Health plan administrative records versus birth certificate records: quality of race and ethnicity information in children
<p>Abstract</p> <p>Background</p> <p>To understand racial and ethnic disparities in health care utilization and their potential underlying causes, valid information on race and ethnicity is necessary. However, the validity of pediatric race and ethnicity information in...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2010-11-01
|
| Series: | BMC Health Services Research |
| Online Access: | http://www.biomedcentral.com/1472-6963/10/316 |
| _version_ | 1811333290161864704 |
|---|---|
| author | Chen Wansu Jacobsen Steven J Strickland Daniel Getahun Darios T Langer-Gould Annette Iyer Rajan L Smith Ning Derose Stephen F Koebnick Corinna |
| author_facet | Chen Wansu Jacobsen Steven J Strickland Daniel Getahun Darios T Langer-Gould Annette Iyer Rajan L Smith Ning Derose Stephen F Koebnick Corinna |
| author_sort | Chen Wansu |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>To understand racial and ethnic disparities in health care utilization and their potential underlying causes, valid information on race and ethnicity is necessary. However, the validity of pediatric race and ethnicity information in administrative records from large integrated health care systems using electronic medical records is largely unknown.</p> <p>Methods</p> <p>Information on race and ethnicity of 325,810 children born between 1998-2008 was extracted from health plan administrative records and compared to birth certificate records. Positive predictive values (PPV) were calculated for correct classification of race and ethnicity in administrative records compared to birth certificate records.</p> <p>Results</p> <p>Misclassification of ethnicity and race in administrative records occurred in 23.1% and 33.6% children, respectively; the majority due to missing ethnicity (48.3%) and race (40.9%) information. Misclassification was most common in children of minority groups. PPV for White, Black, Asian/Pacific Islander, American Indian/Alaskan Native, multiple and other was 89.3%, 86.6%, 73.8%, 18.2%, 51.8% and 1.2%, respectively. PPV for Hispanic ethnicity was 95.6%. Racial and ethnic information improved with increasing number of medical visits. Subgroup analyses comparing racial classification between non-Hispanics and Hispanics showed White, Black and Asian race was more accurate among non-Hispanics than Hispanics.</p> <p>Conclusions</p> <p>In children, race and ethnicity information from administrative records has significant limitations in accurately identifying small minority groups. These results suggest that the quality of racial information obtained from administrative records may benefit from additional supplementation by birth certificate data.</p> |
| first_indexed | 2024-04-13T16:50:25Z |
| format | Article |
| id | doaj.art-c5e8bb674bee402a840046fe2c679be2 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-13T16:50:25Z |
| publishDate | 2010-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-c5e8bb674bee402a840046fe2c679be22022-12-22T02:38:58ZengBMCBMC Health Services Research1472-69632010-11-0110131610.1186/1472-6963-10-316Health plan administrative records versus birth certificate records: quality of race and ethnicity information in childrenChen WansuJacobsen Steven JStrickland DanielGetahun Darios TLanger-Gould AnnetteIyer Rajan LSmith NingDerose Stephen FKoebnick Corinna<p>Abstract</p> <p>Background</p> <p>To understand racial and ethnic disparities in health care utilization and their potential underlying causes, valid information on race and ethnicity is necessary. However, the validity of pediatric race and ethnicity information in administrative records from large integrated health care systems using electronic medical records is largely unknown.</p> <p>Methods</p> <p>Information on race and ethnicity of 325,810 children born between 1998-2008 was extracted from health plan administrative records and compared to birth certificate records. Positive predictive values (PPV) were calculated for correct classification of race and ethnicity in administrative records compared to birth certificate records.</p> <p>Results</p> <p>Misclassification of ethnicity and race in administrative records occurred in 23.1% and 33.6% children, respectively; the majority due to missing ethnicity (48.3%) and race (40.9%) information. Misclassification was most common in children of minority groups. PPV for White, Black, Asian/Pacific Islander, American Indian/Alaskan Native, multiple and other was 89.3%, 86.6%, 73.8%, 18.2%, 51.8% and 1.2%, respectively. PPV for Hispanic ethnicity was 95.6%. Racial and ethnic information improved with increasing number of medical visits. Subgroup analyses comparing racial classification between non-Hispanics and Hispanics showed White, Black and Asian race was more accurate among non-Hispanics than Hispanics.</p> <p>Conclusions</p> <p>In children, race and ethnicity information from administrative records has significant limitations in accurately identifying small minority groups. These results suggest that the quality of racial information obtained from administrative records may benefit from additional supplementation by birth certificate data.</p>http://www.biomedcentral.com/1472-6963/10/316 |
| spellingShingle | Chen Wansu Jacobsen Steven J Strickland Daniel Getahun Darios T Langer-Gould Annette Iyer Rajan L Smith Ning Derose Stephen F Koebnick Corinna Health plan administrative records versus birth certificate records: quality of race and ethnicity information in children BMC Health Services Research |
| title | Health plan administrative records versus birth certificate records: quality of race and ethnicity information in children |
| title_full | Health plan administrative records versus birth certificate records: quality of race and ethnicity information in children |
| title_fullStr | Health plan administrative records versus birth certificate records: quality of race and ethnicity information in children |
| title_full_unstemmed | Health plan administrative records versus birth certificate records: quality of race and ethnicity information in children |
| title_short | Health plan administrative records versus birth certificate records: quality of race and ethnicity information in children |
| title_sort | health plan administrative records versus birth certificate records quality of race and ethnicity information in children |
| url | http://www.biomedcentral.com/1472-6963/10/316 |
| work_keys_str_mv | AT chenwansu healthplanadministrativerecordsversusbirthcertificaterecordsqualityofraceandethnicityinformationinchildren AT jacobsenstevenj healthplanadministrativerecordsversusbirthcertificaterecordsqualityofraceandethnicityinformationinchildren AT stricklanddaniel healthplanadministrativerecordsversusbirthcertificaterecordsqualityofraceandethnicityinformationinchildren AT getahundariost healthplanadministrativerecordsversusbirthcertificaterecordsqualityofraceandethnicityinformationinchildren AT langergouldannette healthplanadministrativerecordsversusbirthcertificaterecordsqualityofraceandethnicityinformationinchildren AT iyerrajanl healthplanadministrativerecordsversusbirthcertificaterecordsqualityofraceandethnicityinformationinchildren AT smithning healthplanadministrativerecordsversusbirthcertificaterecordsqualityofraceandethnicityinformationinchildren AT derosestephenf healthplanadministrativerecordsversusbirthcertificaterecordsqualityofraceandethnicityinformationinchildren AT koebnickcorinna healthplanadministrativerecordsversusbirthcertificaterecordsqualityofraceandethnicityinformationinchildren |