Eliminating Health Disparities:: Measurement and Data Needs

Eliminating Health Disparities:: Measurement and Data Needs

by Panel on DHHS Collection of Race and Ethnic Data, Michele Ver Ploeg, Edward Perrin, National Research Council
     
 

ISBN-10: 0309092310

ISBN-13: 9780309092319

Pub. Date: 08/09/2004

Publisher: National Academies Press

Disparities in health and health care across racial, ethnic, and socioeconomic backgrounds in the United States are well documented. The reasons for these disparities are, however, not well understood. Current data available on race, ethnicity, SEP, and accumulation and language use are severely limited. The report examines data collection and reporting systems

Overview

Disparities in health and health care across racial, ethnic, and socioeconomic backgrounds in the United States are well documented. The reasons for these disparities are, however, not well understood. Current data available on race, ethnicity, SEP, and accumulation and language use are severely limited. The report examines data collection and reporting systems relating to the collection of data on race, ethnicity, and socioeconomic position and offers recommendations.

Product Details

ISBN-13:
9780309092319
Publisher:
National Academies Press
Publication date:
08/09/2004
Edition description:
New Edition
Pages:
310
Product dimensions:
6.00(w) x 9.00(h) x (d)

Table of Contents

Executive Summary1
The Importance of Data on Race, Ethnicity, Socioeconomic Position, and Acculturation and Language Use3
DHHS Data Collection Systems5
State Data Collection Systems9
Private-Sector Data Collection Systems10
1Introduction14
Data to Support Health Disparities Interventions and Research16
Panel Charge17
Previous Reviews of Data Needs18
The Report19
2The Importance of Data on Race, Ethnicity, Socioeconomic Position, and Acculturation in Understanding Disparities in Health and Health Care21
Disparities in Health and Health Care22
Four Key Dimensions of Disparities31
The Importance of Understanding Disparities in Health and Health Care37
3Measuring Race, Ethnicity, Socioeconomic Position, and Acculturation41
Race and Ethnicity41
Socioeconomic Position45
Acculturation and Language Use52
Cross-Cutting Issues in Measurement and Use of These Data55
4DHHS Collection of Data on Race, Ethnicity, Socioeconomic Position, and Acculturation and Language Use62
Household and Individual Survey Data Collections63
Provider-Based Surveys67
Medicare Data68
Disease Surveillance System Data Collection72
Human Services Programs73
Indian Health Service Data74
Recommendations75
5State-Based Collection of Data on Race, Ethnicity, Socioeconomic Position, and Acculturation and Language Use83
Vital Statistics Birth and Death Records85
Hospital Discharge Abstracts88
Cancer Registries89
State Health Interview Surveys90
Medicaid and SCHIP Data91
Recommendations93
6Private-Sector Collection of Data on Race, Ethnicity, Socioeconomic Position, and Acculturation and Language Use99
Private-Sector Data Collection Systems100
Legal Framework102
Current Practices105
Recommendations112
References118
Appendixes
ADescriptions of National Health and Health Care Surveys129
National Household Surveys on Health-Related Topics129
Health Care Establishment-Based Survey Data Collections144
CDC Surveillance Data Systems149
Human Service Programs in DHHS173
BWorkshop on Improving Racial and Ethnic Data in Health179
CRecommendations on the Use of Socioeconomic Position Indicators to Better Understand Racial Inequalities in Health184
DThe Role of Racial and Ethnic Data Collection in Eliminating Disparities in Health Care202
EState Collection of Racial and Ethnic Data232
FCollection of Data on Race and Ethnicity by Private-Sector Organizations: Hospitals, Health Plans, and Medical Groups249
GRacial and Ethnic Data Collection by Health Plans272
HBiographical Sketches288

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