title: On the coding and reporting of race and ethnicity in New Hampshire for purposes of cancer reporting.
abstract: BACKGROUND
  The objective was to investigate how data on race and ethnicity are collected by hospitals reporting to the New Hampshire State Cancer Registry (NHSCR).
  
  
  METHODS
  NHSCR surveyed hospitals asking how information on race and ethnicity were collected. A review of relevant legal mandates and national guidelines was undertaken.
  
  
  RESULTS
  Many hospitals lack policies on collection, computer systems fail to support national guidelines, and staff rely on visual inspection.
  
  
  CONCLUSIONS
  Hospital staffs are not now culturally equipped to collect race and ethnicity in a meaningful way. The numerator in cancer incidence rates is most likely not accurate and for some smaller populations very biased. A new framework is needed that takes into account the needs of the democracy.
authors.affiliation: Norris Cotton Cancer Center, Dartmouth Medical School, Hanover, New Hampshire, USA. bruce.l.riddle@dartmouth.edu
authors.forename: Bruce L
authors.initials: BL
authors.lastname: Riddle
mesh_terms: D000289:Admitting Department, Hospital / Q000331:legislation & jurisprudence* / Q000379:methods; D002961:Civil Rights / Q000331:legislation & jurisprudence; D003625:Data Collection; D005006:Ethnicity / Q000145:classification* / Q000235:genetics / Q000331:legislation & jurisprudence; D005568:Forms and Records Control / Q000331:legislation & jurisprudence* / Q000379:methods; D017408:Guidelines as Topic; D006753:Hospital Records / Q000145:classification* / Q000331:legislation & jurisprudence; D006801:Humans; D007318:Inservice Training; D019221:Mandatory Reporting; D009369:Neoplasms / Q000208:ethnology*; D009513:New Hampshire / Q000453:epidemiology; D040442:Public Health Informatics; D012042:Registries / Q000592:standards*; D011795:Surveys and Questionnaires