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The 2003 Index of Hospital Quality

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Stratification<br />

To compensate for the widely varying number <strong>of</strong> eligible physicians across the<br />

targeted specialties, we used different probabilities <strong>of</strong> selection for each grouping<br />

and proportionate stratification across the four United States Census regions<br />

(Northeast, Midwest, South, and West). Within each <strong>of</strong> the 17 strata, we<br />

achieved a sample that was also geographically representative <strong>of</strong> the spread <strong>of</strong><br />

physicians across the country.<br />

<strong>2003</strong> physician survey<br />

For <strong>2003</strong>, 150 sampled physicians per specialty were mailed a one-page<br />

questionnaire (see Appendix C). In 2002, 150 sampled physicians per specialty<br />

were mailed a three-page questionnaire (see Appendix B) and an additional 30<br />

physicians per specialty were mailed a one-page questionnaire containing only<br />

the hospital nomination item. Since the response rate in 2002 was higher for<br />

physicians who received the short form questionnaire, it was utilized for all<br />

physicians in <strong>2003</strong>. In 2001, half <strong>of</strong> the questionnaires made explicit reference to<br />

the U.S. News & World Report publication and half simply indicated that the<br />

questionnaire was for an annual survey <strong>of</strong> physicians. In 2002 and <strong>2003</strong>, all<br />

questionnaires made reference to U.S. News & World Report.<br />

Along with the questionnaires, physicians were also sent a cover letter, a prepaid<br />

return envelope, and a token incentive in the form <strong>of</strong> a two-dollar bill. One week<br />

after the initial survey mailing, a reminder postcard was sent to the sampled<br />

physicians. Two weeks following the reminder mailing, we sent a United States<br />

Postal Service Priority mailing to non-respondents including the questionnaire, a<br />

cover letter and a business reply envelope. Three weeks after the second<br />

mailing, a third mailing was sent via Federal Express and included the<br />

questionnaire, a cover letter, and a business reply envelope.<br />

19

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