Patient-Physician Relationships and Racial Disparities in the Quality of Health Care

Somnath Saha, Jose J. Arbelaez, Lisa A. Cooper

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348 Scopus citations

Abstract

Objectives. This study explored whether racial differences in patient-physician relationships contribute to disparities in the quality of health care. Methods. We analyzed data from The Commonwealth Fund's 2001 Health Care Quality Survey to determine whether racial differences in patients' satisfaction with health care and use of basic health services were explained by differences in quality of patient-physician interactions, physicians' cultural sensitivity, or patient-physician racial concordance. Results. Both satisfaction with and use of health services were lower for Hispanics and Asians than for Blacks and Whites. Racial differences in the quality of patient-physician interactions helped explain the observed disparities in satisfaction, but not in the use of health services. Conclusions. Barriers in the patient-physician relationship contribute to racial disparities in the experience of health care.

Original languageEnglish (US)
Pages (from-to)1713-1719
Number of pages7
JournalAmerican journal of public health
Volume93
Issue number10
DOIs
StatePublished - Oct 2003

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ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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