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MN Health Services Research Conference.  06MAR07 Querying Patients  About Race and Ethnicity  at Hennepin County Medical Center Yiscah Bracha,M.S. Research Director, CUH
Need for patient race data: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Natl. Research Shows: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Goal:  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Setting:  Hennepin County Medical Center ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hennepin County Medical Center (HCMC): ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Question: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Who needs what? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HCMC Experiment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HCMC Experimental Methods ,[object Object],[object Object],[object Object],[object Object],[object Object]
Four Methods Tried Marital status Race or ethnicity  Question Religious preference Race or ethnicity Question Language(s) Birthplace
Four methods 1. Race? (OMB list +  White Hispanic Black Hispanic) 2. Ethnicity? (Open-ended) 1. Race? (OMB list + Hispanic) 2. Ethnicity? (Open-ended) 1. Ethnicity? (Open-ended) 2. Race? (OMB list) 1 . Hispanic?  (y/n) 2. Race? (OMB list) 3. Ethnicity? (Open-ended)   Method 4 Method 3 Method 2 Method 1
Qualitative Results ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Quantitative Results 2.6 0.0 3.6 21.1 No answer to race Q (%) 1.2 1.0 0.9 1.1 Avg Time (mins) 92.3 94.9 100.0 85.5 Answered ethnicity Q (%) 92.3 100.0 87.5 78.9 Chose available response to race Q (%) 39 59 56 76 Interviews (n) Four Three Two One Method Outcomes  of Interest
Preferred Method to Ask Qs: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
On-going issues at HCMC: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Future directions at HCMC: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Implications of HCMC results: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Possible resolution of conflict: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Possible advantages to alternative: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Extra slides:   Office of Management & Budget Statistical Directive 15  (OMB Standard)
OMB federal standard: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Features of OMB Standard ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Universal adoption of OMB standard? ,[object Object],[object Object],[object Object],[object Object]
Extra slides:   Issues to consider in  question administration:
Who will ask questions? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
If registrar asks, when during interview: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Querying Patients About Race and Ethnicity

  • 1. MN Health Services Research Conference. 06MAR07 Querying Patients About Race and Ethnicity at Hennepin County Medical Center Yiscah Bracha,M.S. Research Director, CUH
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  • 11. Four Methods Tried Marital status Race or ethnicity Question Religious preference Race or ethnicity Question Language(s) Birthplace
  • 12. Four methods 1. Race? (OMB list + White Hispanic Black Hispanic) 2. Ethnicity? (Open-ended) 1. Race? (OMB list + Hispanic) 2. Ethnicity? (Open-ended) 1. Ethnicity? (Open-ended) 2. Race? (OMB list) 1 . Hispanic? (y/n) 2. Race? (OMB list) 3. Ethnicity? (Open-ended) Method 4 Method 3 Method 2 Method 1
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  • 14. Quantitative Results 2.6 0.0 3.6 21.1 No answer to race Q (%) 1.2 1.0 0.9 1.1 Avg Time (mins) 92.3 94.9 100.0 85.5 Answered ethnicity Q (%) 92.3 100.0 87.5 78.9 Chose available response to race Q (%) 39 59 56 76 Interviews (n) Four Three Two One Method Outcomes of Interest
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  • 21. Extra slides: Office of Management & Budget Statistical Directive 15 (OMB Standard)
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  • 25. Extra slides: Issues to consider in question administration:
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