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Identifying and improving the “ground truth” of race in disparities research through improved EMR data reporting. A systematic review.
Owosela et al., Int J Med Inform 2023
DOI: 10.1016/j.ijmedinf.2023.105303
Summary of Systematic Review on Racial Disparities in Healthcare Data
New Information: This systematic review identifies the prevalent issues in the recording of race/ethnicity data in healthcare research and suggests improved standardization as a solution.
Importance: The findings highlight the need for caution when drawing conclusions from healthcare data concerning racial/ethnic groups, due to potential inaccuracies and incompleteness in electronic medical records (EMRs).
Contribution to Literature: The study contributes to the understanding of methodological problems in race/ethnicity data reporting within healthcare research, which is crucial for the validity of studies on health disparities.
Methodology: A systematic review was conducted using databases like Business Source Complete, Embase.com, IEEE Xplore, PubMed, Scopus, and Web of Science Core Collection, covering articles from 2000 to 2020. The review followed PRISMA 2020 guidelines and excluded non-English articles and those on pediatric populations.
Results: Out of 109 full-text articles reviewed, the main issue identified was the vulnerability of EMRs to inaccuracies in race/ethnicity data collection by research staff. The proposed solution is to standardize the collection and use of race data in patient care to mitigate these inaccuracies.
Conclusion: The review advises careful consideration of the methodologies used in publications before applying their findings to patient care, to ensure the reliability of conclusions regarding racial/ethnic health disparities.