医患种族匹配可降低患者死亡率。

IF 3.4 2区 经济学 Q1 ECONOMICS Journal of Health Economics Pub Date : 2023-10-04 DOI:10.1016/j.jhealeco.2023.102821
Andrew J. Hill , Daniel B. Jones , Lindsey Woodworth
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引用次数: 11

摘要

本文评估了医患种族匹配,特别是黑人患者与黑人医生配对对患者死亡率的影响。我们利用佛罗里达州的行政数据,将2011年年中至2014年的医院遭遇与佛罗里达州医生劳动力调查的信息联系起来。针对有条件随机分配给医生的未参保非计划入院患者,我们发现黑人患者的医患种族匹配将院内死亡率降低了0.28个百分点,相对于总死亡率降低了27%。依赖于工具变量的另一种识别策略提供了类似的发现。
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Physician-patient race-match reduces patient mortality

This paper assesses the impacts of physician-patient race-match, especially Black patients paired with Black physicians, on patient mortality. We draw on administrative data from Florida, linking hospital encounters from mid-2011 through 2014 to information from the Florida Physician Workforce Survey. Focusing on uninsured patients experiencing unscheduled hospital admissions who are conditionally randomly assigned to physicians, we find that physician-patient race-match for Black patients reduces the likelihood of within-hospital mortality by 0.28 percentage points, a 27 % reduction relative to the overall mortality rate. An alternative identification strategy relying on instrumental variables provides a similar finding.

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来源期刊
Journal of Health Economics
Journal of Health Economics 医学-卫生保健
CiteScore
6.10
自引率
2.90%
发文量
96
审稿时长
49 days
期刊介绍: This journal seeks articles related to the economics of health and medical care. Its scope will include the following topics: Production and supply of health services; Demand and utilization of health services; Financing of health services; Determinants of health, including investments in health and risky health behaviors; Economic consequences of ill-health; Behavioral models of demanders, suppliers and other health care agencies; Evaluation of policy interventions that yield economic insights; Efficiency and distributional aspects of health policy; and such other topics as the Editors may deem appropriate.
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