The Impact of Racial/Ethnic Concordance in Patient-Reported Shared Decision-Making and Communication During the Covid-19 Era
Bibliographic Data
| ID | 9104133 |
|---|---|
| Authors | Jb Eyring (0000-0002-4416-6673, University of Utah School of Medicine, Salt Lake City, UT, corresponding author), Brandon M Hemeyer (0000-0001-8101-0179, University of Utah School of Medicine, Salt Lake City, UT, corresponding author), Fernando A Wilson (0000-0002-8801-9026, University of Utah) |
| Year | 2025 |
| Volume | 63 |
| Issue | 8 |
| Pages | 579-587 |
| Publication date | 2025-08-01 |
| 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.0000000000002165 |
| PMID | 40307674 |
| OpenAlex | W4410009942 |
| Language | EN |
| Citations received | 1 |
| References cited | 24 |
BACKGROUND: Patient-provider racial/ethnic concordance may mitigate disparities, which is likely due in part to improved communication. The COVID-19 pandemic exacerbated disparities and raised questions on communication, warranting further exploration to inform equitable care. OBJECTIVES: This study aimed to investigate the influence of patient-provider racial/ethnic concordance on patient-reported shared decision-making and communication during the early stages of the pandemic. RESEARCH DESIGN: Stepwise logit models were constructed of short-term non-modifiable factors (race/ethnicity, education, age, marital status), modifiable factors (health insurance, poverty status), and self-reported health status predicting communication outcomes-whether the provider included the patient in decision-making and communicated treatment options. SUBJECTS: Adults from the 2020 US Medical Expenditure Panel Survey (N=9634), weighted consistent with complex sampling. MEASURES: Shared decision-making and communication of treatment options by the primary care provider were assessed by patient surveys. Demographic characteristics included race/ethnicity, poverty status, age, marital status, education, and insurance status. RESULTS: Concordance was associated with greater age and socioeconomic status, and being married, White, and in good health. Concordance was associated with patient-reported shared decision-making and communication of treatment options. The associations between demographic characteristics and communication outcomes differed significantly by concordance status, which further differed by race/ethnicity. For example, shared decision-making was predicted by education for discordant Hispanic patients and marital status for discordant White patients, but neither were predictive among concordant patients. CONCLUSIONS: The findings suggest a potential association between concordance on shared decision-making and communication dynamics, emphasizing the need for additional research to clarify how similarities and differences may influence health care interactions
2019-20 coronavirus outbreak · Concordance · Coronavirus disease 2019 (COVID-19) · Ethnic group · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) · Sociology · Anthropology · Clinical Reasoning and Diagnostic Skills · Internal Medicine · Medicine · Palliative Care and End-of-Life Issues · Patient-Provider Communication in Healthcare · Psychology · Virology
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The Effects of Race and Racial Concordance on Patient-Physician Communication
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| Citations per year | 1 |
|---|---|
| Citation span | 2026 - 2026 (1) |
| Highly cited | No |