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Editor's Correspondence |

Can It All Be So Simple?—Reply

Romana Hasnain-Wynia, MS, PhD; David W. Baker, MD, MPH; David Nerenz, PhD; Joseph M. Feinglass, PhD; Anne C. Beal, MD, MPH; Mary Beth Landrum, PhD; Raj Behal, MD, MPH; Joel S. Weissman, PhD
Arch Intern Med. 2008;168(3):328-329. doi:10.1001/archinternmed.2007.98.
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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

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