干旱区生态环境知识资源中心(Arid): Validity of Race and Ethnicity Codes in Medicare Administrative Data Compared With Gold-standard Self-reported Race Collected During Routine Home Health Care Visits

Arid

DOI	10.1097/MLR.0000000000001216
	Validity of Race and Ethnicity Codes in Medicare Administrative Data Compared With Gold-standard Self-reported Race Collected During Routine Home Health Care Visits
	Jarrin, Olga F.1,2; Nyandege, Abner N.2; Grafova, Irina B.3; Dong, XinQi 2; Lin, Haiqun 1
通讯作者	Jarrin, Olga F.
来源期刊	MEDICAL CARE
ISSN	0025-7079
EISSN	1537-1948
出版年	2020
卷号	58 期号:1 页码:E1-E8
英文摘要	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 kappa 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, kappa 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.
英文关键词	race ethnicity misclassification Medicare data disparities research study design methods
类型	Article
语种	英语
国家	USA
开放获取类型	Green Accepted, hybrid
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000504089100001
WOS关键词	DISPARITIES ; INFORMATION ; AGREEMENT
WOS类目	Health Care Sciences & Services ; Health Policy & Services ; Public, Environmental & Occupational Health
WOS研究方向	Health Care Sciences & Services ; Public, Environmental & Occupational Health
EI主题词	2020-01-01
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/312090
作者单位	1.Rutgers State Univ, Sch Nursing, Div Nursing Sci, 112 Paterson St, New Brunswick, NJ 08901 USA; 2.Rutgers State Univ, Inst Hlth Hlth Care Policy & Aging Res, 112 Paterson St, New Brunswick, NJ 08901 USA; 3.Rutgers State Univ, Sch Publ Hlth, New Brunswick, NJ USA
推荐引用方式 GB/T 7714	Jarrin, Olga F.,Nyandege, Abner N.,Grafova, Irina B.,et al. Validity of Race and Ethnicity Codes in Medicare Administrative Data Compared With Gold-standard Self-reported Race Collected During Routine Home Health Care Visits[J],2020,58(1):E1-E8.
APA	Jarrin, Olga F.,Nyandege, Abner N.,Grafova, Irina B.,Dong, XinQi,&Lin, Haiqun.(2020).Validity of Race and Ethnicity Codes in Medicare Administrative Data Compared With Gold-standard Self-reported Race Collected During Routine Home Health Care Visits.MEDICAL CARE,58(1),E1-E8.
MLA	Jarrin, Olga F.,et al."Validity of Race and Ethnicity Codes in Medicare Administrative Data Compared With Gold-standard Self-reported Race Collected During Routine Home Health Care Visits".MEDICAL CARE 58.1(2020):E1-E8.