{"title":"Patient-Physician Race Concordance, Physician Decisions, and Patient Outcomes","authors":"Han Ye, Junjian Yi","doi":"10.1162/rest_a_01236","DOIUrl":null,"url":null,"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.","PeriodicalId":48456,"journal":{"name":"Review of Economics and Statistics","volume":"105 1","pages":"766-779"},"PeriodicalIF":7.6000,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Review of Economics and Statistics","FirstCategoryId":"96","ListUrlMain":"https://doi.org/10.1162/rest_a_01236","RegionNum":1,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ECONOMICS","Score":null,"Total":0}
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.
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.