Role of Minority Providers in Caring for the Underserved

Keith, Stephen N.

doi:10.1353/hpu.2010.0352

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…First, recent work shows that several aspects of physician behavior and patient ratings of care vary by physician race and sex. 19,20 Minority physicians, for example, often serve a sicker and more socioeconomically vulnerable patient population [21][22][23][24] and encounter more diffi culties obtaining hospital admissions and referrals for their patients. 25 Would potential concerns about the importance of insurance status affect the referral decisions of black physicians and white physicians differently?…”

Section: Introductionmentioning

confidence: 99%

Referral of Patients to Specialists: Factors Affecting Choice of Specialist by Primary Care Physicians

Kinchen

Cooper²,

Levine³

et al. 2004

The Annals of Family Medicine

129

106

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BACKGROUND We wanted to determine the importance of factors in primary care physicians' choice of specialist when referring patients and to compare importance ratings by physicians' race and sex. METHODSUsing a cross-sectional study design, we surveyed a stratifi ed national sample of 1,252 primary care physicians serving adults to include equal numbers of black women, white women, black men, and white men. We assessed the percentage of physicians rating each of 17 items to be of major importance in choosing a specialist and compared importance ratings by physicians' race and sex. RESULTSThe response rate was 59.1%. Medical skill, appointment timeliness, insurance coverage, previous experience with the specialist, quality of specialist communication, specialist efforts to return patient to primary physician for care, and the likelihood of good patient-specialist rapport were of major importance to most respondents. Compared with black physicians, white physicians were more likely to rate previous experience with the specialist (65% vs 55%, P = .05) and board certifi cation (41% vs 29%, P <.05) to be of major importance. White physicians were somewhat less likely than black physicians (17% vs 26%, P = .06) to rate patient convenience to be of major importance. Compared with male physicians, female physicians were more likely to rate the patient's insurance status to be of major importance (60% vs 44%, P <.01).CONCLUSIONS Primary care physicians serving adults consider several factors to be of major importance when choosing a specialist. The importance of patient convenience, previous experience with the specialist, specialist board certifi cation, and insurance coverage accepted by specialist varied by physicians' race and sex. A better understanding of factors important to a diverse physician workforce may help to improve the referral process.

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Section: Introductionmentioning

confidence: 99%

Referral of Patients to Specialists: Factors Affecting Choice of Specialist by Primary Care Physicians

Kinchen

Cooper²,

Levine³

et al. 2004

The Annals of Family Medicine

129

106

View full text Add to dashboard Cite

show abstract

“…There had been prior research that had shown that individuals from underserved areas were more likely to return to the communities they came from, providing the muchneeded care in their community 4,5,6,7,8,9,10,11,12 . With these intentions, the General Assembly created a committee to assess the status of workforce distribution throughout Kentucky counties 1 .…”

Section: Introductionmentioning

confidence: 99%

Long-term dental outcomes of the professional education preparation program.

Petersen¹

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The purpose of this study was to determine the demographics of the dental PEPP participants and if, post dental school graduation, they were providing care for underserved patient populations Methods: PEPP dental graduates (n=114) had been previously identified. Participants were contacted by phone, asked to participate and then mailed a survey. Survey questions covered personal, practice and patient characteristics, procedures performed, insurance accepted and community outreach. Logistic regression analysis was utilized to assess relationships between multiple variables. Additionally, data was compared to American Dental Association (ADA), American Dental Education Association (ADEA) and census data. Results: Forty-four participants responded. Thirty-four had complete datasets. Approximately 62 percent of PEPP participants reported serving underserved populations. PEPP participant data showed an inclination to accept far higher percentage of Medicaid patients at 42% of PEPP practitioners accepting Medicaid compared to 9% of practitioners. The ethnic makeup of their respective patient populations closely mirrored the ethnic makeup of the United States population. The sample size was too small to be statistically efficacious. vi Conclusions: When compared to national averages, PEPP participants treated more Medicaid recipients than the average. Their patient populations were more ethnically diverse than Kentucky's general population. Outcomes were encouraging, as it appeared that the program's graduates were increasing access to care for underserved populations.

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Role of Minority Providers in Caring for the Underserved

Cited by 2 publications

References 4 publications

Referral of Patients to Specialists: Factors Affecting Choice of Specialist by Primary Care Physicians

Referral of Patients to Specialists: Factors Affecting Choice of Specialist by Primary Care Physicians

Long-term dental outcomes of the professional education preparation program.

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