Answering calls for rigorous health equity research: a cross-sectional study leveraging electronic health records for data disaggregation in Latinos.
John HeintzmanDang DinhJennifer A LucasElena ByhoffDanielle M CrookesAyana April-SandersJorge KaufmannDave BostonAudree HsuSophia GiebultowiczMiguel MarinoPublished in: Family medicine and community health (2023)
In a multistate network, thousands of non-US-born, US-born and patients without a country of birth recorded had differing demographic characteristics, but clinical variation was not observed until data was disaggregated into specific country of origin. State policies that enhance the safety of immigrant populations may enhance the collection of health equity related data. Rigorous and effective health equity research using Latino country of birth information paired with longitudinal healthcare information found in EHRs might have significant potential for aiding clinical and public health practice, but it depends on increased, widespread and accurate availability of this information, co-occurring with other robust demographic and clinical data nativity.
Keyphrases
- electronic health record
- public health
- healthcare
- health information
- global health
- gestational age
- mental health
- big data
- clinical decision support
- ejection fraction
- adverse drug
- end stage renal disease
- social media
- newly diagnosed
- primary care
- preterm infants
- physical activity
- low birth weight
- cross sectional
- risk factors
- prognostic factors
- peritoneal dialysis
- high resolution
- mass spectrometry
- climate change
- health promotion
- patient reported outcomes
- pregnant women
- african american
- pregnancy outcomes
- drug induced