Collection Of Race And Ethnicity Data By Health Plans Has Grown Substantially, But Opportunities Remain To Expand Efforts
Collection Of Race And Ethnicity Data By Health Plans Has Grown Substantially, But Opportunities Remain To Expand Efforts
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DOI：
10.1377/hlthaff.2010.1117
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发表时间：
2011-10-01
期刊：
影响因子：
9.7
通讯作者：
Lawson, Elisa H.
中科院分区：
文献类型：
--
作者：
Escarce, Jose J.;Carreon, Rita;Lawson, Elisa H.
2003年，医学研究所呼吁保健计划收集其成员的种族和族裔数据，以此作为提高护理质量和减少差距的基础。我们描述了在收集这些数据方面取得的进展，最常用的数据收集方法，以及计划遇到的挑战。我们发现，从2003年到2008年，商业市场上收集会员种族和民族数据的计划比例翻了一番，达到60%。覆盖Medicaid和Medicare Advantage参与者的计划的增幅更大，分别达到94%和83%。然而，不同计划的数据收集范围差别很大，在少数计划中，数据收集是全组织的举措。为了实现包括《平价医疗法案》在内的最近立法的目标，医疗计划需要加大力度。除其他步骤外，计划和其他关键利益攸关方应就统一的种族和族裔类别达成一致，修改信息系统以捕获这些数据，并增加成员的信任，以便收集自我报告的数据--关于种族和族裔的最准确数据。
In 2003 the Institute of Medicine called on health plans to collect data on their members' race and ethnicity as a foundation for improving the quality of care and reducing disparities. We describe the progress made toward collecting these data, the most commonly used data collection methods, and the challenges plans have encountered. We found that from 2003 through 2008, the proportion of plans that collected members' data on race and ethnicity doubled in the commercial market to 60 percent. It increased even more sharply to 94 percent and 83 percent, respectively, for plans covering Medicaid and Medicare Advantage enrollees. However, the scope of data collection varied greatly across plans, and data collection was an organizationwide initiative in a minority of plans. To fulfill the goals of recent legislation, including the Affordable Care Act, health plans will need to expand their efforts. Among other steps, plans and other key stakeholders should agree on uniform race and ethnicity categories, modify information systems to capture these data, and increase members' trust so that self-reported data-the most accurate data on race and ethnicity-can be gathered.