title: Is doctor-patient race concordance associated with greater satisfaction with care?
abstract: We examined a national sample of African American, white, Hispanic, and Asian American respondents to test the hypothesis that doctor-patient race concordance is predictive of patient satisfaction. Our analysis examined racial/ethnic differences in patient satisfaction among patients in multiple combinations of doctor-patient race/ethnicity pairs. Additionally, we outline the determinants of doctor-patient race concordance. The analysis used the 1994 Commonwealth Fund Minority Health Survey to construct a series of multivariate models. We found that for respondents in each race/ethnic group, patients who had a choice in the selection of their physician were more likely to be race concordant. Whites were more likely to be race concordant with their physician compared to African American, Hispanic, and Asian American respondents. Among each race/ethnic group, respondents who were race concordant reported greater satisfaction with their physician compared with respondents who were not race concordant. These findings suggest support for the continuation of efforts to increase the number of minority physicians, while placing greater emphasis on improving the ability of physicians to interact with patients who are not of their own race.
authors.affiliation: Johns Hopkins University, Bloomberg School of Public Health, Department of Health Policy and Management, 624 North Broadway, Room 441, Baltimore, Maryland 21205, USA. tlaveist@jhsph.edu
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Laveist
authors.forename: Amani
authors.initials: A
authors.lastname: Nuru-Jeter
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology; D000368:Aged; D000369:Aged, 80 and over; D001213:Asian / Q000523:psychology; D018864:Cultural Diversity; D005006:Ethnicity / Q000145:classification / Q000523:psychology*; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction / Q000208:ethnology*; D010817:Physician-Patient Relations; D014481:United States; D044465:White People / Q000523:psychology