Evidence map›Paper›PMID 22515953›Full record

ArticleHealth services research2012

The validity of race and ethnicity in enrollment data for Medicare beneficiaries.

Alan M Zaslavsky, John Z Ayanian, Lawrence B Zaborski

Abstract read
In one paragraph

Article in Health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Residential Segregation and Racial Cancer Disparities: A Systematic Review.Journal of racial and ethnic health disparities · 2017
    Pooled it
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  9. Fractures by race and ethnicity in a diverse sample of postmenopausal women: a current evaluation among Hispanic and Asian origin groups.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
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6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Alan M ZaslavskyDepartment of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA. zaslavsk@hcp.med.harvard.edu
John Z Ayanian
Lawrence B Zaborski

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
NCRR NIH HHS 1 UL1 RR 025758NCRR NIH HHS UL1 RR025758
6 · The paper itself

Abstract

objectiveTo assess the validity of race/ethnicity in Medicare databases for studies of racial/ethnic disparities. DATA SOURCES: The 2010 Medicare Consumer Assessments of Healthcare Providers and Systems (CAHPS(®)) survey was linked to Medicare enrollment data and local area characteristics from the 2000 Census. STUDY

designRace/ethnicity was cross-tabulated for CAHPS and Medicare data. Within each self-reported category, demographic, geographic, health, and health care variables were compared between those that were and were not similarly identified in Medicare data. DATA COLLECTION

methodsThe Medicare CAHPS survey included 343,658 responses from elderly participants (60 percent response rate). Data were weighted for sampling and nonresponse to be representative of the national population of elderly Medicare beneficiaries. PRINCIPAL

findingsSelf-reported Hispanics, Asians, Pacific Islanders, and American Indians were underidentified in Medicare enrollment data. Individuals in these groups who were identified in Medicare data tended to be more strongly identified with their group, poorer, and in worse health and to report worse health care experiences than those who were not so identified.

conclusionsSelf-reported members of racial and ethnic groups other than Whites and Blacks who are identified in Medicare data differ substantially from those who are not so identified. These differences should be considered in assessments of disparities in health and health care among Medicare beneficiaries.

Indexed as

Self ReportAgedData CollectionEthnicityFemaleHealthcare DisparitiesHealth ServicesHealth Services AccessibilityHealth Services ResearchHealth StatusHumansMaleMedicareMental HealthQuality of Health CareRacial Groups

Identifiers

PMID22515953
PMCPMC3349013

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.