Evidence map›Paper›PMID 15040440›Full record

ArticleAnnals of family medicine

Patient-provider racial and ethnic concordance and parent reports of the primary care experiences of children.

Gregory D Stevens, Leiyu Shi, Lisa A Cooper

Abstract readComparative Study
In one paragraph

Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

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  18. Medical home disparities for Latino children by parental language of interview.Journal of health care for the poor and underserved · 2011
    Article
  19. Article
  20. Designing computerized decision support that works for clinicians and families.Current problems in pediatric and adolescent health care · 2011
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Gregory D StevensCenter for Healthier Children, Families and Communities, University of California, Los Angeles, Calif 90095-6939, USA. gregory@ucla.edu
Leiyu Shi
Lisa A Cooper

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStudies among adults suggest that patient-provider racial concordance is associated with higher satisfaction and partnership with physicians. It remains unknown whether similar findings are true for children. This study examines the association of race/ethnicity concordance with parent reports of children's primary care experiences.

methodsWe completed telephone interviews with a random, cross-sectional sample of 413 parents of elementary school children, aged 5 to 12 years, enrolled in a single large school district serving 3 cities in San Bernardino, Calif. Parents reported on their children's primary care experiences, and the responses were compared between children in race concordant and discordant patient-provider relationships.

resultsWe assessed parent reports of 6 structure and process features of primary care: first-contact care (accessibility, utilization), longitudinality (strength of affiliation, interpersonal relationship), and comprehensiveness (services offered, received). Before and after controlling for demographics, socioeconomic status, and health system factors, race/ethnicity concordance was not associated with children's primary care experiences. Minority parents generally reported poorer experiences than whites in several domains of primary care, but the only significant effect of race/ethnicity concordance was slightly better primary care utilization for whites in concordant relationships, which did not hold after adjustment.

conclusionIn contrast with studies among adults, patient-provider race/ethnicity concordance was not associated with parent reports of primary care experiences in our sample of children. It is possible that provider biases or patient expectations that contribute to disparities in care for adults are attenuated in relationships involving children.

Indexed as

ParentsPhysician-Patient RelationsPrimary Health CareAsianAttitude to HealthBlack or African AmericanCaliforniaChildChild, PreschoolChild WelfareCross-Sectional StudiesEthnicityFamily HealthFemaleHispanic or LatinoHumans

Identifiers

PMID15040440
PMCPMC1466577

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.