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[Agency] AHRQ [Project Title] DESCRIBING AND UNDERSTANDING RACIAL DISPARITIES [Institution] CHILDREN»S HOSPITAL OF PHILADELPHIA [Amount] $0 [Summary] This proposal explores a new method for describing and understanding racial disparities through the use of "Tapered Multivariate Matching" (TMM). TMM represents a new theory and conceptual framework for examining racial disparities that will aid in better measuring and more clearly describing racial disparities as well as better isolating and identifying specific features of the healthcare system that lead to differences in quality of care across racial groups. Presently, the size of a disparity is typically measured by reporting a regression model coefficient on race. However: (1) Minorities are, by definition, underrepresented in these models because whites generally outweigh blacks in most analyses, which can tend to weight model coefficients from a white perspective. At the same time, minorities often present with very different covariate distributions; therefore, (2) the interactions needed to properly define the relationships between race and explanatory covariates are usually not analyzed, or if analyzed, not reported. I [Completion/ Closing Date] 08/02/2010 [Link] link [Category] 
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