Missed policy opportunities to advance health equity by recording demographic data in electronic health records.

Abstract:

:The science of eliminating health disparities is complex and dependent on demographic data. The Health Information Technology for Economic and Clinical Health Act (HITECH) encourages the adoption of electronic health records and requires basic demographic data collection; however, current data generated are insufficient to address known health disparities in vulnerable populations, including individuals from diverse racial and ethnic backgrounds, with disabilities, and with diverse sexual identities. We conducted an administrative history of HITECH and identified gaps between the policy objective and required measure. We identified 20 opportunities for change and 5 changes, 2 of which required the collection of less data. Until health care demographic data collection requirements are consistent with public health requirements, the national goal of eliminating health disparities cannot be realized.

journal_name

Am J Public Health

authors

Douglas MD,Dawes DE,Holden KB,Mack D

doi

10.2105/AJPH.2014.302384

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

S380-8

eissn

0090-0036

issn

1541-0048

journal_volume

105 Suppl 3

pub_type

杂志文章
  • Development of the pediatric environmental health specialty unit network in North America.

    abstract::Training in environmental health in general, and pediatric environmental health in particular, is inadequate. The Agency for Toxic Substances and Disease Registry began to develop pediatric environmental health specialty units (PEHSUs) after noting the dearth of practitioners who could evaluate and manage children wit...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2008.154641

    authors: Paulson JA,Karr CJ,Seltzer JM,Cherry DC,Sheffield PE,Cifuentes E,Buka I,Amler RW

    更新日期:2009-11-01 00:00:00

  • Risk of postmenopausal hip fracture in Mexican American women.

    abstract::To assess the risk of hip fracture in Mexican Americans, the ethnicity of 80 women aged 50 years and over admitted with hip fractures to a Texas hospital was compared with that of age-matched women hospitalized for other reasons. The risk of fracture for Mexican Americans was only 35 per cent that of Whites (95% CI = ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.76.8.1020

    authors: Bauer RL,Diehl AK,Barton SA,Brender J,Deyo RA

    更新日期:1986-08-01 00:00:00

  • Analysis of the accuracy of weight loss information search engine results on the internet.

    abstract:OBJECTIVES:We systematically identified and evaluated the quality and comprehensiveness of online information related to weight loss that users were likely to access. METHODS:We evaluated the content quality, accessibility of the information, and author credentials for Web sites in 2012 that were identified from weigh...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2014.302070

    authors: Modave F,Shokar NK,Peñaranda E,Nguyen N

    更新日期:2014-10-01 00:00:00

  • Estimating the World Trade Center tower population on September 11, 2001: a capture-recapture approach.

    abstract::I applied the capture-recapture method to estimate the World Trade Center tower population at the time of the September 11, 2001, terrorist attacks. Available lists helped identify 8965 survivors and 2152 confirmed casualties. The capture-recapture model suggested that an additional 4435 survivors were present, puttin...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2007.124768

    authors: Murphy J

    更新日期:2009-01-01 00:00:00

  • Geographic variation in the onset of decline of male ischemic heart disease mortality in The Netherlands.

    abstract::We studied variation in the year of onset of ischemic heart disease mortality decline among regions (n = 39) in the Netherlands. Using loglinear regression methods, a quadratic regression model was fitted to the observed numbers of male deaths in each region in the period 1950-84, controlling for changes in age-struct...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.79.12.1621

    authors: Mackenbach JP,Looman CW,Kunst AE

    更新日期:1989-12-01 00:00:00

  • Risk for cutaneous melanoma in recent Connecticut birth cohorts.

    abstract::Mortality trends suggest that increases in Connecticut incidence for cutaneous melanoma (CM) equal or under estimate increases for the entire country. One-sixth of CM in Connecticut occurs under age 35. In the 1955 birth cohort, modeled incidence rates per 100,000 age-adjusted to the 1960 US population are 38.2 in mal...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.75.6.679

    authors: Roush GC,Schymura MJ,Holford TR

    更新日期:1985-06-01 00:00:00

  • Standardization of State Definitions for Neonatal Abstinence Syndrome Surveillance and the Opioid Crisis.

