Racial Matching among African-American and Hispanic Physicians and Patients

Stinson, Martha; Thurston, Norman K.

doi:10.2307/3069653

Cited by 22 publications

(16 citation statements)

References 3 publications

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“…Consistent with previous research on racial match, minority patients were disproportionately served by minority physicians (Moy and Bartman 1997; Xu et al 1997; Stinson and Thurston 2002) and limited English speakers were more likely to have same‐race/ethnicity physicians (Murray‐Garcia et al 2001). Previous research has used English language proficiency as a proxy for acculturation for immigrant patients (Xu and Borders 2008; Nguyen and Tsui 2009).…”

Section: Discussionsupporting

confidence: 78%

The Predictors of Patient–Physician Race and Ethnic Concordance: A Medical Facility Fixed‐Effects Approach

Traylor

Schmittdiel

Uratsu

et al. 2010

Health Services Research

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Objective. To examine the predictors of patient-physician race/ethnicity concordance among diabetes patients in an integrated delivery system. Data Source. Kaiser Permanente's Northern California Diabetes Registry of 2005. Study Design. Logistic regression predicted concordance for each racial/ethnic group. Availability of a concordant physician, whether a patient chose their physician, and patient language were main explanatory variables. Data Collection/Extraction Methods. The study population consisted of 109,745 patients and 1,750 physicians. Principal Findings. Patients who chose their physicians were more likely to have a same race/ethnicity physician with OR of 2.2 (95 percent CI 1.74-2.82) for African American patients, 1.71 (95 percent CI 1.44-2.04) for Hispanic patients, 1.11 (95 percent CI 1.04-1.18) for white patients, and 1.38 (95 percent CI 1.23, 1.55) for Asian patients. Availability of a same race/ethnicity physician was also a predictor of concordance for African American patients (OR 2.7; 95 percent CI 2.45-2.98) and marginally significant for Hispanic patients (OR 1.02; 95 percent CI 1.01-1.02), white patients (OR 1.02; 95 percent CI 1.00-1.04), and Asian patients (OR 1.05; 95 percent CI 1.03, 1.07). Limited English language was a strong predictor of concordance for Hispanic patients (OR 4.81; 95 percent CI 4.2-5.51) and Asian patients (OR 9.8; 95 percent CI 7.7, 12.6). Conclusion. Patient language, preferences, and the racial composition of the physician workforce predict race/ethnicity concordance.

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Section: Discussionsupporting

confidence: 78%

The Predictors of Patient–Physician Race and Ethnic Concordance: A Medical Facility Fixed‐Effects Approach

Traylor

Schmittdiel

Uratsu

et al. 2010

Health Services Research

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“…Recently, a different approach suggested that after controlling for variables including physician specialty, practice setting and location, racial matching occurred on a smaller scale and in some cases was not significant (Stinson and Thurston, 2002). This result appears at odds with our percentages of minority physicians treating poorer minority patients.…”

Section: Racecontrasting

confidence: 80%

US physician board certification and labor market returns

O’Halloran

Bashaw²

2006

International Journal of Manpower

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Purpose -This paper aims to determine the characteristics of board certification among US physicians and to test whether accounting for the expected gains to certification alters the pattern of the determinants of board certification. Design/methodology/approach -Splitting the sample into sub-samples by characteristics associated with certification/non-certification identified in a probit, the incremental gain to certification from log-earnings equations is identified. Realizing that these methods are susceptible to sample selection, correction is made for it using the Heckman approach. Using the sample selection corrected equations, the expected gain to certification among those who certify is then predicted and those who do not certify is then predicted and this difference is included as a proxy for the expected gain in the original probit to ascertain whether including the expected gain alters the determinants of certification. Findings -Accounting for the expected gain alters the pattern of the determinants of certification. Although some groups such as blacks appear less likely to certify, after accounting for their expected return to certification, they are not as less likely. This is explained in terms of the expected marginal return to certification, market structure and practice setting.Research limitations/implications -The data used in the analysis apply only to young physicians in the USA. Also, these results may be applicable only to the particular cohort used in this analysis. Practical implications -The findings help to explain the absence of minority board certified physicians within the USA. Originality/value -This paper is the first to simultaneously estimate the returns to physician board certification and the decision to obtain certification. IntroductionThis paper simultaneously estimates the returns to physician board certification and the decision to obtain certification. We confirm that those physicians with the highest expected returns to certification are more likely to obtain certification. These physicians operate in competitive environments, are married, white, experienced and within a specific subset of specialties. Critically, we identify the importance of sample selection on certification in estimating physician earnings and show that accounting

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“…After controlling for residential composition of the population, Komaromi et al (1996) find a large and significant effect of doctor race on the racial profile of patients. Stinson and Thurston (2002) find that in ZIP codes where fewer people speak English, Hispanic doctors have more Hispanic patients than non-Hispanic patients. Other studies focused on the benefits of racial matching conclude that patients express higher satisfaction with the care received when treated by a physician of their same race/ethnicity (Cooper-Patrick et al, 1999); obtain more preventive care (Saha et al, 1999) and stay in treatment longer (Takeuchi et al, 1995;Sue et al, 1991).…”

Section: Health Care Markets and The Long-term Effects Of Prejudicementioning

confidence: 83%

Prejudice, clinical uncertainty and stereotyping as sources of health disparities

Balsa

McGuire

2003

Journal of Health Economics

268

194

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Racial Matching among African-American and Hispanic Physicians and Patients

Cited by 22 publications

References 3 publications

The Predictors of Patient–Physician Race and Ethnic Concordance: A Medical Facility Fixed‐Effects Approach

The Predictors of Patient–Physician Race and Ethnic Concordance: A Medical Facility Fixed‐Effects Approach

US physician board certification and labor market returns

Prejudice, clinical uncertainty and stereotyping as sources of health disparities

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