Patient-Provider Social Concordance and Health Outcomes in Patients with Type 2 Diabetes: a Retrospective Study from a Large Federally Qualified Health Center in Connecticut

Kurek, Kimberley; Teevan, Bridget; Zlateva, Ianita; Anderson, Daren

doi:10.1007/s40615-015-0130-y

Cited by 12 publications

(12 citation statements)

References 32 publications

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“…Due to limited research surrounding multifactorial concordance, only one study was identified that met the inclusion criteria for this review. Social concordance was reevaluated and redefined by Kurek et al ( 28 ) using “age, gender, language, and race/ethnicity” in a 2016 study of 994 adult diabetic patients. Using a composite score, the results revealed that patient–provider social concordance was associated with improved blood pressure control in patients with Type 2 diabetes but not with mitigation of other cardiovascular risk factors ( 28 ).…”

Section: Discussionmentioning

confidence: 99%

Improved Patient Experience and Outcomes: Is Patient–Provider Concordance the Key?

Otte

2022

Journal of Patient Experience

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Health disparities remain ubiquitous in the United States despite initiatives by the federal government and other organizations. A long-term solution for health inequity is needed in order to help improve patient outcomes for all. The purpose of this review is to examine if racial, gender, or multifactorial concordance (eg, race, age, gender, education, language) between patient and provider leads to a better patient experience and improved health outcomes. A PubMed search for articles published between 2016 and 2021 resulted in 23 separate studies that met inclusion criteria. The results from these studies were inconclusive in determining an association between patient–provider concordance and patient outcomes. Further research is needed to evaluate the positive, neutral, and sometimes negative impact of patient–provider concordance. By diversifying healthcare professions and improving cultural competency and communication training programs, providers may be better prepared to care for diverse populations in both concordant and discordant patient relationships.

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Section: Discussionmentioning

confidence: 99%

Improved Patient Experience and Outcomes: Is Patient–Provider Concordance the Key?

Otte

2022

Journal of Patient Experience

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“…This underrepresentation of Indigenous peoples in health care professions means that non-Indigenous providers deliver the majority of health care to Indigenous peoples (Shah & Reeves, 2012). Although many providers are capable of providing culturally safe care to people from diverse backgrounds, the continued racism and inequities faced by Indigenous peoples suggest that significant improvement to health professional training is necessary to improve health care for Indigenous peoples (Allan & Smylie, 2015;Kurek et al, 2016;Shen et al, 2018;Wylie & McConkey, 2018). Recognizing the urgent need to improve health care for Indigenous peoples, various Indigenous and non-Indigenous organizations, health leaders, scholars, and health profession students have emphasized the need for mandatory training in order to improve the health status of Indigenous peoples (Berg et al, 2019;Canadian Federation of Medical Students, 2015;Greenwood et al, 2017;Health Council of Canada, 2011;Henderson & Crowshoe, 2019;Shah & Reeves, 2012).…”

Section: Training and Education To Improve Health Care For Indigenous Populationsmentioning

confidence: 99%

Barriers to Including Indigenous Content in Canadian Health Professions Curricula

Doria

Biderman²,

Sinno³

et al. 2021

CJE/RCE

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Indigenous peoples in Canada continue to face health care inequities despite their increased risk for various negative health outcomes. Evidence suggests that health professions students and faculty do not feel their curriculum adequately prepares learners to address these inequities. The aim of this study was to identify barriers that hinder the inclusion of adequate Indigenous content in curricula across health professions programs. Semi-structured interviews were conducted with 33 faculty members at a university in Canada from various health disciplines. Employing thematic analysis, four principal barriers were identified: (1) the limited number and overburdening of Indigenous faculty, (2) the need for non-Indigenous faculty training and capacity, (3) the lack of oversight and direction regarding curricular content and training approaches, and (4) the limited amount of time in curriculum and competing priorities. Addressing these barriers is necessary to prepare learners to provide equitable health care for Indigenous peoples. Keywords: Indigenous health, health professions, curricula, faculty perspectives, barriers, Canada

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“…Representation in health care is important for multiple reasons, including social concordance in patient-physician relationships (i.e., similar characteristics such as race/ethnicity, sex, or sexual orientation/gender identity) which influences trust and shared decision making with the potential to improve patients’ quality of care (Kurek et al, 2016 ; Thornton et al, 2011 ). In addition, increased representation of diverse populations in health care has been shown to improve communication between physicians and their colleagues as well as between physicians and patients (Hughes et al, 2018 ; University of St. Augustine, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

“…As patients engage in health care, they are looking for a microcosm of their larger community (i.e., representation similar to that in their community). After all, representativeness between physician and patient (i.e., social concordance; Johnson Thornton et al, 2011 ; Kurek et al, 2016 ) has positive outcomes on patient wellness. Patients’ quality of care is hinged upon culturally aware discussions in the room with their physician while also feeling a sense of safety and belonging when physicians care about their life and recognize how to adapt to their needs.…”

Section: Introductionmentioning

confidence: 99%

MedFTs’ Role in the Recruitment and Retention of a Diverse Physician Population: A Conceptual Model

2022

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Recruitment and retention of a diverse physician population across stages of medical education is essential for the success of the healthcare system. MedFTs have a unique role to play in advocacy and intervention related to the recruitment and retention of these physicians at all stages of their education and career. As MedFTs expand their influence in healthcare systems, they must ground into their fundamental theories, like systems theory and the Four World View, all while advancing in their professional competencies to attune their skills and those whom they are entrusted in training. The conceptual model, MedFTs’ Role in the Recruitment and Retention of a Diverse Physician Population, provides a framework for MedFTs to use their influence to enact change related to diversity and equity in the healthcare system. In addition, the model provides avenues for intervention and advocacy on the part of the MedFT related to each of the four worlds and their specific role(s) in the health care.

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Patient-Provider Social Concordance and Health Outcomes in Patients with Type 2 Diabetes: a Retrospective Study from a Large Federally Qualified Health Center in Connecticut

Abstract: Certain health outcomes may be susceptible to patient-provider social concordance or discordance. Continuity of care may serve a protective role in offsetting effects of patient-provider social mismatching.

Cited by 12 publications

References 32 publications

Improved Patient Experience and Outcomes: Is Patient–Provider Concordance the Key?

Improved Patient Experience and Outcomes: Is Patient–Provider Concordance the Key?

Barriers to Including Indigenous Content in Canadian Health Professions Curricula

MedFTs’ Role in the Recruitment and Retention of a Diverse Physician Population: A Conceptual Model

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