当前位置： SCI文献检索 > JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION期刊下所有文献 > Barriers to collecting patient race, ethnicity, and primary language data in physician practices: an exploratory study.

Barriers to collecting patient race, ethnicity, and primary language data in physician practices: an exploratory study.

Abstract：

BACKGROUND:Experts recommend that physician practices collect and use patient race, ethnicity, and primary language data to document and address health care disparities and improve health care quality for diverse populations. Little is known about demographic data collection in small practice settings. OBJECTIVE:To conduct an exploratory study to examine demographic data collection in physician practices to reduce disparities and provide qualitative descriptions of facilitators and barriers to data collection. DESIGN:Semistructured telephone interviews. SETTING:Medical practices with 5 or fewer physicians. PARTICIPANTS:Practice managers, nurse managers, and physicians from 20 practices nationwide. RESULTS:Of the 20 practices interviewed, 9 reported collecting demographic data. Only 1 practice feature facilitated demographic data collection: use of an electronic medical record (EMR) system (7 of 10 practices with an EMR collected data). Participation in pay-for-performance programs, cultural competency training, and measuring clinical quality did not facilitate data collection. One practice linked demographic and quality data. A few used the data to track language service needs. The main perceived barriers to demographic data collection included concerns about privacy, the legality of collecting the information, possible resistance from patients and staff, difficulty recording the data, and uncertainty about whether the data would be useful. CONCLUSIONS:Few small practices use data to track or address disparities in health care. Most perceived barriers to data collection can be surmounted. There is hope for improved collection and use of data through the spread of information technology with comprehensive national health reform.

journal_name

J Natl Med Assoc

journal_title

Journal of the National Medical Association

authors

Hasnain-Wynia R,Van Dyke K,Youdelman M,Krautkramer C,Ivey SL,Gilchick R,Kaleba E,Wynia MK

doi

10.1016/s0027-9684(15)30673-8

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

769-75

issue

eissn

0027-9684

issn

1943-4693

pii

S0027-9684(15)30673-8

journal_volume

102

pub_type

杂志文章

在线工具

Barriers to collecting patient race, ethnicity, and primary language data in physician practices: an exploratory study.