ArticleInternational journal of health economics and management2022
Racial disparities in health care utilization, the affordable care act and racial concordance preference.
Article in International journal of health economics and management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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.
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.
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Who cites it
22 citing papers in PubMed.
- Diversity Among Academic Orthopaedic Surgery Sports Medicine Faculty Across US Residency Programs.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- "The community's memory is timeless": exploring cultural and community context to inform the public health response to the overdose crisis in black communities.Harm reduction journal · 2026Article
- Health Care Utilization and Patient-Provider Racial/Ethnic Concordance Among Asian American Subgroups.Journal of racial and ethnic health disparities · 2026Article
- Chains of Exchange: The Iterative Process of Resource-Health Conversion.Social theory & health : STH · 2026Article
- Patient Healthcare Seeking If There Were No Limits.Journal of the American Board of Family Medicine : JABFM · 2025Article
- Patient-Provider Race Concordance and Primary Care Suicide Risk Screening in the Veterans Health Administration.Health services research · 2025Article
- Black Birthing People's Perspectives on Racial Concordance With Obstetricians and Midwives.O&G open · 2025Article
- Possible Racial Disparities in the Diagnosis of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS).International journal of environmental research and public health · 2025Article
- Disparities in Musculoskeletal Oncology.Current reviews in musculoskeletal medicine · 2024Review
- Keeping Race and Diversity Relevant in Medical Education.Annals of the American Thoracic Society · 2024Article
- Assessing Electronic Health Records for Describing Racial and Ethnic Health Disparities: A Research Note.Demography · 2024Article
- Racial Concordance on Healthcare Use within Hispanic Population Subgroups.Journal of racial and ethnic health disparities · 2024Article
- The impact of COVID-19 on healthcare coverage and access in racial and ethnic minority populations in the United States.Geospatial health · 2023Article
- Inequities in routine preventive care utilization among persons with overweight/obesity in the United States: An analysis of nativity, racial and ethnic identity, and socioeconomic status.Dialogues in health · 2023Article
- Racial and Ethnic Inequities in Financial Hardship Among CVD Patients in the USA During the Pre- and Post-Affordable Care Act Era.Journal of racial and ethnic health disparities · 2023Article
- The Association of Racial and Ethnic Concordance in Primary Care with Patient Satisfaction and Experience of Care.Journal of general internal medicine · 2023Article
- Health Disparities in Kidney Failure Among Patients With Autosomal Dominant Polycystic Kidney Disease: A Cross-Sectional Study.Kidney medicine · 2023Article
- Racism is a motivator and a barrier for people of color aspiring to become midwives in the United States.Health services research · 2023Article
- The impact of Medicaid funding structures on inequities in health care access for Latinos in New York, Florida, and Puerto Rico.Health services research · 2022Article
- The healthcare buffet: preferences in the clinical decision-making process for patients with musculoskeletal pain.The Journal of manual & manipulative therapy · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Affordable Care Act was implemented with the aim of increasing coverage and affordable access with hopes of improving health outcomes and reducing costs. Yet, disparities persist. Coverage and affordable access alone cannot explain the health care gap between racial/ethnic minorities and white patients. Instead, the focus has turned to other factors affecting utilization rates such as the patient-provider relationship. Data from nationally represented U.S. households in 2009-2017 were used to study the association between patient-provider social distance as measured by "racial/ethnic concordance" and health care utilization rates for periods covering pre- and post-ACA. Despite the reduction in financial barriers to health access with the implementation of the ACA, the correlation between racial/ethnic concordance and utilization remains positive and significant. The results suggest that while the ACA may have improved coverage and affordability, other dimensions of access, particularly acceptability, as measured by patient-provider clinical interaction experience, remains a factor in the decision to utilize care.
Indexed as
Identifiers
34427837What OpenQuestion holds
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.