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Is Patient-Provider Racial Concordance Associated with Hispanics’ Satisfaction with Health Care?

Charles M. Snipes School of Business and Economics, Lenoir-Rhyne University 625 7th Ave NE, Hickory, NC 28601, USA
Int. J. Environ. Res. Public Health 2019, 16(1), 31; https://doi.org/10.3390/ijerph16010031
Received: 23 October 2018 / Revised: 8 December 2018 / Accepted: 20 December 2018 / Published: 24 December 2018
(This article belongs to the Special Issue Health Care Equity)
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PDF [293 KB, uploaded 24 December 2018]

Abstract

This study adds a gender approach to determine how patient provider racial concordance and acculturation affect Hispanics’ satisfaction with care and inform more nuanced approaches to improving the quality of care for this population. Using the Medical Expenditure Panel Surveys (MEPS) from 2009–2011, four binary satisfaction outcome measures were created from the MEPS: “doctor showed respect”, “spent enough time”, “explained things in a way you could understand”, and “listened carefully”. Next, a Probit model was employed to estimate the impact of racial concordance and acculturation on the probability of being satisfied with provider care for both male and female Hispanics. For Hispanic women, no significant association was found for the relationship between patient-provider concordance and the overall satisfaction with their care. Hispanic men were found to be less likely to be satisfied with some aspects of their medical care when they were racially concordant with their provider. Overcoming assumptions about shared identity is a crucial step in providing culturally competent care for all patients. There is a need for additional considerations in medical training to help physicians connect with patients, regardless of any type of observable concordance. View Full-Text
Keywords: health care equity; disparities; policy; patient-provider concordance; acculturation health care equity; disparities; policy; patient-provider concordance; acculturation
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Oguz, T. Is Patient-Provider Racial Concordance Associated with Hispanics’ Satisfaction with Health Care? Int. J. Environ. Res. Public Health 2019, 16, 31.

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