Validity of Race and Ethnicity Codes in Medicare Administrative Data Compared With Gold-standard Self-reported Race Collected During Routine Home Health Care Visits
Datos Bibliográficos
| ID | 9102363 |
|---|---|
| Autores | Olga F Jarrín (Division of Nursing Science, School of Nursing), Olga Jarrín (0000-0002-3349-476X, autor de correspondencia), Abner N Nyandege (Institute for Health, Health Care Policy, and Aging Research), Abner Nyandege, Irina B Grafova (0000-0002-0134-0600, School of Public Health, Rutgers, The State University of New Jersey, New Brunswick, NJ), Xinqi Dong (0000-0002-5680-7319, Institute for Health, Health Care Policy, and Aging Research), Haiqun Lin (0000-0002-3114-9671, Division of Nursing Science, School of Nursing, autor de correspondencia) |
| Año | 2020 |
| Volumen | 58 |
| Número | 1 |
| Páginas | e1-e8 |
| Fecha de publicación | 2020-01-01 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | Medical Care (JOURNAL) |
| Identificadores de la revista | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Editorial | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000001216 |
| PMID | 31688554 |
| OpenAlex | W2986214232 |
| Idioma | EN |
| Citas recibidas | 40 |
| Referencias citadas | 18 |
BACKGROUND: Misclassification of Medicare beneficiaries' race/ethnicity in administrative data sources is frequently overlooked and a limitation in health disparities research. OBJECTIVE: To compare the validity of 2 race/ethnicity variables found in Medicare administrative data [enrollment database (EDB) and Research Triangle Institute (RTI) race] against a gold-standard source also available in the Medicare data warehouse: the self-reported race/ethnicity variable on the home health Outcome and Assessment Information Set (OASIS). SUBJECTS: Medicare beneficiaries over the age of 18 who received home health care in 2015 (N=4,243,090). MEASURES: Percent agreement, sensitivity, specificity, positive predictive value, and Cohen κ coefficient. RESULTS: The EDB and RTI race variable have high validity for black race and low validity for American Indian/Alaskan Native race. Although the RTI race variable has better validity than the EDB race variable for other races, κ values suggest room for future improvements in classification of whites (0.90), Hispanics (0.87), Asian/Pacific Islanders (0.77), and American Indian/Alaskan Natives (0.44). DISCUSSION: The status quo of using "good-enough for government" race/ethnicity variables contained in Medicare administrative data for minority health disparities research can be improved through the use of self-reported race/ethnicity data, available in the Medicare data warehouse. Health services and policy researchers should critically examine the source of race/ethnicity variables used in minority health and health disparities research. Future work to improve the accuracy of Medicare beneficiaries' race/ethnicity data should incorporate and augment the self-reported race/ethnicity data contained in assessment and survey data, available within the Medicare data warehouse
Environmental health · Ethnic group · Health care · Health equity · Pacific islanders · Political science · Population · Public health · Race (biology) · Race and health · Sociology · Cultural Competency in Health Care · Demography · Geriatric Care and Nursing Homes · Medicine · Nursing · Racial and Ethnic Identity Research · Gerontology
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| Obras citantes distintas | 40 |
|---|---|
| Citas por año | 6,67 |
| Intervalo de citas | 2020 - 2026 (7) |
| Velocidad de citación | current |
| Altamente citado | No |
| Tipos de cita | Neutras: 38 |