STARTING IN 1997, on its 40th anniversary, the National Health Intervi
ew Survey (NHIS) will begin collecting data in a radically redesigned
form. The redesign was undertaken because interviews were too long; ne
w or different kinds of information were needed, including better meas
ures of health status and chronic conditions; and the ability to analy
ze family-level data was limited. A shortened annual core survey will
be supplemented with a rotating set of questions designed to provide m
ore detail than the current NHIS with respect to health status, utiliz
ation of health care services, and health promotion and disease preven
tion. One adult from each family will be objectively selected to be th
e respondent, and a significant portion of-the data will be collected
by self-report For several of the most common chronic conditions, addi
tional information will be routinely collected that will improve the c
linical relevance and quality of data about those conditions. While th
ere will be some costs associated with these changes, their net result
will be to enhance the value of NHIS data in addressing current healt
h policy issues.