Patients from racial and ethnic minority groups use fewer health care services and are less satisfied with their care than patients from the majority white population.
These disparities may be attributable in part to racial or cultural differences between patients and their physicians.
To determine whether racial concordance between patients and physicians affects patients'satisfaction with and use of health care.
We analyzed data from the 1994 Commonwealth Fund's Minority Health Survey, a nationwide, telephone survey of noninstitutionalized adults.
For the 2201 white, black, and Hispanic respondents who reported having a regular physician, we examined the association between patient-physician racial concordance and patients'ratings of their physicians, satisfaction with health care, reported receipt of preventive care, and reported receipt of needed medical care.
Black respondents with black physicians were more likely than those with nonblack physicians to rate their physicians as excellent (adjusted odds ratio [OR], 2.40 ; 95% confidence interval [CI], 1.55-3.72) and to report receiving preventive care (adjusted OR, 1.74 ; 95% CI, 1.01-2.98) and all needed medical care (adjusted OR, 2.94 ; 95% Cl, 1.10-7.87) during the previous year.
Hispanics with Hispanic physicians were more likely than those with non-Hispanic physicians to be very satisfied with their health care overall (adjusted OR, 1.74 ; 95% CI, 1.01-2.99). (...)
Mots-clés Pascal : Relation médecin malade, Race, Concordance, Ethnie, Qualité, Satisfaction, Soin santé primaire, Influence, Homme
Mots-clés Pascal anglais : Physician patient relation, Race, Concordance, Ethnic group, Quality, Satisfaction, Primary health care, Influence, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0275697
Code Inist : 002B30A03B. Création : 16/11/1999.