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Physician–patient racial concordance and disparities in birthing mortality for newborns

Author

Listed:
  • Brad N. Greenwood

    (School of Business, George Mason University, Fairfax, VA 22030)

  • Rachel R. Hardeman

    (School of Public Health, University of Minnesota–Twin Cities, Minneapolis, MN 55455)

  • Laura Huang

    (Harvard Business School, Harvard University, Boston, MA 02163)

  • Aaron Sojourner

    (Carlson School of Management, University of Minnesota–Twin Cities, Minneapolis, MN 55455)

Abstract

Recent work has emphasized the benefits of patient–physician concordance on clinical care outcomes for underrepresented minorities, arguing it can ameliorate outgroup biases, boost communication, and increase trust. We explore concordance in a setting where racial disparities are particularly severe: childbirth. In the United States, Black newborns die at three times the rate of White newborns. Results examining 1.8 million hospital births in the state of Florida between 1992 and 2015 suggest that newborn–physician racial concordance is associated with a significant improvement in mortality for Black infants. Results further suggest that these benefits manifest during more challenging births and in hospitals that deliver more Black babies. We find no significant improvement in maternal mortality when birthing mothers share race with their physician.

Suggested Citation

  • 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.
    • Handle: RePEc:nas:journl:v:117:y:2020:p:21194-21200
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    Citations

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    Cited by:

    1. Kirksey, Kristen, 2021. "A social history of racial disparities in breastfeeding in the United States," Social Science & Medicine, Elsevier, vol. 289(C).
    2. Anderson, Ashley, 2023. "“Messengers matter”: Assessing the impact of racially concordant care on vaccine hesitation," Social Science & Medicine, Elsevier, vol. 338(C).
    3. OjiNjideka Hemphill, Nefertiti & Crooks, Natasha & Zhang, Wenqiong & Fitter, Fareeha & Erbe, Katherine & Rutherford, Julienne N. & Liese, Kylea L. & Pearson, Pamela & Stewart, Karie & Kessee, Nicollet, 2023. "Obstetric experiences of young black mothers: An intersectional perspective," Social Science & Medicine, Elsevier, vol. 317(C).
    4. Armand, Alex & Augsburg, Britta & Bancalari, Antonella & Kameshwara, Kalyan Kumar, 2024. "Religious proximity and misinformation: Experimental evidence from a mobile phone-based campaign in India," Journal of Health Economics, Elsevier, vol. 96(C).
    5. Awaworyi Churchill, Sefa & Smyth, Russell, 2022. "Local area crime and energy poverty," Energy Economics, Elsevier, vol. 114(C).
    6. Hill, Andrew J. & Jones, Daniel B. & Woodworth, Lindsey, 2023. "Physician-patient race-match reduces patient mortality," Journal of Health Economics, Elsevier, vol. 92(C).

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