Evaluating Race and Ethnicity Reported in Hospital Discharge Data and Its Impact on the Assessment of Health Disparities
Bibliographic Data
| ID | 9103351 |
|---|---|
| Authors | Renata E Howland (0000-0002-1506-2568, New York City Department of Health and Mental Hygiene), Tsu-Yu Tsao (0000-0001-9705-685X, New York City Department of Health and Mental Hygiene) |
| Year | 2020 |
| Volume | 58 |
| Issue | 3 |
| Pages | 280-284 |
| Publication date | 2020-03-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000001259 |
| PMID | 31851043 |
| OpenAlex | W2996078800 |
| Language | EN |
| Citations received | 4 |
| References cited | 8 |
BACKGROUND: Improving the collection and quality of race and ethnicity reported in hospital data is a key step in identifying disparities in health service utilization and outcomes and opportunities for quality improvement. OBJECTIVE: The objective of this study was to assess the quality of race/ethnicity reported in hospital discharge data and examine the impact on the identification of disparities in select health outcomes in New York City. RESEARCH DESIGN: Using the birth certificate as a gold standard, we examined the quality of hospital discharge race/ethnicity and estimated the impact of misclassification on racial/ethnic disparities in severe maternal morbidity and preventable hospitalizations. SUBJECTS: Delivery hospitalizations from the New York State hospital discharge data (Statewide Planning and Research Cooperative System) linked with 2015 New York City birth certificates. MEASURES: Sensitivity and positive predictive value (PPV). RESULTS: The non-Hispanic white and black race had relatively high sensitivity and PPV. Hispanic ethnicity and Asian race had moderate sensitivity and high PPV, but were often misclassified as "Other." As a result, health disparities may be underestimated for those of Hispanic ethnicity and Asian race, particularly for indicators that use population denominators drawn from another source. CONCLUSIONS: The quality of hospital discharge data varies by race/ethnicity and may underestimate disparities in some groups. Future research should validate findings with other data sources, identify driving factors, and evaluate progress over time
Birth certificate · Environmental health · Ethnic group · Health equity · Hospital discharge · Intensive care medicine · Population · Public health · Race (biology) · Cultural Competency in Health Care · Demography · Emergency and Acute Care Studies · Maternal and fetal healthcare · Medicine · Nursing · Gerontology
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| Unique citing works | 4 |
|---|---|
| Citations per year | 0,8 |
| Citation span | 2021 - 2025 (5) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 4 |