Patient-Physician Racial Concordance Associated with Improved Healthcare Use and Lower Healthcare Expenditures in Minority Populations.

摘要: Racial concordance between patients and clinician has been linked to improved satisfaction patient outcomes. (1) To examine the likelihood of clinician-patient racial in non-Hispanic White, Black, Asian, Hispanic (2) evaluate impact patient-clinician race on healthcare use expenditures within each ethnic group. We analyzed data from 2010–2016 Medical Expenditure Panel Survey (MEPS). used bivariate multivariate models assess association emergency department (ED) use, hospitalizations, total expenses, controlling for socio-demographic factors, insurance coverage, health status, survey year fixed effects. Of 50,626 adults analysis sample, 32,350 had with their clinician. Among Asian patients, low income, less education, non-private were associated an increased concordance. Emergency was lower among Whites Hispanics concordant clinicians compared those without a discordant (15.6% vs. 17.3%, p = 0.02 12.9% 16.2%, p = 0.01 respectively). Total race-concordant than (14%, 34%, 20%, p < 0.001 These results add body evidence supporting hypothesis that contributes more effective therapeutic relationship healthcare. emphasize need medical education surrounding cultural humility importance diversifying workforce.