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Patient-Physician Relationships and Racial Disparities in the Quality of Health Care

Author

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  • Saha, S.
  • Arbelaez, J.J.
  • Cooper, L.A.

Abstract

Objectives. This study explored whether racial differences in patient-physician relationships contribute to disparities in the quality of health care. Methods. We analyzed data from The Commonwealth Fund's 2001 Health Care Quality Survey to determine whether racial differences in patients' satisfaction with health care and use of basic health services were explained by differences in quality of patient-physician interactions, physicians' cultural sensitivity, or patient-physician racial concordance. Results. Both satisfaction with and use of health services were lower for Hispanics and Asians than for Blacks and Whites. Racial differences in the quality of patient-physician interactions helped explain the observed disparities in satisfaction, but not in the use of health services. Conclusions. Barriers in the patient-physician relationship contribute to racial disparities in the experience of health care.

Suggested Citation

  • Saha, S. & Arbelaez, J.J. & Cooper, L.A., 2003. "Patient-Physician Relationships and Racial Disparities in the Quality of Health Care," American Journal of Public Health, American Public Health Association, vol. 93(10), pages 1713-1719.
    • Handle: RePEc:aph:ajpbhl:2003:93:10:1713-1719_6
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    Cited by:

    1. Louie, Patricia & Wilkes, Rima, 2018. "Representations of race and skin tone in medical textbook imagery," Social Science & Medicine, Elsevier, vol. 202(C), pages 38-42.
    2. Turner, R. Jay & Thomas, Courtney S. & Brown, Tyson H., 2016. "Childhood adversity and adult health: Evaluating intervening mechanisms," Social Science & Medicine, Elsevier, vol. 156(C), pages 114-124.
    3. Meeuwesen, Ludwien & Harmsen, Johannes A.M. & Bernsen, Roos M.D. & Bruijnzeels, Marc A., 2006. "Do Dutch doctors communicate differently with immigrant patients than with Dutch patients?," Social Science & Medicine, Elsevier, vol. 63(9), pages 2407-2417, November.
    4. Thomas, Elizabeth C. & Bass, Sarah Bauerle & Siminoff, Laura A., 2021. "Beyond rationality: Expanding the practice of shared decision making in modern medicine," Social Science & Medicine, Elsevier, vol. 277(C).
    5. Teal, Cayla R. & Street, Richard L., 2009. "Critical elements of culturally competent communication in the medical encounter: A review and model," Social Science & Medicine, Elsevier, vol. 68(3), pages 533-543, February.
    6. Amber E. Barnato & Hilary A. Llewellyn-Thomas & Ellen M. Peters & Laura Siminoff & E. Dale Collins & Michael J. Barry, 2007. "Communication and Decision Making in Cancer Care: Setting Research Priorities for Decision Support/Patients' Decision Aids," Medical Decision Making, , vol. 27(5), pages 626-634, September.
    7. Mendoza, Sonia & Armbrister, Adria N. & Abraído-Lanza, Ana F., 2018. "Are you better off? Perceptions of social mobility and satisfaction with care among Latina immigrants in the U.S," Social Science & Medicine, Elsevier, vol. 219(C), pages 54-60.
    8. Brandt, Sylvia J. & Lavin, Felipe Vasquez & Hanemann, W. Michael, 2008. "Designing contingent valuation scenarios for environmental health: The case of childhood asthma," CUDARE Working Papers 47077, University of California, Berkeley, Department of Agricultural and Resource Economics.
    9. Celina Bridges & Devan M Duenas & Hannah Lewis & Katherine Anderson & Douglas J Opel & Benjamin S Wilfond & Stephanie A Kraft, 2021. "Patient perspectives on how to demonstrate respect: Implications for clinicians and healthcare organizations," PLOS ONE, Public Library of Science, vol. 16(4), pages 1-13, April.
    10. Alyson Ma & Alison Sanchez & Mindy Ma, 2022. "Racial disparities in health care utilization, the affordable care act and racial concordance preference," International Journal of Health Economics and Management, Springer, vol. 22(1), pages 91-110, March.
    11. Julia McNabb-Baltar & Quoc-Dien Trinh & Alan N Barkun, 2013. "Disparities in Outcomes following Admission for Cholangitis," PLOS ONE, Public Library of Science, vol. 8(3), pages 1-8, March.
    12. Tunay Oguz, 2018. "Is Patient-Provider Racial Concordance Associated with Hispanics’ Satisfaction with Health Care?," IJERPH, MDPI, vol. 16(1), pages 1-12, December.
    13. Lo, Ming-Cheng Miriam & Bahar, Roxana, 2013. "Resisting the colonization of the lifeworld? Immigrant patients' experiences with co-ethnic healthcare workers," Social Science & Medicine, Elsevier, vol. 87(C), pages 68-76.
    14. Monika Bauhr & Ruth Carlitz & Lucia Kovacikova, 2024. "Beyond Buildings: Social Bargaining and Effective Access to Public Services," Public Organization Review, Springer, vol. 24(1), pages 389-406, March.
    15. Samuel R. Friedman & Leslie D. Williams & Ashly E. Jordan & Suzan Walters & David C. Perlman & Pedro Mateu-Gelabert & Georgios K. Nikolopoulos & Maria R. Khan & Emmanuel Peprah & Jerel Ezell, 2022. "Toward a Theory of the Underpinnings and Vulnerabilities of Structural Racism: Looking Upstream from Disease Inequities among People Who Use Drugs," IJERPH, MDPI, vol. 19(12), pages 1-19, June.
    16. Chunlan Wei & Yao Nengliang & Wang Yan & Fang Qiong & Changrong Yuan, 2017. "The patient–provider discordance in patients’ needs assessment: a qualitative study in breast cancer patients receiving oral chemotherapy," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(1-2), pages 125-132, January.
    17. Darrell J. Gaskin & Kevin D. Frick, 2008. "Race and Ethnic Disparities in Valuing Health," Medical Decision Making, , vol. 28(1), pages 12-20, January.
    18. Yoo, Hyung Chol & Gee, Gilbert C. & Takeuchi, David, 2009. "Discrimination and health among Asian American immigrants: Disentangling racial from language discrimination," Social Science & Medicine, Elsevier, vol. 68(4), pages 726-732, February.
    19. Naoru Koizumi & Aileen Rothbard & Tony Smith & Jeremy Mayer, 2011. "Communities of color? Client-to-client racial concordance in the selection of mental health programs for Caucasians and African Americans," Health Care Management Science, Springer, vol. 14(4), pages 314-323, November.
    20. Feagin, Joe & Bennefield, Zinobia, 2014. "Systemic racism and U.S. health care," Social Science & Medicine, Elsevier, vol. 103(C), pages 7-14.
    21. Glen J. Nowak & Michael A. Cacciatore & María E. Len-Ríos, 2018. "Understanding and Increasing Influenza Vaccination Acceptance: Insights from a 2016 National Survey of U.S. Adults," IJERPH, MDPI, vol. 15(4), pages 1-19, April.

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