    abstract::Rates of neonatal abstinence syndrome (NAS) have increased fivefold in the past decade. To address this expanding and complex issue, state public health agencies have addressed the opioid crisis affecting newborns in diverse ways, leading to a variety of methods to quantify the burden of NAS.In an effort to understand...

    journal_title:American journal of public health

    pub_type: 杂志文章,评审

    doi:10.2105/AJPH.2019.305170

    authors: Chiang KV,Okoroh EM,Kasehagen LJ,Garcia-Saavedra LF,Ko JY

    更新日期:2019-09-01 00:00:00

  • Cervix and breast cancer incidence in immigrant Caribbean women.

    abstract::Cervix and breast cancer incidence in 1978-82 was computed for immigrant and United States-born Black women in Brooklyn, New York. Compared to the national SEER (Surveillance, Epidemiology and End Results) rates, US-born and Haitian women had high rates of invasive cervical cancer, while English-speaking Caribbean imm...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.80.6.722

    authors: Fruchter RG,Nayeri K,Remy JC,Wright C,Feldman JG,Boyce JG,Burnett WS

    更新日期:1990-06-01 00:00:00

  • Effect of worldwide oil price fluctuations on biomass fuel use and child respiratory health: evidence from Guatemala.

    abstract:OBJECTIVES:We examined the effect of worldwide oil price fluctuations on household fuel use and child respiratory health in Guatemala. METHODS:We regressed measures of household fuel use and child respiratory health on the average worldwide oil price and a rich set of covariates. We leveraged variation in oil prices o...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2011.300131

    authors: Venkataramani AS,Fried BJ

    更新日期:2011-09-01 00:00:00

  • What has a decade of Daubert wrought?

    abstract::There have been changes within the judicial system that may be attributable to opinions on the admissibility of expert testimony that began with the Supreme Court's 1993 decision in Daubert v Merrell Dow Pharmaceuticals, Inc. After surveying Daubert and subsequent related Supreme Court opinions, I examine a number of ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2004.044701

    authors: Berger MA

    更新日期:2005-01-01 00:00:00

  • Ongoing coverage for ongoing care: access, utilization, and out-of-pocket spending among uninsured working-aged adults with chronic health care needs.

    abstract:OBJECTIVES:We sought to determine how part-year and full-year gaps in health insurance coverage affected working-aged persons with chronic health care needs. METHODS:We conducted multivariate analyses of the 2002-2004 Medical Expenditure Panel Survey to compare access, utilization, and out-of-pocket spending burden am...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2010.191569

    authors: Gulley SP,Rasch EK,Chan L

    更新日期:2011-02-01 00:00:00

  • Defending diversity: affirmative action and medical education.

    abstract::Affirmative action programs of all types are under attack legally and politically. Although medical schools have not been specifically targeted, their affirmative action programs, like others in higher education, are potentially in danger. This article examines the current legal status of affirmative action in medical...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.89.8.1256

    authors: DeVille K

    更新日期:1999-08-01 00:00:00

  • Identifying sexual orientation health disparities in adolescents: analysis of pooled data from the Youth Risk Behavior Survey, 2005 and 2007.

    abstract::We studied sexual orientation disparities in health outcomes among US adolescents by pooling multiple Youth Risk Behavior Survey (YRBS) data sets from 2005 and 2007 for 14 jurisdictions. Here we describe the methodology for pooling and analyzing these data sets. Sexual orientation-related items assessed sexual orienta...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2013.301748

    authors: Mustanski B,Van Wagenen A,Birkett M,Eyster S,Corliss HL

    更新日期:2014-02-01 00:00:00

  • Provider expectations and consumer perceptions of the importance and value of dental care.

    abstract::Seventy-eight inner city mothers of third and fourth grade children in three racial groups--white, black, and American Indian--known to need dental treatment for disease on permanent teeth, were interviewed at home by a trained community resident interviewer. Sixty-two per cent of the mothers were on public assistance...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.67.1.37

    authors: Frazier PJ,Jenny J,Bagramian RA,Robinson E,Proshek JM

    更新日期:1977-01-01 00:00:00

  • Child abuse incidence and reporting by hospitals: significance of severity, class, and race.

