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Missed policy opportunities to advance health equity by recording demographic data in electronic health records

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  • Douglas, M.D.
  • Dawes, D.E.
  • Holden, K.B.
  • Mack, D.

Abstract

The science of eliminating health disparities is complex and dependent on demographic data. The Health Information Technology for Economic and Clinical Health Act (HITECH) encourages the adoption of electronic health records and requires basic demographic data collection; however, current data generated are insufficient to address known health disparities in vulnerable populations, including individuals from diverse racial and ethnic backgrounds, with disabilities, and with diverse sexual identities. We conducted an administrative history of HITECH and identified gaps between the policy objective and required measure. We identified 20 opportunities for change and 5 changes, 2 of which required the collection of less data. Until health care demographic data collection requirements are consistent with public health requirements, the national goal of eliminating health disparities cannot be realized.

Suggested Citation

  • Douglas, M.D. & Dawes, D.E. & Holden, K.B. & Mack, D., 2015. "Missed policy opportunities to advance health equity by recording demographic data in electronic health records," American Journal of Public Health, American Public Health Association, vol. 105, pages 380-388.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302384_9
    DOI: 10.2105/AJPH.2014.302384
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    Cited by:

    1. Aroh Nkechi Nympha. Ph.D & Egolum, Priscilla Uchenna. Ph.D & Chukwuani Victoria Nnenna. Ph.D, 2021. "Dividend Policy Determinants of Firm Value: Empirical Evidence from Listed Non-Financial Companies in Nigeria," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 5(07), pages 612-634, July.
    2. Cruz, Taylor M. & Paine, Emily Allen, 2021. "Capturing patients, missing inequities: Data standardization on sexual orientation and gender identity across unequal clinical contexts," Social Science & Medicine, Elsevier, vol. 285(C).
    3. Aroh Nkechi Nympha. Ph.D & Egolum, Priscilla Uchenna. Ph.D & Chukwuani Victoria Nnenna. Ph.D, 2021. "Dividend Policy Determinants of Firm Value: Empirical Evidence from Listed Non-Financial Companies in Nigeria," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 5(7), pages 612-634, July.
    4. Myers, Andrew & Ward, Bryce & Wong, Jennifer & Ravesloot, Craig, 2020. "Health status changes with transitory disability over time," Social Science & Medicine, Elsevier, vol. 244(C).

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