Patient-provider Sex and Race/Ethnicity Concordance
A National Study of Healthcare and Outcomes
Bibliographic Data
| ID | 9099083 |
|---|---|
| Authors | Anthony Jerant (University of California, Davis, corresponding author), Klea D Bertakis (Centre for Family Medicine, corresponding author), Joshua J Fenton (0000-0002-0581-835X, Centre for Family Medicine, corresponding author), Daniel J Tancredi (0000-0002-3884-7907, Center For Policy Research), Peter Franks (0000-0002-9782-0181, Centre for Family Medicine, corresponding author) |
| Year | 2011 |
| Volume | 49 |
| Issue | 11 |
| Pages | 1012-1020 |
| Publication date | 2011-11-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0b013e31823688ee |
| PMID | 22002644 |
| OpenAlex | W2054247863 |
| Language | EN |
| Citations received | 21 |
| References cited | 36 |
BACKGROUND: Increasing patient-provider sex and race/ethnicity concordance has been proposed to improve healthcare and help mitigate health disparities, but the relationship between concordance and health outcomes remains unclear. OBJECTIVE: To examine associations of patient-provider sex, race/ethnicity, and dual concordance with healthcare measures. RESEARCH DESIGN AND PARTICIPANTS: Analyses of data from adult respondents indicating a usual source of healthcare (N=22,440) in the 2002 to 2007 Medical Expenditure Panel Surveys (each a 2-year panel). MEASURES: Year 1 provider communication, sex-neutral (colorectal cancer screening, influenza vaccination) and sex-specific (mammography, Papanicolaou smear, prostate-specific antigen) prevention; and year 2 health status (SF-12). Analyses adjusted for patient sociodemographics and health variables, and healthcare provider (usual source of care) sex and race/ethnicity. RESULTS: Of 24 concordance assessments, 3 were statistically significant. Women with female providers were more likely to report mammography adherence [average adjusted marginal effect=3.9%, 95% confidence interval (CI): 1.6%, 6.2%; P<0.01]. Respondents reporting dual concordance were less likely to rate provider communication in the highest quartile (average adjusted marginal effect =-4.2%, 95% CI: -8.1%, -0.2%; P=0.04), but dual concordance was associated with higher adjusted SF-12 Physical Component Summary scores (0.58 points, 95% CI: 0.00, 1.15; P=0.05). CONCLUSIONS: Little evidence of clinical benefit resulting from sex or race/ethnicity concordance was found. Greater matching of patients and providers by sex and race/ethnicity is unlikely to mitigate health disparities
Concordance · Ethnic group · Family medicine · Health care · Medical Expenditure Panel Survey · Demography · Global Cancer Incidence and Screening · Internal Medicine · Medicine · Patient-Provider Communication in Healthcare · Sex and Gender in Healthcare
Association of Racial/Ethnic and Gender Concordance Between Patients and Physicians With Patient Experience Ratings
Physician–patient racial concordance and disparities in birthing mortality for newborns
Exploring the role of racial/ethnic patient–physician concordance in optimizing health and patient outcomes among black populations in the United States
The Relationship of Race/Ethnicity Concordance to Physician-Patient Communication
The Role of Perceived Clinician Trust, Communication Apprehension with Providers, and Patients’ Sociodemographic Factors in Patients’ Willingness to Communicate with Primary Care Clinicians
Gender concordance and its association with communication and the doctor-patient relationship
Preference for patient–provider ethnic concordance in Asian Americans
Discriminatory Demands by Patients
Mammography Screening Among Latinas
Expanding the Boundaries of Representative Bureaucracy
Acknowledging and Addressing Allostatic Load in Pregnancy Care
The Effects of Race and Racial Concordance on Patient-Physician Communication
Patient and Provider Concordance
Developing a New Measure of Primary Care Using the Medical Expenditure Panel Survey
Patient-Physician Ethnic Concordance and its Impact on Care Continuity
Rurality as Concordance
The Impact of Patient-Provider Race/Ethnicity Concordance on Provider Visits
Messengers matter
Physicians' Stigma Towards Ethnicity of Patients with Cancer and Its Effects on the Health Outcomes
How Does Managed Care Improve the Quality of Breast Cancer Care Among Medicare-Insured Minority Women
Patient-Provider Social Concordance and Health Outcomes in Patients with Type 2 Diabetes
Predicting Mortality and Healthcare Utilization with a Single Question
Determining Clinically Important Differences in Health Status Measures
Race, Gender, and Partnership in the Patient-Physician Relationship
Patient-Physician Racial Concordance and the Perceived Quality and Use of Health Care
Patient-Centered Communication, Ratings of Care, and Concordance of Patient and Physician Race
Understanding Concordance in Patient-Physician Relationships
A 12-Item Short-Form Health Survey
Does patient–provider gender concordance affect mental health care received by primary care patients with major depression
Patient–provider race-concordance
Physician Gender Bias in Clinical Decisionmaking
Research on the Provider Contribution to Race/Ethnicity Disparities in Medical Care
Physician and Patient Gender Concordance and the Delivery of Comprehensive Clinical Preventive Services
Understanding Primary Care Physicians' Propensity to Assess Elderly Patients for Depression Using Interaction and Survey Data
The Care of Older Women With Early-Stage Breast Cancer
Prejudice, clinical uncertainty and stereotyping as sources of health disparities
Studying physician effects on patient outcomes
Physician gender and the physician-patient relationship
Determinants of physicians' patient-centred behaviour in the medical specialist encounter
Is Doctor-Patient Race Concordance Associated with Greater Satisfaction with Care
Gender Disparities in Physician-Patient Communication Among African American Patients in Primary Care
Statistical Methods for Comparing Regression Coefficients Between Models
| Unique citing works | 21 |
|---|---|
| Citations per year | 2,1 |
| Citation span | 2016 - 2026 (11) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 21 |