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Using the Race Model Inequality to Quantify Behavioral Multisensory Integration Effects
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Using Bayesian Imputation to Assess Racial and Ethnic Disparities in Pediatric Performance Measures.

David P Brown1, Caprice Knapp2, Kimberly Baker3

  • 1Department of Economics, University of Alberta, Edmonton, Alberta, Canada.

Health Services Research
|October 22, 2015
PubMed
Summary

Imputing missing race and ethnicity data is crucial for accurately assessing pediatric healthcare quality. Failing to account for missing data can underestimate care disparities for minority children.

Keywords:
Bayesian imputationHEDISMedicaidchildrendisparitiesracial/ethnic differences

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Area of Science:

  • Health Services Research
  • Pediatric Health Outcomes
  • Health Equity

Background:

  • Healthcare disparities persist in pediatric quality of care.
  • Accurate race and ethnicity data are vital for identifying these disparities.
  • Missing data can significantly bias quality of care assessments.

Purpose of the Study:

  • To analyze health care disparities in pediatric quality of care measures.
  • To determine the impact of data imputation on these measures.
  • To evaluate the effect of missing race and ethnicity data on quality metrics.

Main Methods:

  • Utilized 2012 administrative data for 145,652 children in Florida public insurance programs.
  • Calculated five Healthcare Effectiveness Data and Information Set (HEDIS) measures.
  • Employed Bayesian Improved Surname and Geocoding (BISG) to impute missing race/ethnicity data for 42% of the sample.

Main Results:

  • Exclusion of individuals with missing race/ethnicity data biased quality of care measures downward for minority children.
  • This bias was observed across several pediatric quality of care measures.
  • Imputation methods are essential for unbiased analysis.

Conclusions:

  • Appropriately accounting for missing race and ethnicity data through imputation is vital.
  • Imputation ensures more accurate representation of healthcare quality for all children.
  • This supports efforts to reduce health disparities in pediatric care.