Measuring Wellbeing Differences: Impacts of Hidden Nature of Ethnicity Information.


153 views
Uploaded on:
Description
Measuring Wellbeing Differences: Impacts of Hidden Nature of Ethnicity Information Jay S Buechner, Ph.D. Rhode Island Branch of Wellbeing 2007 Yearly Meeting on Evaluation Activity August 22-24, 2007 Appraisal Activity 2007 Wipe out Wellbeing Variations Sound Individuals 2010 Objective:
Transcripts
Slide 2

Measuring Health Disparities: Effects of Underlying Quality of Ethnicity Data Jay S Buechner, Ph.D. Rhode Island Department of Health 2007 Annual Conference on Assessment Initiative August 22-24, 2007

Slide 3

Assessment Initiative 2007 Eliminate Health Disparities Healthy People 2010 Goal: How would we quantify progress?

Slide 4

Assessment Initiative 2007 Priorities for RI’s Web Query System

Slide 5

Assessment Initiative 2007 Operational Barriers Small Numbers Comparability Data Quality

Slide 6

Assessment Initiative 2007 Operational Barriers Small Numbers Comparability Data Quality

Slide 7

Assessment Initiative 2007 Operational Barriers Small Numbers Comparability Data Quality

Slide 8

Assessment Initiative 2007 Operational Barriers Small Numbers Comparability Data Quality

Slide 9

Assessment Initiative 2007 Data Quality Issues Sample Surveys Self-reported Non-standard reactions Refusals Bias “Registries” Self-reported? Missing information Under-reporting

Slide 10

Assessment Initiative 2007 Ad Hoc Data Quality Study Through Data Linkage Hospital Discharge Data “Administrative Data” Collected/reported by doctor\'s facility staff Traumatic Brain Injury Data Abstracted from restorative record Collected by venture staff

Slide 11

Assessment Initiative 2007 HDD Record TBI Record Race/Ethnicity 80.8% 75.0% White 5.1% 5.2% Black 1.2% 1.4% Asian <0.05% 0.8% Native American 6.7% 8.0% Hispanic 5.1% 3.6% Other 1.1% 6.0% Unknown Comparative Race/Ethnicity Distributions HDD Record versus TBI Record Rhode Island, 1996-1999

Slide 12

Assessment Initiative 2007 Correspondence of HDD Record with TBI Record, Rhode Island, 1996-1999 98.5 100 90.4 89.8 88.4 77.3 80 64.7 60 Percent "Correct" on HDD Record 40 15.2 20 5.3 0 White Black Asian Native Hispanic Other Unknown All American Cases Race

Slide 13

Assessment Initiative 2007 Hispanic Surname Study, RI Cancer Rates From Bureau of Census: List of 639 “heavily Hispanic” surnames Apply to: RI Cancer Incidence (Males) RI Cancer Deaths (Males, Females)

Slide 14

Assessment Initiative 2007 Hispanic Male Cancer Cases, Rhode Island, 1989-1998 80 Method 70 Combined Surname 60 Reported 50 Number of Cases 40 30 20 10 0 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 Year of Diagnosis

Slide 15

Assessment Initiative 2007 Recommendations/Suggestions Establish an information accumulation approach Evaluate reported information on race and ethnicity frequently Establish and backing enhanced information gathering

Slide 16

Jay Buechner Chief, Center for Health Data & Analysis 401.222.5115 jay.buechner@health.ri.gov www.health.ri.gov .:tsli

Recommended
View more...