    abstract::Estimates from the National Study of the Incidence and Severity of Child Abuse and Neglect suggest that hospitals recognized over 77,000 cases of child abuse between May 3, 1979, and April 30, 1980. Compared to other agencies in the sample, hospitals identified children who were younger, Black, lived in urban areas, a...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.75.1.56

    authors: Hampton RL,Newberger EH

    更新日期:1985-01-01 00:00:00

  • The role of occupational health clinics in surveillance of occupational disease.

    abstract::Academic occupational health centers can support state-based occupational disease surveillance by playing a role in case identification and management, physician education, workplace investigation, and surveillance case criteria development. The existing centers can also serve as models for developing new clinics. As ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.79.suppl.58

    authors: Welch L

    更新日期:1989-12-01 00:00:00

  • Childhood maltreatment histories, alcohol and other drug use symptoms, and sexual risk behavior in a treatment sample of adolescents.

    abstract:OBJECTIVES:We tested a structural model of relations among self-reported childhood maltreatment, alcohol and other drug abuse and dependence symptoms, and sexual risk behavior in a sample of adolescents receiving outpatient treatment of substance use problems. METHODS:Structured interviews were administered to an ethn...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2011.300628

    authors: Oshri A,Tubman JG,Burnette ML

    更新日期:2012-05-01 00:00:00

  • Health care reform and social movements in the United States.

    abstract::Because of the importance of grassroots social movements, or "change from below," in the history of US reform, the relationship between social movements and demands for universal health care is a critical one. National health reform campaigns in the 20th century were initiated and run by elites more concerned with def...

    journal_title:American journal of public health

    pub_type: 历史文章,杂志文章

    doi:10.2105/ajph.93.1.75

    authors: Hoffman B

    更新日期:2003-01-01 00:00:00

  • The use of state and general hospitals for inpatient psychiatric care.

    abstract:OBJECTIVES:This paper explores the relationship of state hospital and general hospital psychiatric caseloads in a statewide system of care. METHODS:Probabilistic population estimation was applied to general hospital and state hospital data sets. RESULTS:General hospitals provide inpatient psychiatric services to more...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.88.3.448

    authors: Banks SM,Pandiani JA

    更新日期:1998-03-01 00:00:00

  • AIDS-related knowledge, perceptions, and behaviors among impoverished minority women.

    abstract:OBJECTIVES:The aims of this study were to (1) describe AIDS-related knowledge, perceptions, and risky behaviors of impoverished African-American and high- and low-acculturated Latina women; (2) delineate relationships involving high-risk behaviors; and (3) determine whether risky behaviors differ by race and levels of ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.83.1.65

    authors: Nyamathi A,Bennett C,Leake B,Lewis C,Flaskerud J

    更新日期:1993-01-01 00:00:00

  • Immunization status and sociodemographic characteristics: the mediating role of beliefs, attitudes, and perceived control.

    abstract:OBJECTIVES:This study examined how immunization-related beliefs, attitudes, and perceived control mediate up-to-date immunization among various sociodemographic groups. METHODS:Statewide estimates of immunization rates among children up to the age of 2 years were obtained via a multistage cluster sample. In-person int...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.88.12.1821

    authors: Prislin R,Dyer JA,Blakely CH,Johnson CD

    更新日期:1998-12-01 00:00:00

  • Health care worker disability due to latex allergy and asthma: a cost analysis.

    abstract:OBJECTIVES:The reported prevalence of occupational allergy to natural rubber latex is 8% to 17%, and that of latex-induced occupational asthma is 2.5% to 6%. Conversion of medical facilities to "latex-safe" can reduce employee sensitization, impairment, and disability. The purpose of this study was to determine the cos...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.89.7.1024

    authors: Phillips VL,Goodrich MA,Sullivan TJ

    更新日期:1999-07-01 00:00:00

  • Effectiveness of HIV prevention in Ontario, Canada: a multilevel comparison of bisexual men.

