新西兰奥特亚罗瓦地区怀卡托地区初级和二级医疗保健服务机构中种族记录的准确性。

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-09-06 DOI:10.26635/6965.6445
Brooke Blackmore, Marianne Elston, Belinda Loring, Papaarangi Reid, Jade Tamatea
{"title":"新西兰奥特亚罗瓦地区怀卡托地区初级和二级医疗保健服务机构中种族记录的准确性。","authors":"Brooke Blackmore, Marianne Elston, Belinda Loring, Papaarangi Reid, Jade Tamatea","doi":"10.26635/6965.6445","DOIUrl":null,"url":null,"abstract":"<p><strong>Aims: </strong>Ethnicity is an important variable, and in Aotearoa New Zealand it is used to monitor population health needs, health services outcomes and to allocate resources. However, there is a history of undercounting Māori. The aim of this study was to compare national and primary care ethnicity data to self-reported ethnicity from a Kaupapa Māori research cohort in the Waikato region.</p><p><strong>Methods: </strong>Through individual record linkage, prospective self-reported ethnicity, collected using New Zealand Census and Ministry of Health - Manatū Hauora ethnicity protocol as a \"gold standard\", was compared to ethnicity in secondary and primary healthcare datasets. Logistic regression analyses were used to determine if demographic variables such as age, ethnicity and deprivation are associated with inaccuracies in ethnicity recording.</p><p><strong>Results: </strong>Māori were undercounted in secondary NHI (32.5%) and primary care (31.3%) datasets compared to self-reported (34.6%). Between 9.5-11% of individuals had a different ethnicity recorded in health datasets than self-reported. Multiple ethnicities were less often recorded (secondary NHI [5.3%] and primary care [5.8%]) compared to self-reported (8.7%). Māori ethnicity (p=0.039) and multiple ethnicity (p<0.001) were associated with lower ethnicity data accuracy.</p><p><strong>Conclusion: </strong>Routine health datasets fail to adequately collect ethnicity, particularly for those with multiple ethnicities. Inaccuracies disproportionately affect Māori and urgent efforts are needed to improve compliance with ethnicity data standards at all levels of the health system.</p>","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"137 1602","pages":"111-124"},"PeriodicalIF":1.2000,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Accuracy of ethnicity records at primary and secondary healthcare services in Waikato region, Aotearoa New Zealand.\",\"authors\":\"Brooke Blackmore, Marianne Elston, Belinda Loring, Papaarangi Reid, Jade Tamatea\",\"doi\":\"10.26635/6965.6445\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aims: </strong>Ethnicity is an important variable, and in Aotearoa New Zealand it is used to monitor population health needs, health services outcomes and to allocate resources. However, there is a history of undercounting Māori. The aim of this study was to compare national and primary care ethnicity data to self-reported ethnicity from a Kaupapa Māori research cohort in the Waikato region.</p><p><strong>Methods: </strong>Through individual record linkage, prospective self-reported ethnicity, collected using New Zealand Census and Ministry of Health - Manatū Hauora ethnicity protocol as a \\\"gold standard\\\", was compared to ethnicity in secondary and primary healthcare datasets. Logistic regression analyses were used to determine if demographic variables such as age, ethnicity and deprivation are associated with inaccuracies in ethnicity recording.</p><p><strong>Results: </strong>Māori were undercounted in secondary NHI (32.5%) and primary care (31.3%) datasets compared to self-reported (34.6%). Between 9.5-11% of individuals had a different ethnicity recorded in health datasets than self-reported. Multiple ethnicities were less often recorded (secondary NHI [5.3%] and primary care [5.8%]) compared to self-reported (8.7%). Māori ethnicity (p=0.039) and multiple ethnicity (p<0.001) were associated with lower ethnicity data accuracy.</p><p><strong>Conclusion: </strong>Routine health datasets fail to adequately collect ethnicity, particularly for those with multiple ethnicities. Inaccuracies disproportionately affect Māori and urgent efforts are needed to improve compliance with ethnicity data standards at all levels of the health system.</p>\",\"PeriodicalId\":48086,\"journal\":{\"name\":\"NEW ZEALAND MEDICAL JOURNAL\",\"volume\":\"137 1602\",\"pages\":\"111-124\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-09-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"NEW ZEALAND MEDICAL JOURNAL\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.26635/6965.6445\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"NEW ZEALAND MEDICAL JOURNAL","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.26635/6965.6445","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

