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Chicago Health Map geographic-resolution study

How we tested whether tract-level health-system data add geographic information

A transparent account of the data, denominators, statistical estimands, uncertainty methods, results, and interpretation boundaries behind the aggregate review analysis.

Chicago Health Map describes EHR-diagnosed proportions among adults observed in participating CAPriCORN health systems. The study evaluates whether those data can complement public-health surveillance at smaller geographic scales. It does not treat them as population prevalence.

Question

Does tract resolution add information?

We compare direct tract measures with direct community-area labels for the same condition and period.

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Methods

Every estimand is explicit

Pooling, variance partitioning, rank gaps, quartiles, cluster bootstrap uncertainty, and spatial methods are documented.

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Boundary

Supplement, not replace

Health-system EHR data describe diagnoses among observed adults. Population surveillance remains the basis for population inference.

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35.3%hypertension tract quartiles disagreed with community-area labels
50.1%COPD tract quartiles disagreed with community-area labels
782tracts in the primary Chicago boundary frame