Disparities in Public Use Data Availability for Race, Ethnic, and Immigrant Groups National Surveys for Healthcare Disparities Research
Disparities in Public Use Data Availability for Race, Ethnic, and Immigrant Groups National Surveys for Healthcare Disparities Research
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DOI：
10.1097/mlr.0b013e3181ef984e
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发表时间：
2010-12-01
期刊：
影响因子：
3
通讯作者：
Davern, Michael
中科院分区：
文献类型：
--
作者：
Johnson, Pamela Jo;Blewett, Lynn A.;Davern, Michael
背景：医疗保健覆盖范围和获取机会的差异在国家卫生政策议程中占有重要地位。因此，了解国家调查的优势和局限性至关重要，这些调查为基于人口的医疗保健差异研究和监测提供年度或定期数据。重要的是，由种族、族裔或移民群体 (REI) 定义的差异人群需要有关医疗保健覆盖和获取的公开数据。目标：记录 REI 群体的公共使用数据可用性、保险覆盖范围以及用于医疗保健差异研究的选定国家调查中获得护理措施的情况。设计：我们检查了一般人口调查的公共使用数据，这些调查收集了国家每年或定期的医疗保健覆盖和获取信息。检查的数据源包括以下内容：当前人口调查、收入和计划参与调查、全国健康访谈调查 (NHIS)、全国健康和营养检查调查、全国儿童健康调查、行为风险因素监测系统和医疗支出小组调查 - 家庭部分。结果：虽然每项调查在医疗保健差异研究方面都有优势，但没有一项调查具有详细的 REI 群体标识符、覆盖范围和访问的综合衡量标准以及地理分布。结论：当前人口调查和 NHIS 有详细的 REI 标识符。 NHIS 和医疗支出小组调查 - 家庭部分对覆盖范围和获取情况进行了全面的衡量，但受到样本较小且不受地理位置限制。本文总结的调查结果将有助于识别现有数据，以检查医疗保健覆盖范围和获取差异，并突出公共使用数据可用性方面需要改进的领域。
Background: Disparities in healthcare coverage and access have a prominent place on the national health policy agenda. It is, therefore, essential to understand strengths and limitations of national surveys that provide annual or periodic data for population-based healthcare disparities research and monitoring. Importantly, publicly available data on healthcare coverage and access are needed for disparities populations defined by race, ethnicity, or immigrant group (REI).Objective: To document public use data availability for REI groups, insurance coverage, and access to care measures in selected national surveys used for healthcare disparities research.Design: We examined public use data for general population surveys that collect information on healthcare coverage and access on an annual or periodic basis for the nation. Data sources examined include the following: Current Population Survey, Survey of Income and Program Participation, National Health Interview Survey (NHIS), National Health and Nutrition Examining Survey, National Survey of Children's Health, Behavioral Risk Factor Surveillance System, and Medical Expenditure Panel Survey-Household Component.Results: Although each survey has strengths for healthcare disparities research, there is no single survey that has detailed REI group identifiers, comprehensive measures of coverage and access, and geographic identifiers.Conclusions: Current Population Survey and NHIS have detailed REI identifiers. NHIS and Medical Expenditure Panel Survey-Household Component have comprehensive measures of coverage and access but are limited by smaller samples and no geography. Findings summarized in this article will assist with identifying existing data to examine healthcare coverage and access disparities and highlight areas for improvement in public use data availability.