Do Ask, Do Tell.
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The document discusses different methods for querying patients about their race and ethnicity in a respectful and effective way. It tested various question orderings and response options at a hospital. Asking about Hispanic ethnicity first and then race with OMB categories worked best for US-born patients and Hispanic patients. An open-ended question about ethnicity worked better for foreign-born non-Hispanic patients. The document proposes a two-question method asking first how others perceive the patient's race and second how they self-identify.
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![DO ASK, DO TELL. How to query patients about race and ethnicity Yiscah Bracha, MS 1 ; Kevin Larsen, MD 2 1 Center for Urban Health, Minneapolis Medical Research Foundation and University of Minnesota, 2 Hennepin County Medical Center. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Experiment showed the best way to ask at HCMC: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Results ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Researchers use the data that providers obtain: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Some ruminations and conclusions: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],What worked, what didn’t: HCMC Experiment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Conflicts revealed Data and disparities: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],A PROPOSAL Question 1: “ What race do most people think you are?” Response choices: OMB categories plus Hispanic Question 2: “ How do you think of yourself?” Response choices: Open-ended, locally specific, evolving dynamically Patient identity questions Marital status Race or ethnicity Religious preference Race or ethnicity Language(s) Birthplace Querying methods for race/ethnicity 1. Race? (OMB list + Hispanic) 2. Ethnicity? (Open-ended) Method Three 1. Race? (OMB list + White Hispanic Black Hispanic) 2. Ethnicity? (Open-ended) Method Four 1. Ethnicity? (Open-ended) 2. Race? (OMB list) 1. Hispanic? (y/n) 2. Race? (OMB list) 3. Ethnicity? (Open-ended) Method Two Method One 92.3 94.9 100.0 85.5 Answered ethnicity Q (%) 1.2 1.0 0.9 1.1 Average administration time (mins) 2.6 0.0 3.6 21.1 No answer to race Q (%) 92.3 100.0 87.5 78.9 Chose from available responses to race Q (%) Four Three Two One 39 59 56 76 Interviews (n) Method Outcomes of Interest Self-identity Behavior & beliefs shared with cultural group Biological Biology, physiology Ascribed identity Adverse discrimination by others Data required Source of adverse disparities](https://image.slidesharecdn.com/07-doaskdotellposteratdiversityrx-090315100231-phpapp02/85/Do-Ask-Do-Tell-1-320.jpg)
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