    abstract:OBJECTIVES:We examined the effectiveness of community-level HIV prevention programming for men who have sex with men. METHODS:We used multilevel methods to examine unprotected intercourse by bisexual men (n = 1016) with male and female partners in geographic regions with and without HIV prevention programming. RESULT...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.94.7.1181

    authors: Leaver CA,Allman D,Meyers T,Veugelers PJ

    更新日期:2004-07-01 00:00:00

  • Social support, exposure to violence and transphobia, and correlates of depression among male-to-female transgender women with a history of sex work.

    abstract:OBJECTIVES:We determined racial/ethnic differences in social support and exposure to violence and transphobia, and explored correlates of depression among male-to-female transgender women with a history of sex work (THSW). METHODS:A total of 573 THSW who worked or resided in San Francisco or Oakland, California, were ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2010.197285

    authors: Nemoto T,Bödeker B,Iwamoto M

    更新日期:2011-10-01 00:00:00

  • Mortality and economic costs from regular cigar use in the United States, 2010.

    abstract:OBJECTIVES:We estimated annual mortality, years of potential life lost, and associated economic costs attributable to regular cigar smoking among US adults aged 35 years or older. METHODS:We estimated cigar-attributable mortality for the United States in 2010 using the Centers for Disease Control and Prevention's Smok...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2014.301991

    authors: Nonnemaker J,Rostron B,Hall P,MacMonegle A,Apelberg B

    更新日期:2014-09-01 00:00:00

  • Socioeconomic indicators and mortality from coronary heart disease and cancer: a 22-year follow-up of middle-aged men.

    abstract:OBJECTIVES:Data from the Western Collaborative Group Study were used to determine the extent to which the inverse association between socioeconomic status (SES) and mortality can be explained by risk factors for major causes of mortality. METHODS:The relation of education and income to subsequent mortality was studied...

    journal_title:American journal of public health

    pub_type: 杂志文章,多中心研究

    doi:10.2105/ajph.85.9.1231

    authors: Bucher HC,Ragland DR

    更新日期:1995-09-01 00:00:00

  • Implementation of condom social marketing in Louisiana, 1993 to 1996.

    abstract:OBJECTIVES:This article describes the implementation and impact of the first statewide condom social marketing intervention in the United States. METHODS:A statewide social marketing program made condoms freely available in 93 public health clinics, 39 community mental health centers, 29 substance abuse treatment site...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.89.2.204

    authors: Cohen DA,Farley TA,Bedimo-Etame JR,Scribner R,Ward W,Kendall C,Rice J

    更新日期:1999-02-01 00:00:00

  • Relationship between quality improvement implementation and accreditation seeking in local health departments.

    abstract:OBJECTIVES:We examined the relationship between quality improvement (QI) maturity and accreditation attributes of US local health departments (LHDs), specifically those in Nebraska. METHODS:Using 2011 Nebraska LHD QI survey data, we conducted Spearman correlation analyses between QI maturity domains and accreditation ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2014.302278

    authors: Chen LW,Nguyen A,Jacobson JJ,Gupta N,Bekmuratova S,Palm D

    更新日期:2015-04-01 00:00:00

  • Tobacco use harm reduction, elimination, and escalation in a large military cohort.

    abstract:OBJECTIVES:We evaluated changing patterns of tobacco use following a period of forced tobacco abstinence in a US military cohort to determine rates of harm elimination (e.g., tobacco cessation), harm reduction (e.g., from smoking to smokeless tobacco use), and harm escalation (e.g., from smoking to dual use or from smo...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2009.175091

    authors: Klesges RC,Sherrill-Mittleman D,Ebbert JO,Talcott GW,Debon M

    更新日期:2010-12-01 00:00:00

  • Smokers who try e-cigarettes to quit smoking: findings from a multiethnic study in Hawaii.

    abstract:OBJECTIVES:We characterized smokers who are likely to use electronic or "e-"cigarettes to quit smoking. METHODS:We obtained cross-sectional data in 2010-2012 from 1567 adult daily smokers in Hawaii using a paper-and-pencil survey. Analyses were conducted using logistic regression. RESULTS:Of the participants, 13% rep...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2013.301453

    authors: Pokhrel P,Fagan P,Little MA,Kawamoto CT,Herzog TA

    更新日期:2013-09-01 00:00:00