Patient-Physician Race Concordance, Physician Decisions, and Patient Outcomes

IF 7.6 1区 经济学 Q1 ECONOMICS Review of Economics and Statistics Pub Date : 2022-07-25 DOI:10.1162/rest_a_01236
Han Ye, Junjian Yi
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引用次数: 2

Abstract

Abstract Using administrative data from a large and diverse emergency department (ED), we examine the impact of race concordance between patients and physicians on physician decision-making and patient health outcomes. We find that patient-physician race concordance increases consultation time and decreases the probability of inpatient admission and diagnostic testing. Subsequently, race-concordant patients have lower revisit rates after ED discharge. The effect of race concordance is largely driven by patients who had less serious illnesses and whose diseases had nonspecific symptoms or less clear causes. The results are best explained by the informational and communication mechanism.
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患者-医生种族一致性、医生决策和患者结果
摘要利用来自大型和多样化急诊科(ED)的管理数据,我们研究了患者和医生之间的种族一致性对医生决策和患者健康结果的影响。我们发现,医患种族一致性增加了咨询时间,降低了住院和诊断测试的概率。随后,种族一致的患者在ED出院后的再次就诊率较低。种族一致性的影响很大程度上是由那些疾病不太严重、疾病有非特异性症状或原因不太明确的患者引起的。信息和沟通机制可以很好地解释结果。
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来源期刊
CiteScore
8.50
自引率
0.00%
发文量
175
期刊介绍: The Review of Economics and Statistics is a 100-year-old general journal of applied (especially quantitative) economics. Edited at the Harvard Kennedy School, the Review has published some of the most important articles in empirical economics.
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