Faculty Articles

Title

The Impact of Patient-Provider Race/Ethnicity Concordance on Provider Visits: Updated Evidence from the Medical Expenditure Panel Survey.

Document Type

Article

Publication Date

10-2019

Publication Title

Journal of Racial and Ethnic Health Disparities

Volume

6

Issue/Number

5

First Page

1011

ISSN

2196-8837

Last Page

1020

Abstract/Excerpt

OBJECTIVE: To examine the association between race/ethnicity concordance and in-person provider visits following the implementation of the Affordable Care Act.

DESIGN: Using 2014-2015 data from the Medical Expenditure Panel Survey, we examine whether having a provider of the same race or ethnicity ("race/ethnicity concordance") affects the probability that an individual will visit a provider. Multivariate probit models are estimated to adjust for demographic, socioeconomic, and health factors.

RESULTS: Race/ethnicity concordance significantly increases the likelihood of seeking preventative care for Hispanic, African-American, and Asian patients relative to White patients (coef = 1.46, P < 0.001; coef = 0.71, P = 0.09; coef = 1.70, P < 0.001, respectively). Race/ethnicity concordance also increases the likelihood that Hispanic and Asian patients visit their provider for new health problems (coef = 2.14, P < 0.001 and coef = 1.49, P < 0.05, respectively). We find that race/ethnicity concordance is also associated with an increase in the likelihood that Hispanic and Asian patients continue to visit their provider for ongoing medical problems (Hispanic coef = 1.06, P < 0.001; Asian coef = 1.24, P < 0.05).

CONCLUSIONS: There is an association between race/ethnicity concordance and the likelihood of patients visiting their provider. Our results demonstrate that racial disparities in health care utilization may be partially explained by race/ethnicity concordance.

DOI

https://doi.org/10.1007/s40615-019-00602-y

PubMed ID

31236800

Peer Reviewed

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