The predictors of patient-physician race and ethnic concordance: a medical facility fixed-effects approach.

ABSTRACT:

Objective

To examine the predictors of patient-physician race/ethnicity concordance among diabetes patients in an integrated delivery system.

Data source

Kaiser Permanente's Northern California Diabetes Registry of 2005.

Study design

Logistic regression predicted concordance for each racial/ethnic group. Availability of a concordant physician, whether a patient chose their physician, and patient language were main explanatory variables.

Data collection/extraction methods

The study population consisted of 109,745 patients and 1,750 physicians.

Principal findings

Patients who chose their physicians were more likely to have a same race/ethnicity physician with OR of 2.2 (95 percent CI 1.74-2.82) for African American patients, 1.71 (95 percent CI 1.44-2.04)

SUBMITTER: Traylor AH 

PROVIDER: S-EPMC2875760 | biostudies-literature | 2010 Jun

REPOSITORIES: biostudies-literature