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Patient-provider Sex and Race/Ethnicity Concordance
- Source :
- Medical Care. 49:1012-1020
- Publication Year :
- 2011
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2011.
-
Abstract
- 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.To examine associations of patient-provider sex, race/ethnicity, and dual concordance with healthcare measures.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).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.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%; P0.01]. 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).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.
- Subjects :
- Male
medicine.medical_specialty
Health Status
Concordance
Ethnic group
MEDLINE
Black People
Race and health
White People
Race (biology)
Sex Factors
Health care
Ethnicity
Humans
Medicine
Quality Indicators, Health Care
Quality of Health Care
Physician-Patient Relations
business.industry
Racial Groups
Public Health, Environmental and Occupational Health
Hispanic or Latino
Middle Aged
United States
Health equity
Logistic Models
Socioeconomic Factors
Patient Satisfaction
Family medicine
National study
Female
Preventive Medicine
business
Subjects
Details
- ISSN :
- 00257079
- Volume :
- 49
- Database :
- OpenAIRE
- Journal :
- Medical Care
- Accession number :
- edsair.doi.dedup.....f085bf9a95987df898a6cb9a49715a11