A Doctor Like Me: Physician-Patient Race-Match and Patient Outcomes

Hill, Andrew; Jones, Daniel B.; Woodworth, Lindsey

doi:10.2139/ssrn.3211276

Cited by 29 publications

(33 citation statements)

References 29 publications

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“…Evidence on whether patient and physician racial concordance improves satisfaction and health outcomes is mixed, perhaps due to methodological or contextual differences. Recent studies have found that gender-or race-match between doctors and patients in a hospital setting reduces mortality (Greenwood, Carnahan, and Huang 2018;Hill, Jones, and Woodworth 2018) yet in the outpatient setting, the results are less clear. Meghani et al (2009) performs a meta-analysis of 30 observational studies in public health and medicine concerning four racial and ethnic groups.…”

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confidence: 99%

Does Diversity Matter for Health? Experimental Evidence from Oakland

Alsan¹,

Garrick²,

Graziani

2019

American Economic Review

472

249

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We study the effect of physician workforce diversity on the demand for preventive care among African American men. In an experiment in Oakland, California, we randomize black men to black or non-black male medical doctors. We use a two-stage design, measuring decisions before (pre-consultation) and after (post-consultation) meeting their assigned doctor. Subjects select a similar number of preventives in the pre-consultation stage, but are much more likely to select every preventive service, particularly invasive services, once meeting with a racially concordant doctor. Our findings suggest black doctors could reduce the black-white male gap in cardiovascular mortality by 19 percent. (JEL I12, I14, C93)

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confidence: 99%

Does Diversity Matter for Health? Experimental Evidence from Oakland

Alsan¹,

Garrick²,

Graziani

2019

American Economic Review

472

249

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“…MLK also opined that had his urologist been an African American health care provider, he might have been able to ease some of MLK’s hesitation about seeking treatment. The belief that having a healthcare provider who is race-matched and shares the life experiences of the patient enhances the patient’s medical and healthcare experience is well-documented [ 83 , 84 ]. In contrast, Joseph highlighted that his Filipino physician noticed signs that might indicate prostate cancer and recommended an oncologist to conduct further examinations.…”

Section: Resultsmentioning

confidence: 99%

Faith as a Mechanism for Health Promotion among Rural African American Prostate Cancer Survivors: A Qualitative Examination

Adams

Johnson

2021

IJERPH

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Conceptualized using critical race theory as a theoretical underpinning, this study analyzed the lived experiences of older, rural, African American male prostate cancer (hereafter referenced as PrCA) survivors’ faith and health promotion practices within Northeast Louisiana. Qualitative data from journaling, observations, and semi-structured interviews were obtained from ten older, African American male PrCA survivors residing in four rural parishes of Louisiana. The data analysis employed a two-stage approach known as Polkinghorne’s analysis of narratives and narrative analysis using an art-based methodological approach. Framed as composite character counterstories, survivors’ narratives revealed how survivors made sense of and gave meaning to their PrCA diagnosis, treatment, recovery, and survivorship. Specifically, their counterstories indicate that centering and honoring the unique and often taken-for-granted perspectives of older, rural, African American male PrCA survivors offered a deeper understanding of the multiple factors influencing their quality of life, as well as the sociostructural mechanisms impacting their survivorship care. Faith was examined as both a secular and sacred source of support that these men viewed as central to the acceptance of their diagnosis, treatment, recovery, and survivorship.

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“…; 129 Hill et al. 130 ). Research does suggest that racial congruence between physician and patient appears to be associated with enhanced communication, relatability, and satisfaction.…”

Section: Racial Concordance and Cultural Competence: The Magic Bullets?mentioning

confidence: 99%

Addressing Racial Biases in Medicine: A Review of the Literature, Critique, and Recommendations

Parsons

2020

Int J Health Serv

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This article reviews the literature on racism in medicine in the United States and reflects on the persistent barriers to diminishing racial biases in the U.S. health care system. Espoused strategies for decreasing racial disparities and reducing racial biases among physicians are critiqued, and recommendations are offered. Those recommendations include increasing the number of minority students in medical school, using Xavier University in New Orleans, Louisiana, as the model for medical school preparation; revamping the teaching of cultural competence; ensuring the quality of non-clinical staff; and reducing the risk of burnout among medical providers.

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A Doctor Like Me: Physician-Patient Race-Match and Patient Outcomes

Cited by 29 publications

References 29 publications

Does Diversity Matter for Health? Experimental Evidence from Oakland

Does Diversity Matter for Health? Experimental Evidence from Oakland

Faith as a Mechanism for Health Promotion among Rural African American Prostate Cancer Survivors: A Qualitative Examination

Addressing Racial Biases in Medicine: A Review of the Literature, Critique, and Recommendations

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