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Discrepancies in Race/Ethnicity Between Survey Self-Report and Medicaid Enrollees' Administrative Data |
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Abstract:
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OBJECTIVE: To assess the frequency of differences in race/ethnicity designations between survey responses and Medicaid administrative data.
METHODS: Medicaid enrollees in South Florida were surveyed by telephone using the Consumer Assessment of Health Plans Study (CAHPS) 2.0 Medicaid Adult instrument. The final dataset included 1023 individuals, with 998 giving valid responses to the race/ethnicity survey questions. Race/ethnicity survey responses were compared with Medicaid administrative data for the same individuals.
RESULTS: Overall, about a third (34 percent) of survey respondents gave a different survey response for race/ethnicity than was listed in the Medicaid database. The percentage of survey respondents reporting they were "Black" was virtually identical to the administrative database, with just a few individuals giving responses that varied. However, in all other categories, there were marked differences between the Medicaid recipients' survey report of race/ethnicity and their race/ethnicity in the Medicaid files. The survey responses yielded more Hispanics and fewer Whites than the administrative data. Almost a quarter of survey respondents had been classified as "other" in the administrative data (24.4 percent), but fewer than 1 percent reported "other" in the survey. More than twice as many reported Hispanic origin in the survey than in the administrative records (46.1 percent to 17.8 percent).
DISCUSSION AND CONCLUSIONS: Some differences may result from the mode by which the data were collected; the telephone survey relied entirely on self-report, while the classification in the administrative database may have been made by a third party (e.g., outreach worker) observing the recipient's physical characteristics. These findings are important to survey researchers since administrative records are often used as sampling frames for surveys of program recipients, and the race/ethnicity data listed there provide a basis for sampling design and weighting. Further, administrative data are sometimes considered the "gold standard" against which the quality of survey findings is measured. |
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Association:
Name: American Association for Public Opinion Research
URL: http://www.aapor.org
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Citation:
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MLA Citation:
| Porter, Colleen., Duncan, R. Paul. and Hu, Hsou-mei. "Discrepancies in Race/Ethnicity Between Survey Self-Report and Medicaid Enrollees' Administrative Data" Paper presented at the annual meeting of the American Association for Public Opinion Research, Pointe Hilton Tapatio Cliffs, Phoenix, Arizona, May 11, 2004 <Not Available>. 2009-05-26 <http://www.allacademic.com/meta/p115958_index.html> |
APA Citation:
| Porter, C. K., Duncan, R. and Hu, H. , 2004-05-11 "Discrepancies in Race/Ethnicity Between Survey Self-Report and Medicaid Enrollees' Administrative Data" Paper presented at the annual meeting of the American Association for Public Opinion Research, Pointe Hilton Tapatio Cliffs, Phoenix, Arizona <Not Available>. 2009-05-26 from http://www.allacademic.com/meta/p115958_index.html |
Publication Type: Conference Paper/Unpublished Manuscript
Review Method: Peer Reviewed
Abstract: OBJECTIVE: To assess the frequency of differences in race/ethnicity designations between survey responses and Medicaid administrative data.
METHODS: Medicaid enrollees in South Florida were surveyed by telephone using the Consumer Assessment of Health Plans Study (CAHPS) 2.0 Medicaid Adult instrument. The final dataset included 1023 individuals, with 998 giving valid responses to the race/ethnicity survey questions. Race/ethnicity survey responses were compared with Medicaid administrative data for the same individuals.
RESULTS: Overall, about a third (34 percent) of survey respondents gave a different survey response for race/ethnicity than was listed in the Medicaid database. The percentage of survey respondents reporting they were "Black" was virtually identical to the administrative database, with just a few individuals giving responses that varied. However, in all other categories, there were marked differences between the Medicaid recipients' survey report of race/ethnicity and their race/ethnicity in the Medicaid files. The survey responses yielded more Hispanics and fewer Whites than the administrative data. Almost a quarter of survey respondents had been classified as "other" in the administrative data (24.4 percent), but fewer than 1 percent reported "other" in the survey. More than twice as many reported Hispanic origin in the survey than in the administrative records (46.1 percent to 17.8 percent).
DISCUSSION AND CONCLUSIONS: Some differences may result from the mode by which the data were collected; the telephone survey relied entirely on self-report, while the classification in the administrative database may have been made by a third party (e.g., outreach worker) observing the recipient's physical characteristics. These findings are important to survey researchers since administrative records are often used as sampling frames for surveys of program recipients, and the race/ethnicity data listed there provide a basis for sampling design and weighting. Further, administrative data are sometimes considered the "gold standard" against which the quality of survey findings is measured. |
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