Dataset Information

The predictors of patient-physician race and ethnic concordance: a medical facility fixed-effects approach.

ABSTRACT:

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.

SUBMITTER: Traylor AH

PROVIDER: S-EPMC2875760 | biostudies-literature | 2010 Jun

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

The predictors of patient-physician race and ethnic concordance: a medical facility fixed-effects approach.

Traylor Ana H AH Schmittdiel Julie A JA Uratsu Connie S CS Mangione Carol M CM Subramanian Usha U

Health services research 20100310 3

<h4>Objective</h4>To examine the predictors of patient-physician race/ethnicity concordance among diabetes patients in an integrated delivery system.<h4>Data source</h4>Kaiser Permanente's Northern California Diabetes Registry of 2005.<h4>Study design</h4>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.<h4>Data collection/extraction methods ...[more]

PMID: 20337734

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Dataset Information

The predictors of patient-physician race and ethnic concordance: a medical facility fixed-effects approach.

Objective

Data source

Study design

Data collection/extraction methods

Principal findings

Conclusion

Publications

The predictors of patient-physician race and ethnic concordance: a medical facility fixed-effects approach.

Similar Datasets

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