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Improving Hospital Reporting of Patient Race and Ethnicity--Approaches to Data Auditing.

Abstract：

OBJECTIVE:To investigate new metrics to improve the reporting of patient race and ethnicity (R/E) by hospitals. DATA SOURCES:California Patient Discharge Database (PDD) and birth registry, 2008-2009, Healthcare and Cost Utilization Project's State Inpatient Database, 2008-2011, cancer registry 2000-2008, and 2010 US Census Summary File 2. STUDY DESIGN:We examined agreement between hospital reported R/E versus self-report among mothers delivering babies and a cancer cohort in California. Metrics were created to measure root mean squared differences (RMSD) by hospital between reported R/E distribution and R/E estimates using R/E distribution within each patient's zip code of residence. RMSD comparisons were made to corresponding "gold standard" facility-level measures within the maternal cohort for California and six comparison states. DATA COLLECTION:Maternal birth hospitalization (linked to the state birth registry) and cancer cohort records linked to preceding and subsequent hospitalizations. Hospital discharges were linked to the corresponding Census zip code tabulation area using patient zip code. PRINCIPAL FINDINGS:Overall agreement between the PDD and the gold standard for the maternal cohort was 86 percent for the combined R/E measure and 71 percent for race alone. The RMSD measure is modestly correlated with the summary level gold standard measure for R/E (r = 0.44). The RMSD metric revealed general improvement in data agreement and completeness across states. "Other" and "unknown" categories were inconsistently applied within inpatient databases. CONCLUSIONS:Comparison between reported R/E and R/E estimates using zip code level data may be a reasonable first approach to evaluate and track hospital R/E reporting. Further work should focus on using more granular geocoded data for estimates and tracking data to improve hospital collection of R/E data.

journal_name

Health Serv Res

journal_title

Health services research

authors

Zingmond DS,Parikh P,Louie R,Lichtensztajn DY,Ponce N,Hasnain-Wynia R,Gomez SL

doi

10.1111/1475-6773.12324

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

1372-89

eissn

0017-9124

issn

1475-6773

journal_volume

50 Suppl 1

pub_type

杂志文章

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Improving Hospital Reporting of Patient Race and Ethnicity--Approaches to Data Auditing.