SynthesisJournal of racial and ethnic health disparities2018
The Effects of Race and Racial Concordance on Patient-Physician Communication: A Systematic Review of the Literature.
Synthesis in Journal of racial and ethnic health disparities, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 490 papers, 4 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
490 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Systems Factors Contributing to Racial/Ethnic Disparities in Maternal Health: A Systematic Review.Journal of racial and ethnic health disparities · 2026Pooled it
- Healthcare experiences of refugees and asylum-seekers resettled in non-metropolitan high-income settings: a systematic review and thematic synthesis of qualitative evidence.International journal for equity in health · 2026Pooled 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
- Differential attainment within medical education: a systematic review.BMC medical education · 2025Pooled it
- COVID-19 Prevention Behaviors and Mistrust Among Black and Latino Public Housing Residents in NYC.Health education & behavior : the official publication of the Society for Public Health Education · 2026Trial
- Trial
- Improving cancer clinical trial enrollment and patient understanding using TrialTalk, a structured communication method: a pilot randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Trial
- Effects of Implicit Racial Bias and Standardized Patient Race on Genetic Counseling Students' Patient-Centered Communication.Health communication · 2025Trial
- Social vulnerability and genetic service utilization among unaffected BRIDGE trial patients with inherited cancer susceptibility.BMC cancer · 2025Trial
- A randomized controlled trial of shared decision-making treatment planning process to enhance shared decision-making in patients with MBC.Breast cancer research and treatment · 2024Trial
- Seen and Heard: Gender Identity and Concordance Shapes Caregiver Experiences in Pediatric Orthopaedics.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- A Review of Reviews Assessing Patient-Provider Racial and Ethnic Concordance in Mental Health.Journal of racial and ethnic health disparities · 2026Review
- Involving a black woman patient and public involvement group in maternal health methodology research: learning from the PROMISE Study.Research involvement and engagement · 2026Article
- Pediatrician Preparedness and Referrals to Resources for Children in Immigrant Families.Academic pediatrics · 2026Article
- The Impact of Federally Funded Home Visiting Programs on Parental Mental Health: a Systematic Review.Prevention science : the official journal of the Society for Prevention Research · 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
- Defining and Assessing Empathic Communication in Patient Portal Secure Messages: Adapted Coding Framework Development Study.JMIR formative research · 2026Article
- Diversity, equity, and inclusion considerations for anti-racist, equity-focused NICU family mental health.Journal of perinatology : official journal of the California Perinatal Association · 2026Review
- Scaling the collaborative care model in obstetrics: Multilevel determinants to guide implementation.Pregnancy (Hoboken, N.J.) · 2026Article
430 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
7 authors.
Funding
Abstract
objectiveRacial disparities exist in health care, even when controlling for relevant sociodemographic variables. Recent data suggest disparities in patient-physician communication may also contribute to racial disparities in health care. This study aimed to systematically review studies examining the effect of black race and racial concordance on patient-physician communication.
methodsA comprehensive search using the PRISMA guidelines was conducted across seven online databases between 1995 and 2016. The search resulted in 4672 records for review and 40 articles for final inclusion in the review. Studies were included when the sample consisted of black patients in healthcare contexts and the communication measure was observational or patient-reported. Data were extracted by pairs of authors who independently coded articles and reconciled discrepancies. Results were synthesized according to predictor (race or racial concordance) and communication domain.
resultsStudies were heterogeneous in health contexts and communication measures. Results indicated that black patients consistently experienced poorer communication quality, information-giving, patient participation, and participatory decision-making than white patients. Results were mixed for satisfaction, partnership building, length of visit, and talk-time ratio. Racial concordance was more clearly associated with better communication across all domains except quality, for which there was no effect.
conclusionsDespite mixed results due to measurement heterogeneity, results of the present review highlight the importance of training physicians and patients to engage in higher quality communication with black and racially discordant patients by focusing on improving patient-centeredness, information-giving, partnership building, and patient engagement in communication processes.
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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.