Patient-physician racial concordance and the perceived quality and use of health care

Somnath (Som) Saha, Miriam Komaromy, Thomas D. Koepsell, Andrew B. Bindman

Research output: Contribution to journalArticle

520 Citations (Scopus)

Abstract

Background: Patients from racial and ethnic minority groups use fewer health care services and are less satisfied with their care than patients from the majority white population. These disparities may be attributable in part to racial or cultural differences between patients and their physicians. Objective: To determine whether racial concordance between patients and physicians affects patients' satisfaction with and use of health care. Methods: We analyzed data from the 1994 Commonwealth Fund's Minority Health Survey, a nationwide, telephone survey of noninstitutionalized adults. For the 2201 white, black, and Hispanic respondents who reported having a regular physician, we examined the association between patient-physician racial concordance and patients' ratings of their physicians, satisfaction with health care, reported receipt of preventive care, and reported receipt of needed medical care. Results: Black respondents with black physicians were more likely than those with nonblack physicians to rate their physicians as excellent (adjusted odds ratio [OR], 2.40; 95% confidence interval [CI], 1.55-3.72) and to report receiving preventive care (adjusted OR, 1.74; 95% CI, 1.01-2.98) and all needed medical care (adjusted OR, 2.94; 95% CI, 1.10- 7.87) during the previous year. Hispanics with Hispanic physicians were more likely than those with non-Hispanic physicians to be very satisfied with their health care overall (adjusted OR, 1.74; 95% CI, 1.01-2.99). Conclusions: Our findings confirm the importance of racial and cultural factors in the patient-physician relationship and reaffirm the role of black and Hispanic physicians in caring for black and Hispanic patients. Improving cultural competence among physicians may enhance the quality of health care for minority populations. In the meantime, by reducing the number of underrepresented minorities entering the US physician work-force, the reversal of affirmative action policies may adversely affect the delivery of health care to black and Hispanic Americans.

Original languageEnglish (US)
Pages (from-to)997-1004
Number of pages8
JournalArchives of Internal Medicine
Volume159
Issue number9
DOIs
StatePublished - May 10 1999
Externally publishedYes

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Quality of Health Care
Physicians
Hispanic Americans
Delivery of Health Care
Odds Ratio
Confidence Intervals
Preventive Medicine
Minority Health
Cultural Competency
Physician-Patient Relations
Minority Groups
Health Surveys
Patient Satisfaction
Ethnic Groups
Telephone
Population
Health Services
Patient Care

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Patient-physician racial concordance and the perceived quality and use of health care. / Saha, Somnath (Som); Komaromy, Miriam; Koepsell, Thomas D.; Bindman, Andrew B.

In: Archives of Internal Medicine, Vol. 159, No. 9, 10.05.1999, p. 997-1004.

Research output: Contribution to journalArticle

Saha, Somnath (Som) ; Komaromy, Miriam ; Koepsell, Thomas D. ; Bindman, Andrew B. / Patient-physician racial concordance and the perceived quality and use of health care. In: Archives of Internal Medicine. 1999 ; Vol. 159, No. 9. pp. 997-1004.
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abstract = "Background: Patients from racial and ethnic minority groups use fewer health care services and are less satisfied with their care than patients from the majority white population. These disparities may be attributable in part to racial or cultural differences between patients and their physicians. Objective: To determine whether racial concordance between patients and physicians affects patients' satisfaction with and use of health care. Methods: We analyzed data from the 1994 Commonwealth Fund's Minority Health Survey, a nationwide, telephone survey of noninstitutionalized adults. For the 2201 white, black, and Hispanic respondents who reported having a regular physician, we examined the association between patient-physician racial concordance and patients' ratings of their physicians, satisfaction with health care, reported receipt of preventive care, and reported receipt of needed medical care. Results: Black respondents with black physicians were more likely than those with nonblack physicians to rate their physicians as excellent (adjusted odds ratio [OR], 2.40; 95{\%} confidence interval [CI], 1.55-3.72) and to report receiving preventive care (adjusted OR, 1.74; 95{\%} CI, 1.01-2.98) and all needed medical care (adjusted OR, 2.94; 95{\%} CI, 1.10- 7.87) during the previous year. Hispanics with Hispanic physicians were more likely than those with non-Hispanic physicians to be very satisfied with their health care overall (adjusted OR, 1.74; 95{\%} CI, 1.01-2.99). Conclusions: Our findings confirm the importance of racial and cultural factors in the patient-physician relationship and reaffirm the role of black and Hispanic physicians in caring for black and Hispanic patients. Improving cultural competence among physicians may enhance the quality of health care for minority populations. In the meantime, by reducing the number of underrepresented minorities entering the US physician work-force, the reversal of affirmative action policies may adversely affect the delivery of health care to black and Hispanic Americans.",
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