摘要

目的:种族是一个重要的变量,在新西兰奥特亚罗瓦,种族被用来监测人口的健康需求、健康服务成果和分配资源。然而,毛利人历来被低估。本研究旨在将国家和初级医疗机构的种族数据与怀卡托地区考帕帕(Kaupapa)毛利人研究队列中自我报告的种族数据进行比较:通过个人记录链接,采用新西兰人口普查和卫生部--Manatū Hauora种族协议作为 "黄金标准 "收集的前瞻性自我报告种族数据,与二级和初级医疗保健数据集中的种族数据进行了比较。通过逻辑回归分析,确定年龄、种族和贫困程度等人口统计学变量是否与种族记录不准确有关:与自我报告的数据(34.6%)相比,毛利人在国家健康保险二级数据集(32.5%)和初级医疗数据集(31.3%)中被低估。有 9.5%-11%的人在健康数据集中记录的种族与自我报告的不同。与自我报告(8.7%)相比,多民族记录较少(二级国家医疗保险[5.3%]和初级保健[5.8%])。毛利种族(p=0.039)和多种族(pConclusion:常规健康数据集未能充分收集种族信息,特别是对于那些多种族的人。不准确的数据对毛利人的影响尤为严重,因此亟需努力改善各级卫生系统对种族数据标准的遵守情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Accuracy of ethnicity records at primary and secondary healthcare services in Waikato region, Aotearoa New Zealand.

Aims: Ethnicity is an important variable, and in Aotearoa New Zealand it is used to monitor population health needs, health services outcomes and to allocate resources. However, there is a history of undercounting Māori. The aim of this study was to compare national and primary care ethnicity data to self-reported ethnicity from a Kaupapa Māori research cohort in the Waikato region.

Methods: Through individual record linkage, prospective self-reported ethnicity, collected using New Zealand Census and Ministry of Health - Manatū Hauora ethnicity protocol as a "gold standard", was compared to ethnicity in secondary and primary healthcare datasets. Logistic regression analyses were used to determine if demographic variables such as age, ethnicity and deprivation are associated with inaccuracies in ethnicity recording.

Results: Māori were undercounted in secondary NHI (32.5%) and primary care (31.3%) datasets compared to self-reported (34.6%). Between 9.5-11% of individuals had a different ethnicity recorded in health datasets than self-reported. Multiple ethnicities were less often recorded (secondary NHI [5.3%] and primary care [5.8%]) compared to self-reported (8.7%). Māori ethnicity (p=0.039) and multiple ethnicity (p<0.001) were associated with lower ethnicity data accuracy.

Conclusion: Routine health datasets fail to adequately collect ethnicity, particularly for those with multiple ethnicities. Inaccuracies disproportionately affect Māori and urgent efforts are needed to improve compliance with ethnicity data standards at all levels of the health system.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
NEW ZEALAND MEDICAL JOURNAL
NEW ZEALAND MEDICAL JOURNAL MEDICINE, GENERAL & INTERNAL-
CiteScore
2.30
自引率
23.50%
发文量
229
期刊最新文献
A laboratory-developed extraction free real-time PCR for Group A Streptococcus in throat swabs: greater detection and faster results. Assessing the impact of physical, mental and cognitive impairments on health-related quality of life in sepsis survivors following intensive care admission in New Zealand. Case study of a potential West Polynesian variant of von Hippel-Lindau disease. Cultural safety and the medical profession in Aotearoa New Zealand: a training framework and the pursuit of Māori health equity. Ethnic variations in traumatic injury hospitalisations in a health region of Aotearoa New Zealand-10-year review.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1