Evidence map›Paper›PMID 33403653›Full record

ArticleJournal of racial and ethnic health disparities2022

Patient-Physician Racial Concordance Associated with Improved Healthcare Use and Lower Healthcare Expenditures in Minority Populations.

Anuradha Jetty, Yalda Jabbarpour, Jack Pollack, Ryan Huerto, Stephanie Woo, Stephen Petterson

Erratum issuedAbstract read
PubMed Publisher
In one paragraph

Article in Journal of racial and ethnic health disparities, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 153 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
153citing papers in PubMed, 2 pooled it
59.8field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

153 citing papers in PubMed, 2 syntheses or guidelines pooled it, 313 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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 · 2026
    Trial
  4. Trajectory of longitudinal lending discrimination modifies the efficacy of a skills-based intervention in stroke survivors.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2026
    Trial
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  8. Article
  9. Observational
  10. Article
  11. County-Level Analysis of the Health Impact of Black Physicians in Georgia.Journal of racial and ethnic health disparities · 2026
    Article
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  15. Article
  16. Article
  17. Article
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  19. Article
  20. Patient-Perceived Physician Bias in Hidradenitis Suppurativa (HS).Journal of racial and ethnic health disparities · 2026
    Article

93 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Anuradha JettyThe Robert Graham Center for Policy Studies in Family Medicine and Primary Care, Washington, DC, USA. ajetty@aafp.org.ORCID http://orcid.org/0000-0002-5347-3501
Yalda JabbarpourMedstar Hlth Spring Valley Prac, 4910 Massachusetts Ave Nw Ste 115, Washington, DC, USA.
Jack PollackThe Robert Graham Center for Policy Studies in Family Medicine and Primary Care, Washington, DC, USA.
Ryan HuertoInstitute for Healthcare Policy and Innovation, University of Michigan, 500 S State St, Ann Arbor, MI, USA.
Stephanie WooUniversity of California Merced, Merced, CA, USA.
Stephen PettersonRobert Graham Center, 1133 Connecticut Ave NW #1100, Washington, DC, USA.
Center For Policy Research · USMedStar Health · USUniversity of California, Merced · USUniversity of Michigan · USWashington Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRacial concordance between patients and clinician has been linked to improved satisfaction and patient outcomes.

objectives(1) To examine the likelihood of clinician-patient racial concordance in non-Hispanic White, non-Hispanic Black, Asian, and Hispanic patients and (2) to evaluate the impact of patient-clinician race concordance on healthcare use and expenditures within each racial ethnic group.

methodsWe analyzed data from the 2010-2016 Medical Expenditure Panel Survey (MEPS). We used bivariate and multivariate models to assess the association between patient-clinician race concordance and emergency department (ED) use, hospitalizations, and total healthcare expenses, controlling for patient socio-demographic factors, insurance coverage, health status, and survey year fixed effects.

resultsOf the 50,626 adults in the analysis sample, 32,350 had racial concordance with their clinician. Among Asian and Hispanic patients, low income, less education, and non-private insurance were associated with an increased likelihood of patient-clinician racial concordance. Emergency department use was lower among Whites and Hispanics with concordant clinicians compared to those without a discordant clinician (15.6% vs. 17.3%, p = 0.02 and 12.9% vs. 16.2%, p = 0.01 respectively). Total healthcare expenditures were lower among Black, Asian, and Hispanic patients with race-concordant clinicians than those with discordant clinicians (14%, 34%, and 20%, p < 0.001 respectively).

conclusionsThese results add to the body of evidence supporting the hypothesis that racial concordance contributes to a more effective therapeutic relationship and improved healthcare. These results emphasize the need for medical education surrounding cultural humility and the importance of diversifying the healthcare workforce.

Indexed as

Health ExpendituresPhysiciansAdultHealthcare DisparitiesHumansMinority GroupsPhysician-Patient RelationsUnited StatesWhite PeopleCommunicationCultural humilityHealthcare deliveryHealthcare utilizationMedical educationMinoritiesPatient-clinician race concordance

Identifiers

PMID33403653
OpenAlexW3120160276

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.