Evaluating Area-Based Socioeconomic Status Indicators for Monitoring Disparities within Health Care Systems: Results from a Primary Care Network
Evaluating Area-Based Socioeconomic Status Indicators for Monitoring Disparities within Health Care Systems: Results from a Primary Care Network
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DOI：
10.1111/1475-6773.12229
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发表时间：
2015-04-01
影响因子：
3.4
通讯作者：
Atlas, Steven J.
中科院分区：
文献类型：
--
作者：
Berkowitz, Seth A.;Traore, Carine Y.;Atlas, Steven J.
目的确定哪种基于地区的社会经济地位（SES）指标最适合从提供系统的角度监测医疗保健差异。数据来源/研究设置142，659名成年人从2009年1月1日至2011年12月31日在初级保健网络中就诊。比较基于区域的SES指标和患者结果之间的关联。数据收集对地址数据进行地理编码，以构建街区组（BG），人口普查区（CT），和邮政编码（ZIP）级别。从电子记录中提取健康结果数据。计算相对不平等指数（RIIs），以量化基于地区的SES指标检测到的差异，并与自报教育程度的RIIs进行比较。
ObjectiveTo determine which area-based socioeconomic status (SES) indicator is best suited to monitor health care disparities from a delivery system perspective.Data Sources/Study Setting142,659 adults seen in a primary care network from January 1, 2009 to December 31, 2011.Study DesignCross-sectional, comparing associations between area-based SES indicators and patient outcomes.Data CollectionAddress data were geocoded to construct area-based SES indicators at block group (BG), census tract (CT), and ZIP code (ZIP) levels. Data on health outcomes were abstracted from electronic records. Relative indices of inequality (RIIs) were calculated to quantify disparities detected by area-based SES indicators and compared to RIIs from self-reported educational attainment.Principal FindingsZIP indicators had less missing data than BG or CT indicators (p