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Canadian health care survey. The Tenth Annual Health Care in Canada Survey, conducted by POLLARA Research between October 3 and November 8,2007 , is a survey of the opinions of the Canadian public and health care providers on a variety of health care issues, including quality of health care, access to health care, health and the environment, and so forth. According to POLLARA, the survey was based on telephone interviews and included nationally representative samples of 1,223 members of the Canadian public, 202 doctors, 201 nurses, 202 pharmacists and 201 health managers. Public results are cansidered to be accurate within \(\pm 2.8 \%\), while the margin of error for results for doctors, nurses, pharmacists and managers is \(\pm 6.9 \% 6^{32}\) (a) Why is the accuracy greater for the public than for health care providers and managers? (b) Why do you think they sampled the public as well as health care providers and managers?

Short Answer

Expert verified
Smaller sample sizes for providers increase the margin of error. Diverse perspectives are important for understanding health care issues comprehensively.

Step by step solution

01

Understanding Sample Size and Margin of Error

The margin of error in statistics is inversely related to the sample size. Larger samples tend to provide more accurate estimates of the population parameter. Here, the public sample is 1,223, which is substantially larger than the samples of doctors, nurses, pharmacists, and managers, each numbering around 200. Hence, the accuracy for the public is greater (±2.8%) than for the providers (±6.9%).
02

Recognizing Different Perspectives in Surveys

To have a comprehensive understanding of health care issues, it is necessary to gather opinions from both those who provide care (doctors, nurses, etc.) and those who receive care (the public). Health care providers offer expert insights and practical viewpoints, while the public provides opinions on accessibility, satisfaction, and public health concerns.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Margin of Error
In survey methodology, the "margin of error" is a statistical term that reflects the expected range within which the true value of the population parameter is likely to be. The margin of error provides a buffer, acknowledging that the sample does not perfectly mirror the entire population. There are several factors that impact the margin of error:
  • Sample size: As the sample size increases, the margin of error decreases, leading to more reliable survey results. This is because a larger sample provides more information about the population, reducing uncertainty.
  • Variation within the population: Greater variability or diversity within the population increases the margin of error.
  • Confidence level: Typically set at 95%, it affects the width of the margin of error as well—higher confidence levels result in wider margins.
In the Tenth Annual Health Care in Canada Survey, for example, the public's responses have a margin of error of ±2.8%, reflecting a considerable sample size of 1,223 people. In contrast, the smaller groups of health care providers and managers have a margin of error of ±6.9%, due to each group consisting of roughly 200 individuals. This highlights the strong influence of sample size on the margin of error.
Sample Size
The term "sample size" refers to the number of individuals included in a survey or study. A key element in survey design, sample size, determines how well the survey outcomes reflect the broader population. Why does sample size matter?
  • Accuracy of results: A larger sample size tends to give more accurate predictions about the entire population. This is due to the law of large numbers, which states that as a sample size grows, its mean gets closer to the average of the whole population.
  • Margin of error: As mentioned previously, the sample size is inversely related to the margin of error. Larger samples lead to smaller margins of error, providing more precise estimates.
  • Generalizability: A bigger sample size enhances the generalizability of the findings, meaning that the survey results will likely hold true for the whole population.
In the Canadian health care survey, the sample size of 1,223 members of the public is far larger than the groups of health care providers, ensuring a more accurate representation of the broader public's opinions on health care issues.
Health Care Survey
Conducting a health care survey is essential to understanding the state and effectiveness of a health care system from multiple perspectives. The Tenth Annual Health Care in Canada Survey sought to gather a comprehensive view by including both members of the general public and health care providers, such as doctors, nurses, pharmacists, and managers. The importance of conducting health care surveys includes:
  • Diverse perspectives: By sampling both the public and health care providers, surveys can capture a wide array of opinions and experiences. Health care providers bring a technical perspective, as they understand system efficiencies and challenges, while public participants offer insights into accessibility and satisfaction.
  • Policy making: Survey results can inform health policy decisions, enabling lawmakers to address public concerns and improve health care delivery effectively.
  • Improving services: Regular surveys help identify strengths and weaknesses in health care services, driving improvements and adjustments.
Overall, health care surveys are crucial in painting an accurate picture of the health landscape, allowing stakeholders to make informed decisions that ultimately lead to enhanced health care outcomes.

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Most popular questions from this chapter

The National Health and Nutrition Examination Study (NHANES) had a random sample of 9317 participants recall their diet over the last 24 hours. The information in this sample was used in a recent study that found that, on average, \(57.9 \%\) of the calories eaten by participants were obtained from ultraprocessed foods, which include substances not used in culinary preparations such as flavors, colors, sweeteners, emulsifiers, and other additives. One of the limitations of the study reported by the authors was the dependence on the dietary recall of individuals. \({ }^{20}\) The authors were concerned with (a) response bias. (b) undercoverage. (c) overstratification.

Ring-no-answer. A common form of nonresponse in telephone surveys is "ring-no- answer." That is, a call is made to an active number but no one answers. The Italian National Statistical Institute looked at nonresponse to a govemment survey of households in Italy during the periods January 1 to Easter and July 1 to August 31 . All calls were made between 7 and 10 p.m., but \(21.4 \%\) gave "ring-no-answer" in one period versus \(41.5 \%\) "ring-no-answer" in the other period. \({ }^{29}\) Which period do you think had the higher rate of no answers? Why? Explain why a high rate of nonresponse makes sample results less reliable.

Wording of questions. Do the opinions of Canadians and Americans differ on the right of citizens to bear arms? Although the population of the United States is about 10 times that of Canada, the estimated number of privately owned firearms is 25 times higher in the United States. When Gallup asked a random sample of 1002 American adults the question, Do you think there should or should not be a law that would ban the possession of handguns, except by the police and other authorized persons? \(35 \%\) said there should be a law banning possession of handguns. At the same time, when Gallup asked a random sample of 1011 Canadians the question Do you think the general public should be allowed by law to own a gun? \(63 \%\) said "no."26 What problems do you see in using the percentages in these two surveys to make a comparison on the opinion on the right to bear arms in the two countries? Explain.

A Survey of 100,000 Physicians. In 2010 , the Physicians Foundation conducted a survey of physicians' attitude about health care reform, calling the report "a survey of 100,000 physicians." The survey was sent to 100,000 randomly selected physicians practicing in the United States: 40,000 via postoffice mail and 60,000 via email. A total of 2,379 completed surveys were received. 11 (a) State carefully what population is sampled in this survey and what is the sample size. Could you draw conclusions from this study about all physicians practicing in the United States? (b) What is the rate of nonresponse for this survey? How might this affect the credibility of the survey results? (c) Why is it misleading to call the report "a survey of 100,000 physicians"?

Off-Campus Housing. A university's housing and residence office wants to know how much students pay per month for rent in off-campus housing. The university does not have enough on-campus housing for students, and this information will be used in a brochure about student housing. They obtain a list of the 12,304 students who live in off-campus housing and have not yet graduated and mail a questionnaire to 200 students selected at random. Only 78 questionairres are returned. (a) What is the population in this study? Be careful: about what group do they want information? (b) What is the sample? Be careful: from what group do they actually obtain information? The important message in this problem is that the sample can redefine the population about which information is obtained.

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