The Association of Doctor-Patient Race Concordance with Health Services Utilization

LaVeist, Thomas A.; Nuru-Jeter, Amani; Jones, Kiesha E

doi:10.2307/3343378

Cited by 235 publications

(177 citation statements)

References 18 publications

Supporting

Mentioning

167

Contrasting

Order By: Relevance

“…45 Race and ethnic concordance between provider and patient have been associated with providers' willingness to screen for HBV, patients' perceptions of physician bedside manner, and patients' willingness to comply with health-care directives. [46][47][48] However, there are other means by which physicians can demonstrate respect or trust without requiring race or ethnic concordance, including increasing familiarity with patients and understanding their cultural values and beliefs. 49,50 Finally, CAM presented itself as a topic that physicians leveraged to demonstrate cultural sensitivity.…”

Section: Discussionmentioning

confidence: 99%

Medical Care of Hepatitis B among Asian American Populations: Perspectives from Three Provider Groups

Hwang

Roundtree

Engebretson³

et al. 2010

J GEN INTERN MED

View full text Add to dashboard Cite

BACKGROUND: Physicians can play a significant role in helping to decrease the hepatitis B virus (HBV) burden among Asian Americans. Few studies have described knowledge and practice patterns in the medical community among different provider types regarding HBV and liver cancer.OBJECTIVE: Our study explores the HBV beliefs, attitudes and practice patterns of medical providers serving Asian American communities. DESIGN:We conducted three focus groups with primary care providers, liver specialists, and other providers predominantly serving Asian American community. We asked about practices and barriers to appropriate medical care and outreach. PARTICIPANTS:We moderated three focus groups with 23 participants, 18 of whom completed and returned demographic surveys. Twelve were of Asian ethnicity and 13 spoke English as a second language. Only eight screened at least half of their patients, most (72%) using the hepatitis B surface antigen test. APPROACH: We used grounded theory methods to analyze focus group transcripts.RESULTS: Participants frequently discussed cultural and financial barriers to hepatitis care. They admitted reluctance to screen for HBV because patients might be unwilling or unable to afford treatment. Cultural differences were discussed most by primary care providers; best methods of outreach were discussed most by liver specialists; and alternative medicine was discussed most by acupuncturists and other providers.CONCLUSIONS: More resources are needed to lower financial barriers complicating HBV care and encourage providing guideline-recommended screenings. Other providers can help promote HBV screening and increase community and cultural awareness.

show abstract

Section: Discussionmentioning

confidence: 99%

Medical Care of Hepatitis B among Asian American Populations: Perspectives from Three Provider Groups

Hwang

Roundtree

Engebretson³

et al. 2010

J GEN INTERN MED

View full text Add to dashboard Cite

show abstract

“…27 * Some studies have found that provider gender and race affect patient satisfaction and health service utilization. [29][30][31] …”

Section: Changing Providers: New Responsibilities Impending Shortagesmentioning

confidence: 99%

An Epidemic in Evolution: The Need for New Models of HIV Care in the Chronic Disease Era

2011

View full text Add to dashboard Cite

Since the beginning of the AIDS epidemic, models of HIV care have needed to be invented or modified as the needs of patients and communities evolved. Early in the epidemic, primary care and palliative care predominated; subsequently, the emergence of effective therapy for HIV infection led to further specialization and a focus on increasingly complex antiretroviral therapy as the cornerstone of effective HIV care. Over the past decade, factors including (1) an aging, long-surviving population; (2) multiple co-morbidities; (3) polypharmacy; and (4) the need for chronic disease management have led to a need for further evolution of HIV care models. Moreover, geographic diffusion; persistent disparities in timely HIV diagnosis, treatment access, and outcomes; and the aging of the HIV provider workforce also suggest the importance of reincorporating primary care providers into the spectrum of HIV care in the current era. Although some HIV-dedicated treatment centers offer comprehensive medical services, other models of HIV care potentially exist and should be developed and evaluated. In particular, primary care-and community-based collaborative practices-where HIV experts or specialists are incorporated into existing health centers-are one approach that combines the benefits of HIV-specific expertise and comprehensive primary care using an integrated, patient-centered approach.

show abstract

“…However, none of these studies have determined whether these effects hold in real-world professional settings in which topics of significant gravity are discussed, such as medical consultations in a hospital. Although positive effects of concordance in human patient-provider interactions have also been demonstrated [1][2][3][4], it is unknown whether these effects would hold for virtual agents that are designed to counsel users about their health. It is possible that-given the importance of medical topics being discussed, or the distractions and stress in a real-world environment such as a hospitalsubtle factors such as the apparent race, gender, and age of a virtual agent are irrelevant.…”

Section: Introductionmentioning

confidence: 99%

Agent-User Concordance and Satisfaction with a Virtual Hospital Discharge Nurse

Zhou

Bickmore

Paasche‐Orlow

et al. 2014

Lecture Notes in Computer Science

View full text Add to dashboard Cite

Abstract. User attitudes towards a hospital virtual nurse agent are described, as evaluated in a randomized clinical trial involving 764 hospital patients. Patients talked to the agent for an average of 29 minutes while in their hospital beds, receiving their customized hospital discharge instructions from the agent and a printed booklet. Patients reported very high levels of satisfaction with and trust in the nurse agent, preferred receiving their discharge instructions from the agent over their human doctors and nurses, and found the system very easy to use. Perceived similarity to the agent was a significant determiner of liking, trust, desire to continue, and working alliance, although perceived similarity was unrelated to racial concordance between patients and the agent.

show abstract

The Association of Doctor-Patient Race Concordance with Health Services Utilization

Cited by 235 publications

References 18 publications

Medical Care of Hepatitis B among Asian American Populations: Perspectives from Three Provider Groups

Medical Care of Hepatitis B among Asian American Populations: Perspectives from Three Provider Groups

An Epidemic in Evolution: The Need for New Models of HIV Care in the Chronic Disease Era

Agent-User Concordance and Satisfaction with a Virtual Hospital Discharge Nurse

Contact Info

Product

Resources

About