IDEAS home Printed from https://ideas.repec.org/a/eee/jhecon/v92y2023ics016762962300098x.html
   My bibliography  Save this article

Physician-patient race-match reduces patient mortality

Author

Listed:
  • Hill, Andrew J.
  • Jones, Daniel B.
  • Woodworth, Lindsey

Abstract

This paper assesses the impacts of physician-patient race-match, especially Black patients paired with Black physicians, on patient mortality. We draw on administrative data from Florida, linking hospital encounters from mid-2011 through 2014 to information from the Florida Physician Workforce Survey. Focusing on uninsured patients experiencing unscheduled hospital admissions who are conditionally randomly assigned to physicians, we find that physician-patient race-match for Black patients reduces the likelihood of within-hospital mortality by 0.28 percentage points, a 27 % reduction relative to the overall mortality rate. An alternative identification strategy relying on instrumental variables provides a similar finding.

Suggested Citation

  • Hill, Andrew J. & Jones, Daniel B. & Woodworth, Lindsey, 2023. "Physician-patient race-match reduces patient mortality," Journal of Health Economics, Elsevier, vol. 92(C).
  • Handle: RePEc:eee:jhecon:v:92:y:2023:i:c:s016762962300098x
    DOI: 10.1016/j.jhealeco.2023.102821
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S016762962300098X
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.jhealeco.2023.102821?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Woodworth, Lindsey, 2020. "Swamped: Emergency Department Crowding and Patient Mortality," Journal of Health Economics, Elsevier, vol. 70(C).
    2. Han Ye & Junjian Yi, 2023. "Patient-Physician Race Concordance, Physician Decisions, and Patient Outcomes," The Review of Economics and Statistics, MIT Press, vol. 105(4), pages 766-779, July.
    3. David Card & Carlos Dobkin & Nicole Maestas, 2009. "Does Medicare Save Lives?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(2), pages 597-636.
    4. Shari Eli & Trevon D. Logan & Boriana Miloucheva, 2019. "Physician Bias and Racial Disparities in Health: Evidence from Veterans' Pensions," NBER Working Papers 25846, National Bureau of Economic Research, Inc.
    5. Amitabh Chandra & Jonathan Skinner, 2003. "Geography and Racial Health Disparities," NBER Working Papers 9513, National Bureau of Economic Research, Inc.
    6. Marcella Alsan & Owen Garrick & Grant Graziani, 2019. "Does Diversity Matter for Health? Experimental Evidence from Oakland," American Economic Review, American Economic Association, vol. 109(12), pages 4071-4111, December.
    7. Hagiwara, Nao & Penner, Louis A. & Gonzalez, Richard & Eggly, Susan & Dovidio, John F. & Gaertner, Samuel L. & West, Tessa & Albrecht, Terrance L., 2013. "Racial attitudes, physician–patient talk time ratio, and adherence in racially discordant medical interactions," Social Science & Medicine, Elsevier, vol. 87(C), pages 123-131.
    8. Brad N. Greenwood & Rachel R. Hardeman & Laura Huang & Aaron Sojourner, 2020. "Physician–patient racial concordance and disparities in birthing mortality for newborns," Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, vol. 117(35), pages 21194-21200, August.
    9. Michael D. Frakes & Jonathan Gruber, 2022. "Racial Concordance and the Quality of Medical Care: Evidence from the Military," NBER Working Papers 30767, National Bureau of Economic Research, Inc.
    10. Darren Grant, 2000. "Race and cesarean delivery in Florida," The Review of Black Political Economy, Springer;National Economic Association, vol. 28(1), pages 37-47, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Nicole Black & Johannes S. Kunz, 2024. "The Intergenerational Effects of Language Proficiency on Child Health Outcomes: Evidence from Survey- and Census-matched Health Care Records," Papers 2024-11, Centre for Health Economics, Monash University.
    2. Gerald J. Pruckner & Flora Stiftinger & Katrin Zocher, 2024. "When women take over: Physician gender and health care provision," Economics working papers 2024-04, Department of Economics, Johannes Kepler University Linz, Austria.
    3. Francetic, I.; & Meacock, R.; & Siciliani, L.; & Sutton, M.;, 2024. "Disorderly queues: How does unexpected demand affect queue prioritisation in emergency care?," Health, Econometrics and Data Group (HEDG) Working Papers 24/14, HEDG, c/o Department of Economics, University of York.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Anderson, Ashley, 2023. "“Messengers matter”: Assessing the impact of racially concordant care on vaccine hesitation," Social Science & Medicine, Elsevier, vol. 338(C).
