Casey F Sweeney1, Darren Zinner, George Rust, George E Fryer. 1. *MGH Institute of Health Professions, Boston †Heller School for Social Policy and Management, Brandeis University, Waltham, MA ‡Florida State University College of Medicine, Tallahassee, FL §Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR.
Abstract
BACKGROUND: Although many minority patients would prefer a provider of their own race/ethnicity, the influence of this relationship on patient-provider communication remains unknown. This analysis examined the effect of patient-provider race/ethnicity concordance on patient-reported provider communication quality using data from the Medical Expenditure Panel Survey years 2002-2012. METHODS: Ordinary least squares regressions were executed on communication rating, measured by the Consumer Assessment of Health Providers and Systems. RESULTS: Only 13.8% of black, non-Hispanic patients reported their usual source of care provider matched their race/ethnicity, compared with 94.4% of white, non-Hispanic patients and 43.8% of Hispanic patients. Differences in communication ratings were driven by patient race, rather than provider race. Although black, non-Hispanic patients rate their communication significantly higher than their counterparts overall, there was no significant influence of patient-provider racial concordance on ratings of communication when controlling for other sociodemographic variables. CONCLUSIONS: Minorities may seek the services of minority providers, but they are not more satisfied with patient-provider communication experience than when in race-discordant provider arrangements.
BACKGROUND: Although many minority patients would prefer a provider of their own race/ethnicity, the influence of this relationship on patient-provider communication remains unknown. This analysis examined the effect of patient-provider race/ethnicity concordance on patient-reported provider communication quality using data from the Medical Expenditure Panel Survey years 2002-2012. METHODS: Ordinary least squares regressions were executed on communication rating, measured by the Consumer Assessment of Health Providers and Systems. RESULTS: Only 13.8% of black, non-Hispanic patients reported their usual source of care provider matched their race/ethnicity, compared with 94.4% of white, non-Hispanic patients and 43.8% of Hispanic patients. Differences in communication ratings were driven by patient race, rather than provider race. Although black, non-Hispanic patients rate their communication significantly higher than their counterparts overall, there was no significant influence of patient-provider racial concordance on ratings of communication when controlling for other sociodemographic variables. CONCLUSIONS: Minorities may seek the services of minority providers, but they are not more satisfied with patient-provider communication experience than when in race-discordant provider arrangements.
Authors: Megan Johnson Shen; Emily B Peterson; Rosario Costas-Muñiz; Migda Hunter Hernandez; Sarah T Jewell; Konstantina Matsoukas; Carma L Bylund Journal: J Racial Ethn Health Disparities Date: 2017-03-08
Authors: Harold E Bays; Pam R Taub; Elizabeth Epstein; Erin D Michos; Richard A Ferraro; Alison L Bailey; Heval M Kelli; Keith C Ferdinand; Melvin R Echols; Howard Weintraub; John Bostrom; Heather M Johnson; Kara K Hoppe; Michael D Shapiro; Charles A German; Salim S Virani; Aliza Hussain; Christie M Ballantyne; Ali M Agha; Peter P Toth Journal: Am J Prev Cardiol Date: 2021-01-23