Assessing Electronic Health Records for Describing Racial and Ethnic Health Disparities: A Research Note.

IF 3.6 1区社会学 Q1 DEMOGRAPHY

Demography Pub Date : 2024-10-01 DOI:10.1215/00703370-11582088

Aubrey Limburg, Jordan Young, Timothy S Carey, Paul Roman Chelminski, Victoria M Udalova, Barbara Entwisle

引用次数: 0

Abstract

The use of data derived from electronic health records (EHRs) to describe racial and ethnic health disparities is increasingly common, but there are challenges. While the number of patients covered by EHRs can be quite large, such patients may not be representative of a source population. One way to evaluate the extent of this limitation is by linking EHRs to an external source, in this case with the American Community Survey (ACS). Relying on a stratified random sample of about 200,000 patient records from a large, public, integrated health delivery system in North Carolina (2016-2019), we assess linkages to restricted ACS microdata (2001-2017) by race and ethnicity to understand the strengths and weaknesses of EHR-derived data for describing disparities. The results in this research note suggest that Black-White comparisons will benefit from standard adjustments (e.g., weighting procedures) but that misestimation of health disparities may arise for Hispanic patients because of differential coverage rates for this group.

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评估电子健康记录对种族和民族健康差异的描述：研究说明。

利用电子健康记录（EHR）中的数据来描述种族和民族健康差异的做法越来越普遍，但也存在一些挑战。虽然电子健康记录所涵盖的患者人数可能相当多，但这些患者可能并不代表来源人群。评估这种局限性程度的一种方法是将电子病历与外部来源联系起来，在本例中就是与美国社区调查（ACS）联系起来。通过对北卡罗来纳州一个大型公共综合医疗服务系统的约 20 万份患者记录进行分层随机抽样（2016-2019 年），我们按种族和民族评估了与受限 ACS 微数据（2001-2017 年）的联系，以了解电子病历衍生数据在描述差异方面的优势和劣势。本研究报告的结果表明，黑人与白人的比较将受益于标准调整（如加权程序），但由于西班牙裔患者的覆盖率不同，可能会对该群体的健康差异产生错误估计。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Demography DEMOGRAPHY-

CiteScore

5.90

自引率

2.90%

发文量

期刊介绍： Since its founding in 1964, the journal Demography has mirrored the vitality, diversity, high intellectual standard and wide impact of the field on which it reports. Demography presents the highest quality original research of scholars in a broad range of disciplines, including anthropology, biology, economics, geography, history, psychology, public health, sociology, and statistics. The journal encompasses a wide variety of methodological approaches to population research. Its geographic focus is global, with articles addressing demographic matters from around the planet. Its temporal scope is broad, as represented by research that explores demographic phenomena spanning the ages from the past to the present, and reaching toward the future. Authors whose work is published in Demography benefit from the wide audience of population scientists their research will reach. Also in 2011 Demography remains the most cited journal among population studies and demographic periodicals. Published bimonthly, Demography is the flagship journal of the Population Association of America, reaching the membership of one of the largest professional demographic associations in the world.