    2. Francisco Gallego & Philip Oreopoulos & Noah Spencer, 2023. "The Importance of a Helping Hand in Education and in Life," Documentos de Trabajo 575, Instituto de Economia. Pontificia Universidad Católica de Chile..
    3. Louis, Kengthsagn & Crum, Alia J. & Markus, Hazel R., 2023. "Negative consequences of self-presentation on disclosure of health information: A catch-22 for Black patients?," Social Science & Medicine, Elsevier, vol. 316(C).
    4. Charles Courtemanche & James Marton & Benjamin Ukert & Aaron Yelowitz & Daniela Zapata, 2018. "Early Effects of the Affordable Care Act on Health Care Access, Risky Health Behaviors, and Self‐Assessed Health," Southern Economic Journal, John Wiley & Sons, vol. 84(3), pages 660-691, January.
    5. Marianne P. Bitler & Christopher S. Carpenter & Danea Horn, 2021. "Effects of the Colorectal Cancer Control Program," Health Economics, John Wiley & Sons, Ltd., vol. 30(11), pages 2667-2685, November.
    6. Nicolas Moreau & Elena Stancanelli, 2015. "Household Consumption at Retirement : A Regression Discontinuity Study on French Data," Annals of Economics and Statistics, GENES, issue 117-118, pages 253-276.
    7. Mariacristina De Nardi & Eric French & John Bailey Jones, 2016. "Medicaid Insurance in Old Age," American Economic Review, American Economic Association, vol. 106(11), pages 3480-3520, November.
    8. Giesecke, Matthias & Jäger, Philipp, 2021. "Pension incentives and labor supply: Evidence from the introduction of universal old-age assistance in the UK," Journal of Public Economics, Elsevier, vol. 203(C).
    9. Brilli, Ylenia & Lucifora, Claudio & Russo, Antonio & Tonello, Marco, 2020. "Vaccination take-up and health: Evidence from a flu vaccination program for the elderly," Journal of Economic Behavior & Organization, Elsevier, vol. 179(C), pages 323-341.
    10. Currie, Janet & Kurdyak, Paul & Zhang, Jonathan, 2024. "Socioeconomic status and access to mental health care: The case of psychiatric medications for children in Ontario Canada," Journal of Health Economics, Elsevier, vol. 93(C).
    11. Scott Baker, 2010. "Effects of Legal Status and Health Service Availability on Mortality," Discussion Papers 09-018, Stanford Institute for Economic Policy Research.
    12. McInnis, Nicardo, 2023. "Long-term health effects of childhood parental income," Social Science & Medicine, Elsevier, vol. 317(C).
    13. Diana Moreira & Santiago Pérez, 2022. "Who Benefits from Meritocracy?," NBER Working Papers 30113, National Bureau of Economic Research, Inc.
    14. Christelis, Dimitris & Georgarakos, Dimitris & Sanz-de-Galdeano, Anna, 2020. "The impact of health insurance on stockholding: A regression discontinuity approach," Journal of Health Economics, Elsevier, vol. 69(C).
    15. Marie, Olivier & Zwiers, Esmée, 2022. "Religious Barriers to Birth Control Access," CEPR Discussion Papers 17427, C.E.P.R. Discussion Papers.
    16. John Karl Scholz & Ananth Seshadri, 2013. "Health Insurance and Retirement Decisions," Working Papers wp292, University of Michigan, Michigan Retirement Research Center.
    17. Markus Eyting, 2022. "Why do we Discriminate? The Role of Motivated Reasoning," Working Papers 2208, Gutenberg School of Management and Economics, Johannes Gutenberg-Universität Mainz.
    18. Yana Gallen & Melanie Wasserman, 2021. "Informed Choices: Gender Gaps in Career Advice," Working Papers 2021-025, Human Capital and Economic Opportunity Working Group.
    19. Grant, Darren, 2022. "The “Quiet Revolution” and the cesarean section in the United States," Economics & Human Biology, Elsevier, vol. 47(C).
    20. Michael Gmeiner & Robert Gmeiner, 2022. "Regulation Enforcement," Journal of Labor Research, Springer, vol. 43(2), pages 163-202, June.

    More about this item

    Keywords

    Racial disparities; Hospitals; Health;
    All these keywords.

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • J15 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Minorities, Races, Indigenous Peoples, and Immigrants; Non-labor Discrimination

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:jhecon:v:92:y:2023:i:c:s016762962300098x. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/inca/505560 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.