Patient-Physician Racial Concordance and the Perceived Quality and Use of Health Care

TLDR

Patients from racial and ethnic minority groups use fewer health care services and are less satisfied with their care, a disparity partly attributable to racial or cultural differences between patients and physicians. The study aimed to determine whether racial concordance between patients and physicians influences patients’ satisfaction with and use of health care. Using data from the 1994 Commonwealth Fund Minority Health Survey, the authors examined the association between patient‑physician racial concordance and patients’ ratings of physicians, satisfaction, preventive care, and needed medical care among 2,201 white, black, and Hispanic respondents. Black patients with black physicians were more likely to rate their doctors as excellent and to receive preventive and needed care, while Hispanic patients with Hispanic physicians reported higher overall satisfaction, underscoring the importance of racial concordance and the need for cultural competence and careful consideration of affirmative action policies.

Abstract

<h3>Background</h3> 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. <h3>Objective</h3> To determine whether racial concordance between patients and physicians affects patients' satisfaction with and use of health care. <h3>Methods</h3> 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. <h3>Results</h3> 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% CI, 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). <h3>Conclusions</h3> Our findings confirm the importance of racial and cultural factors in the patient-physician relationship and reaffirm the role of black and Hispanic physicians in caring for black and Hispanic patients. Improving cultural competence among physicians may enhance the quality of health care for minority populations. In the meantime, by reducing the number of underrepresented minorities entering the US physician workforce, the reversal of affirmative action policies may adversely affect the delivery of health care to black and Hispanic Americans.