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. 2002 Nov;94(11):937–943.

Race of physician and satisfaction with care among African-American patients.

Thomas A LaVeist 1, Tamyra Carroll 1
PMCID: PMC2594189  PMID: 12442996

Abstract

The purpose of this study is to examine predictors of physician-patient race concordance and the effect of race concordance on patients' satisfaction with their primary physicians among African American patients. The specific research question is, do African American patients express greater satisfaction with their care when they have an African American physician? Using the Commonwealth Fund, Minority Health Survey, we conduct multivariate analysis of African American respondents who have a usual source of care (n = 745). More than 21% of African American patients reported having an African American physician. Patient income and having a choice in the selection of the physician were significant predictors of race concordance. And, patients who were race concordant reported higher levels of satisfaction with care compared with African American patients that were not race concordant.

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Selected References

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  1. Cantor J. C., Miles E. L., Baker L. C., Barker D. C. Physician service to the underserved: implications for affirmative action in medical education. Inquiry. 1996 Summer;33(2):167–180. [PubMed] [Google Scholar]
  2. Carlisle D. M., Gardner J. E., Liu H. The entry of underrepresented minority students into US medical schools: an evaluation of recent trends. Am J Public Health. 1998 Sep;88(9):1314–1318. doi: 10.2105/ajph.88.9.1314. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Chen J., Rathore S. S., Radford M. J., Wang Y., Krumholz H. M. Racial differences in the use of cardiac catheterization after acute myocardial infarction. N Engl J Med. 2001 May 10;344(19):1443–1449. doi: 10.1056/NEJM200105103441906. [DOI] [PubMed] [Google Scholar]
  4. Cooper-Patrick L., Gallo J. J., Gonzales J. J., Vu H. T., Powe N. R., Nelson C., Ford D. E. Race, gender, and partnership in the patient-physician relationship. JAMA. 1999 Aug 11;282(6):583–589. doi: 10.1001/jama.282.6.583. [DOI] [PubMed] [Google Scholar]
  5. Gamble V. N. A legacy of distrust: African Americans and medical research. Am J Prev Med. 1993 Nov-Dec;9(6 Suppl):35–38. [PubMed] [Google Scholar]
  6. Hennelly V. D., Boxerman S. B. Disenrollment from a prepaid group plan. A multivariate analysis. Med Care. 1983 Dec;21(12):1154–1167. doi: 10.1097/00005650-198312000-00003. [DOI] [PubMed] [Google Scholar]
  7. Keith S. N., Bell R. M., Swanson A. G., Williams A. P. Effects of affirmative action in medical schools. A study of the class of 1975. N Engl J Med. 1985 Dec 12;313(24):1519–1525. doi: 10.1056/NEJM198512123132406. [DOI] [PubMed] [Google Scholar]
  8. Komaromy M., Grumbach K., Drake M., Vranizan K., Lurie N., Keane D., Bindman A. B. The role of black and Hispanic physicians in providing health care for underserved populations. N Engl J Med. 1996 May 16;334(20):1305–1310. doi: 10.1056/NEJM199605163342006. [DOI] [PubMed] [Google Scholar]
  9. Kressin N. R., Petersen L. A. Racial differences in the use of invasive cardiovascular procedures: review of the literature and prescription for future research. Ann Intern Med. 2001 Sep 4;135(5):352–366. doi: 10.7326/0003-4819-135-5-200109040-00012. [DOI] [PubMed] [Google Scholar]
  10. Libby D. L., Zhou Z., Kindig D. A. Will minority physician supply meet U.S. needs? Health Aff (Millwood) 1997 Jul-Aug;16(4):205–214. doi: 10.1377/hlthaff.16.4.205. [DOI] [PubMed] [Google Scholar]
  11. Lloyd S. M., Jr, Johnson D. G. Practice patterns of black physicians: results of a survey of Howard University College of Medicine alumni. J Natl Med Assoc. 1982 Feb;74(2):129–141. [PMC free article] [PubMed] [Google Scholar]
  12. Mayberry R. M., Mili F., Ofili E. Racial and ethnic differences in access to medical care. Med Care Res Rev. 2000;57 (Suppl 1):108–145. doi: 10.1177/1077558700057001S06. [DOI] [PubMed] [Google Scholar]
  13. Moy E., Bartman B. A. Physician race and care of minority and medically indigent patients. JAMA. 1995 May 17;273(19):1515–1520. [PubMed] [Google Scholar]
  14. Murray B. P., Dwore R. B., Gustafson G., Parsons R. J., Vorderer L. H. Enrollee satisfaction with HMOs and its relationship with disenrollment. Manag Care Interface. 2000 Nov;13(11):55–61. [PubMed] [Google Scholar]
  15. Rocheleau B. Black physicians and ambulatory care. Public Health Rep. 1978 May-Jun;93(3):278–282. [PMC free article] [PubMed] [Google Scholar]
  16. Roghmann K. J., Hengst A., Zastowny T. R. Satisfaction with medical care: its measurement and relation to utilization. Med Care. 1979 May;17(5):461–479. doi: 10.1097/00005650-197905000-00002. [DOI] [PubMed] [Google Scholar]
  17. Saha S., Komaromy M., Koepsell T. D., Bindman A. B. Patient-physician racial concordance and the perceived quality and use of health care. Arch Intern Med. 1999 May 10;159(9):997–1004. doi: 10.1001/archinte.159.9.997. [DOI] [PubMed] [Google Scholar]
  18. Smith N. A., Ley P., Seale J. P., Shaw J. Health beliefs, satisfaction and compliance. Patient Educ Couns. 1987 Dec;10(3):279–286. doi: 10.1016/0738-3991(87)90129-7. [DOI] [PubMed] [Google Scholar]
  19. Sorensen A. A., Wersinger R. P. Factors influencing disenrollment from an HMO. Med Care. 1981 Jul;19(7):766–773. doi: 10.1097/00005650-198107000-00007. [DOI] [PubMed] [Google Scholar]
  20. Taragin M. I. Initiation of medical malpractice suits: a conceptualization and test. Med Care. 1996 Mar;34(3):280–282. doi: 10.1097/00005650-199603000-00007. [DOI] [PubMed] [Google Scholar]
  21. Zastowny T. R., Roghmann K. J., Cafferata G. L. Patient satisfaction and the use of health services. Explorations in causality. Med Care. 1989 Jul;27(7):705–723. doi: 10.1097/00005650-198907000-00005. [DOI] [PubMed] [Google Scholar]

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