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Mediators of discrimination in primary care appointment access

Author

Listed:
  • Wisniewski, Janna
  • Walker, Brigham
  • Tinkler, Sarah
  • Stano, Miron
  • Sharma, Rajiv

Abstract

We examine how differences in questions asked and information provided by physicians’ offices contribute to differences in new-patient appointment offers. Data is from a 2013–16 field experiment involving calls to a random sample of US primary care physicians on behalf of simulated new patients differentiated by race/ethnicity (Black, Hispanic, White), sex, and insurance. We find that the rates and stated reasons for denial of appointment offers differ substantially across patient groups.

Suggested Citation

  • Wisniewski, Janna & Walker, Brigham & Tinkler, Sarah & Stano, Miron & Sharma, Rajiv, 2021. "Mediators of discrimination in primary care appointment access," Economics Letters, Elsevier, vol. 200(C).
    • Handle: RePEc:eee:ecolet:v:200:y:2021:i:c:s0165176521000215
    DOI: 10.1016/j.econlet.2021.109744
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    References listed on IDEAS

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    1. Becker, Gary S., 1971. "The Economics of Discrimination," University of Chicago Press Economics Books, University of Chicago Press, edition 2, number 9780226041162.
    2. Marianne Bertrand & Sendhil Mullainathan, 2004. "Are Emily and Greg More Employable Than Lakisha and Jamal? A Field Experiment on Labor Market Discrimination," American Economic Review, American Economic Association, vol. 94(4), pages 991-1013, September.
    3. Sharma, Rajiv & Mitra, Arnab & Stano, Miron, 2015. "Insurance, race/ethnicity, and sex in the search for a new physician," Economics Letters, Elsevier, vol. 137(C), pages 150-153.
    4. Neilson, William & Ying, Shanshan, 2016. "From taste-based to statistical discrimination," Journal of Economic Behavior & Organization, Elsevier, vol. 129(C), pages 116-128.
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    Citations

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    Cited by:

    1. Walker, Brigham & Wisniewski, Janna & Tinkler, Sarah & Torres, Jillian & Sharma, Rajiv, 2024. "Identity and access: Gender-based preferences and physician availability in primary care," Journal of Economic Behavior & Organization, Elsevier, vol. 224(C), pages 1022-1036.
    2. Sylvain Chareyron & Yannick L’Horty & Pascale Petit, 2023. "Cream skimming and discrimination in access to medical care: A field experiment," Health Economics, John Wiley & Sons, Ltd., vol. 32(8), pages 1868-1883, August.

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    More about this item

    Keywords

    Field experiment; Healthcare disparities; Statistical discrimination; Medicaid;
    All these keywords.

    JEL classification:

    • C9 - Mathematical and Quantitative Methods - - Design of Experiments
    • I1 - Health, Education, and Welfare - - Health

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