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Editor's Correspondence
February 11, 2008

Can It All Be So Simple?—Reply

Arch Intern Med. 2008;168(3):328-329. doi:10.1001/archinternmed.2007.98

In reply

Shirzai and Hood correctly note, as did we, that a limitation of our study1 is the inability to examine minority subpopulations by race. Given a large enough sample size, race- and ethnicity-specific data can help distinguish specific minority subpopulations experiencing greater, or different, disparities, which might then be the focus of targeted quality-improvement strategies. At present, however, race- and ethnicity-specific data available from hospitals and health systems are often incomplete and rarely collected in reliable ways. Our previous work has explored these gaps in data collection and recommended solutions.2,3