Agreement between Administrative Data and Patients' Self-Reports of Race/Ethnicity
N.R. Kressin,
B.-H. Chang,
A. Hendricks and
L.E. Kazis
American Journal of Public Health, 2003, vol. 93, issue 10, 1734-1739
Abstract:
Objectives. We examined agreement of administrative data with self-reported race/ethnicity and identified correlates of agreement. Methods. We used Veterans Affairs administrative data and VA 1999 Large Health survey race/ethnicity data. Results. Relatively low rates of agreement (approximately 60%) between data sources were largely the result of administrative data from patients whose race/ethnicity was unknown, with least agreement for Native American, Asian, and Pacific Islander patients. After exclusion of patients with missing race/ethnicity, agreement improved except for Native Americans. Agreement did not increase substantially after inclusion of data from individuals indicating multiple race/ethnicities. Patients for whom there was better agreement between data sources tended to be less educated, non-solitary living, younger, and White; to have sufficient food; and to use more inpatient Department of Veterans Affairs (VA) care. Conclusions. Better reporting of race/ethnicity data will improve agreement between data sources. Previous studies using VA administrative data may have underestimated racial disparities.
Date: 2003
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:2003:93:10:1734-1739_0
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