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
Hasnain-Wynia R, Baker DW, Nerenz D, et al. Can It All Be So Simple?—Reply. Arch Intern Med. 2008;168(3):328–329. doi:10.1001/archinternmed.2007.98
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