the nature and cause of a certain phenomenon. Diagnosis is used in many different disciplines, with variations in the use of logic, analytics, and experience, to determine "cause and effect Causality (also ...
s, and
laboratory test A blood test is a laboratory analysis performed on a blood sample that is usually extracted from a vein in the arm using a hypodermic needle, or via fingerprick. Multiple tests for specific blood components, such as a glucose test or a cholester ...
s to obtain information about diagnosed and undiagnosed conditions; growth and development, including
overweight Being overweight or fat is having more body fat than is optimally healthy. Being overweight is especially common where food supplies are plentiful and lifestyles are sedentary. , excess weight reached epidemic proportions globally, with mo ...
and
obesity Obesity is a medical condition, sometimes considered a disease, in which excess body fat has accumulated to such an extent that it may negatively affect health. People are classified as obese when their body mass index (BMI)—a person's we ...
;
diet Diet may refer to: Food * Diet (nutrition), the sum of the food consumed by an organism or group * Dieting, the deliberate selection of food to control body weight or nutrient intake ** Diet food, foods that aid in creating a diet for weight loss ...
and
nutrition Nutrition is the biochemical and physiological process by which an organism uses food to support its life. It provides organisms with nutrients, which can be metabolized to create energy and chemical structures. Failure to obtain sufficient n ...
;
risk factor In epidemiology, a risk factor or determinant is a variable associated with an increased risk of disease or infection. Due to a lack of harmonization across disciplines, determinant, in its more widely accepted scientific meaning, is often use ...
s; and environmental exposures.


National Health Care Surveys

Th
National Health Care Surveys
provide information about the organizations and providers that supply
health care Health care or healthcare is the improvement of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is delivered by health profe ...
, the services they render, and the patients they serve. Provider sites surveyed include physician offices,
community health center A healthcare center, health center, or community health center is one of a network of clinics staffed by a group of general practitioners and nurses providing healthcare services to people in a certain area. Typical services covered are family pr ...
s,
ambulatory surgery center Outpatient surgery, also known as ambulatory surgery, day surgery, day case surgery, or same-day surgery, is surgery that does not require an overnight hospital stay.The International Association for Ambulatory Surgery (IAAS) would not consider a ...
s, hospital
outpatient A patient is any recipient of health care services that are performed by healthcare professionals. The patient is most often ill or injured and in need of treatment by a physician, nurse, optometrist, dentist, veterinarian, or other health care ...
and
emergency An emergency is an urgent, unexpected, and usually dangerous situation that poses an immediate risk to health, life, property, or environment and requires immediate action. Most emergencies require urgent intervention to prevent a worsening ...
departments,
inpatient A patient is any recipient of health care services that are performed by healthcare professionals. The patient is most often ill or injured and in need of treatment by a physician, nurse, optometrist, dentist, veterinarian, or other health ca ...
hospital units,
residential care Residential care refers to long-term care given to adults or children who stay in a residential setting rather than in their own home or family home. There are various residential care options available, depending on the needs of the individual. P ...
facilities,
nursing home A nursing home is a facility for the residential care of elderly or disabled people. Nursing homes may also be referred to as skilled nursing facility (SNF) or long-term care facilities. Often, these terms have slightly different meanings to in ...
s,
home health care Homecare (also spelled as home care) is health care or supportive care provided by a professional caregiver in the individual home where the patient or client is living, as opposed to care provided in group accommodations like clinics or nursing ho ...
agencies, and
hospice Hospice care is a type of health care that focuses on the palliation of a terminally ill patient's pain and symptoms and attending to their emotional and spiritual needs at the end of life. Hospice care prioritizes comfort and quality of life by ...
organizations. The National Health Care Surveys are used to study resource use, including
staffing ''Staffing'' is the process of finding the right worker with appropriate qualifications or experience and recruiting them to fill a job position or role. Through this process, organizations acquire, deploy, and retain a workforce of sufficient qua ...
; quality of care, including patient safety; clinical management of specific conditions; disparities in the use and quality of care; and diffusion of health care technologies, including
drug A drug is any chemical substance that causes a change in an organism's physiology or psychology when consumed. Drugs are typically distinguished from food and substances that provide nutritional support. Consumption of drugs can be via insuffla ...
s,
surgical procedures Many surgical procedure names can be broken into parts to indicate the meaning. For example, in gastrectomy, "ectomy" is a suffix meaning the removal of a part of the body. "Gastro-" means stomach. Thus, ''gastrectomy'' refers to the surgical remo ...
, and information technologies.


Other data collection programs

In addition to its major data collection programs, conducts targeted surveys and augments survey data where possible. NCHS conducts the
National Survey of Family Growth The National Survey of Family Growth (NSFG) is a survey conducted by the National Center for Health Statistics division of the Centers for Disease Control and Prevention to understand trends related to fertility, family structure, and demographics ...
to obtain information on factors affecting birth and pregnancy rates, adoptions, and maternal and infant health, and supplements the information obtained on birth certificates collected through the National Vital Statistics System. NCHS's State and Local Area Integrated Telephone Survey (SLAITS) produces state-level data on such topics as the health of children with special needs, to meet the data needs of its colleagues in 's Maternal and Child Health Bureau and elsewhere. NCHS's National Immunization Survey is conducted in collaboration with other offices in Atlanta. NCHS's
National Death Index National Death Index (NDI) is a United States resource available to researchers from the US National Center for Health Statistics to obtain death status (regular NDI) or cause of death (NDI Plus) for deaths of citizens occurring within the US. ...
creates a
longitudinal Longitudinal is a geometric term of location which may refer to: * Longitude ** Line of longitude, also called a meridian * Longitudinal engine, an internal combustion engine in which the crankshaft is oriented along the long axis of the vehicl ...
component to other routine data systems. NCHS's
Questionnaire Design Research Laboratory A questionnaire is a research instrument that consists of a set of questions (or other types of prompts) for the purpose of gathering information from respondents through survey or statistical study. A research questionnaire is typically a mix of ...
develops and test survey and data collection instruments for use by NCHS and other federal agencies and research organizations.


See also

*
National Institutes of Health The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government responsible for biomedical and public health research. It was founded in the late ...


References


External links

* {{Authority control Centers for Disease Control and Prevention Federal Statistical System of the United States Health surveys