ArticleEthnicity & health2009
Patient-provider race-concordance: does it matter in improving minority patients' health outcomes?
Article in Ethnicity & health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 114 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
114 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Exploring the role of racial/ethnic patient-physician concordance in optimizing health and patient outcomes among black populations in the United States: an integrative systematic review.Frontiers in public health · 2026Pooled it
- Substance use disorder, the workforce, and treatment quality for minoritized populations: a systematic review.Substance abuse treatment, prevention, and policy · 2025Pooled it
- Addressing the nephrology workforce shortage via a novel undergraduate pipeline program: the Kidney Disease Screening and Awareness Program (KDSAP) at 10 years.Kidney international · 2021Guideline
- The Effects of Race and Racial Concordance on Patient-Physician Communication: A Systematic Review of the Literature.Journal of racial and ethnic health disparities · 2018Pooled it
- Palliative Care Interventions for Patients with Heart Failure: A Systematic Review and Meta-Analysis.Journal of palliative medicine · 2017Pooled it
- Are cancer-related decision aids appropriate for socially disadvantaged patients? A systematic review of US randomized controlled trials.BMC medical informatics and decision making · 2016Pooled it
- Do community health worker interventions improve rates of screening mammography in the United States? A systematic review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2011Pooled it
- Clinician-Patient Racial/Ethnic Concordance Influences Racial/Ethnic Minority Pain: Evidence from Simulated Clinical Interactions.Pain medicine (Malden, Mass.) · 2020Trial
- Trial
- Finding Common Ground: Can Provider-Patient Race Concordance and Self-disclosure Bolster Patient Trust, Perceptions, and Intentions?Journal of racial and ethnic health disparities · 2019Trial
- The effect of patient-provider communication on medication adherence in hypertensive black patients: does race concordance matter?Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2012Trial
- A Review of Reviews Assessing Patient-Provider Racial and Ethnic Concordance in Mental Health.Journal of racial and ethnic health disparities · 2026Review
- Healthcare Staff Perspectives and Experiences of Racism's Impact on Care for Hospitalized Black Adults: A Qualitative Study.Journal of general internal medicine · 2026Article
- The Impact of Race and Physician-Patient Racial Concordance on the Incidence of Inpatient Advance Care Planning.Journal of general internal medicine · 2026Observational
- Risk factors of genito-pelvic pain/penetration disorder among Black women in the United States: A conceptual review.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026Review
- Who Is That Cardiology Fellow? A Cluster Trial Examining the Impact of Cardiology Fellows' Biographical Information on Patient Perceptions of Patient-Centered Care.Journal of the American Heart Association · 2025Article
- The Effect of Provider Diversity on Racial Health Disparities: Evidence from the Military.The Review of economic studies · 2025Article
- Patient-Provider Race Concordance and Primary Care Suicide Risk Screening in the Veterans Health Administration.Health services research · 2025Article
- Understanding Racial Disparities in Prostate Cancer: A Multifaceted Approach.Cancer medicine · 2025Review
- Female representation in the Canadian physician anesthesia workforce: a historical analysis.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025Article
54 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectiveTo understand if patient-provider race-concordance is associated with improved health outcomes for minorities.
designA comprehensive review of published research literature (1980-2008) using MEDLINE, HealthSTAR, and CINAHL databases were conducted. Studies were included if they had at least one research question examining the effect of patient-provider race-concordance on minority patients' health outcomes and pertained to minorities in the USA. The database search and data analysis were each independently conducted by two authors. The review was limited to data analysis in tabular and text format. A meta-analysis was not possible due to the discrepancy in methods and outcomes across studies.
resultsTwenty-seven studies met the inclusion criteria. Combined, the studies were based on data from 56,276 patients and only 1,756 providers. Whites/Caucasians (37.6%) and Blacks/African Americans (31.5%), followed by Hispanics/Latinos (13.3%), and Asians/Pacific Islanders (4.3%) comprised the majority of the patient sample. The median sample of providers was only 16 for African Americans, 10 for Asians and two for Hispanics. The review presented mixed results. Of the 27 studies, patient-provider race-concordance was associated with positive health outcomes for minorities in only nine studies (33%), while eight studies (30%) found no association of race-concordance with the outcomes studied and 10 (37%) presented mixed findings. Analysis suggested that having a provider of same race did not improve 'receipt of services' for minorities. No clear pattern of findings emerged in the domains of healthcare utilization, patient-provider communication, preference, satisfaction, or perception of respect.
conclusionsThere is inconclusive evidence to support that patient-provider race-concordance is associated with positive health outcomes for minorities. Studies were limited to four racial/ethnic groups and generally employed small samples of minorities. Further research is needed to understand what health outcomes may be more sensitive to cultural proximity between patients and providers, and what patient, provider and setting-level variables may moderate or mediate these outcomes.
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Registered trials
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.