Minority Physicians’ Role in the Care of Underserved Patients

Marrast, Lyndonna; Zallman, Leah; Woolhandler, Steffie; Bor, David H.; McCormick, Danny

doi:10.1001/jamainternmed.2013.12756

Cited by 470 publications

(202 citation statements)

References 4 publications

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“…Furthermore, diversifying the physician workforce may also be key in addressing health disparities among racial and ethnic groups. 34 This also has significant implications in an era of health care insurance expansion that disproportionately affects racial and ethnic minority patients. 35 …”

Section: Discussionmentioning

confidence: 99%

The Racial and Ethnic Composition and Distribution of Primary Care Physicians

Xierali

Nivet²

2018

Journal of Health Care for the Poor and Underserved

155

112

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Racial and ethnic minority physicians are more likely to practice primary care and serve in underserved communities. However, there are micro-practice patterns within primary care specialties that are not well understood. To examine the differences among primary care physician practice locations by specialty and race/ethnicity, a retrospective study was conducted on U.S. medical graduates who were direct patient care physicians in 2012. The group-specific contributions to primary care accessibility were decomposed by individual group of minorities underrepresented in medicine (URM). Results confirm significant differences not only in their distribution across underserved areas but also in their racial/ethnic composition by primary care specialties, with internist most diverse and family physicians least diverse. However, stratified analysis shows that within each primary care subspecialty, URM physicians were more likely to practice in underserved areas than their White peers regardless of specific specialties.

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Section: Discussionmentioning

confidence: 99%

The Racial and Ethnic Composition and Distribution of Primary Care Physicians

Xierali

Nivet²

2018

Journal of Health Care for the Poor and Underserved

155

112

View full text Add to dashboard Cite

show abstract

“…Many minority physicians feel an obligation to serve their community, perhaps accounting for the greater likelihood that underrepresented health care professionals will work in underserved populations [11,12]. Appendix includes definitions of communities who are underrepresented in medicine (URM).…”

Section: Diversity and Inclusion: Ethical Social Service And Socialmentioning

confidence: 99%

“…Physician race and ethnicity are the strongest predictors that a physician will care for more-vulnerable and underserved communities; URM physicians that have the highest socioeconomic status serve at greater rates than do white doctors from the lowest socioeconomic status. With the aging US population, and more people insured after health reform, the most reliable and predictable way to provide expanded access for traditionally disadvantaged segments of the US population would be to expand representation of URMs in medicine [11,15,16]. …”

Section: Diversity and Inclusion: Ethical Social Service And Socialmentioning

confidence: 99%

Improving Diversity, Inclusion, and Representation in Radiology and Radiation Oncology Part 1: Why These Matter

Lightfoote

Fielding

Deville

et al. 2014

Journal of the American College of Radiology

172

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The ACR Commission for Women and General Diversity is committed to identifying barriers to a diverse physician workforce in radiology and radiation oncology (RRO), and to offering policy recommendations to overcome these barriers. In Part 1 of a 2-part position article from the commission, diversity as a concept and its dimensions of personality, character, ethnicity, biology, biography, and organization are introduced. Terms commonly used to describe diverse individuals and groups are reviewed. The history of diversity and inclusion in US society and health care are addressed. The post–Civil Rights Era evolution of diversity in medicine is delineated: Diversity 1.0, with basic awareness, nondiscrimination, and recruitment; Diversity 2.0, with appreciation of the value of diversity but inclusion as peripheral or in opposition to other goals; and Diversity 3.0, which integrates diversity and inclusion into core missions of organizations and their leadership, and leverages its potential for innovation and contribution. The current states of diversity and inclusion in RRO are reviewed in regard to gender, race, ethnicity, sexual orientation, and gender identity. The lack of representation and unchanged demographics in these fields relative to other medical specialties are explored. The business case for diversity is discussed, with examples of successful models and potential application to the health care industry in general and to RRO. The moral, ethical, and public health imperative for diversity is also highlighted.

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“…Additionally, the Patient Protection and Affordable Care Act (Public Law 111-148) [21] is expected to expand insurance coverage for low income, uninsured patents, many of whom will also be minorities. A concern is that there will not be enough physicians and other health care providers willing and able to care for them [14]. …”

Section: Introductionmentioning

confidence: 99%

Promoting careers in health care for urban youth: What students, parents and educators can teach us

Holden

Rumala²,

Carson

et al. 2014

ISU

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There are many obstacles that urban youth experience in pursuing health careers, but the benefits of diversifying the classroom and workforce are clear. This is especially true today as educators and policymakers seek to enhance underrepresented minority students’ access to health careers, and also achieve the health workforce needed to support the Affordable Care Act. The creation of student pipeline programs began more than 40 years ago, but success has been equivocal. In 2008, Mentoring in Medicine (MIM) conducted a research project to identify how students learn about health careers; develop strategies for an integrated, experiential learning program that encourages underrepresented minority students to pursue careers in health; and translate these into best practices for supporting students through their entire preparatory journey. Six focus groups were conducted with educators, students, and their parents. The inclusion of parents was unusual in studies of this kind. The outcome yielded important and surprising differences between student and parent knowledge, attitudes and beliefs. They informed our understanding of the factors that motivate and deter underrepresented minority students to pursue careers in health care. Specific programmatic strategies emerged that found their place in the subsequent development of new MIM programming that falls into the following three categories: community-based, school-based and Internet based. Best practices derived from these MIM programs are summarized and offered for consideration by other health career education program developers targeting underrepresented minority students, particularly those located in urban settings.

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Minority Physicians’ Role in the Care of Underserved Patients

Abstract: Dr Willard had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: All authors.

Cited by 470 publications

References 4 publications

The Racial and Ethnic Composition and Distribution of Primary Care Physicians

The Racial and Ethnic Composition and Distribution of Primary Care Physicians

Improving Diversity, Inclusion, and Representation in Radiology and Radiation Oncology Part 1: Why These Matter

Promoting careers in health care for urban youth: What students, parents and educators can teach us

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