Evidence map›Paper›PMID 39843675›Full record

Trial reportJournal of general internal medicine2025

Patient Perceptions of Provider Race Concordance and Quality of Chronic Illness Care.

Benjamin Grant, Orysya Soroka, Elizabeth Baquero, Joanna Bryan Ringel, Andrea Cherrington, Doyle M Cummings, Jacqueline R Halladay, Arvind Rajan, Monika M Safford

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

9 authors.

Benjamin GrantWeill Cornell Medical College, Weill Cornell Division of General Internal Medicine, New York, NY, USA.
Orysya SorokaWeill Cornell Medical College, Weill Cornell Division of General Internal Medicine, New York, NY, USA.
Elizabeth BaqueroWeill Cornell Medical College, Weill Cornell Division of General Internal Medicine, New York, NY, USA.
Joanna Bryan RingelWeill Cornell Medical College, Weill Cornell Division of General Internal Medicine, New York, NY, USA.
Andrea CherringtonThe University of Alabama at Birmingham, Birmingham, AL, USA.
Doyle M CummingsEast Carolina University, Greenville, NC, USA.
Jacqueline R HalladayThe University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Arvind RajanThe University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Monika M SaffordWeill Cornell Medical College, Weill Cornell Division of General Internal Medicine, New York, NY, USA. mms9024@med.cornell.edu.ORCID 0000-0002-3060-0563

Funding

Collaboration to Improve Blood Pressure in the US Black Belt- Addressing the Triple ThreatUH3HL130691 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CHERRINGTON, ANDREA L, SAFFORD, MONIKA M · 2016 to 2020
$8.4M
Collaboration to Improve Blood Pressure in the US Black Belt- Addressing the Triple ThreatUH2HL130691 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CHERRINGTON, ANDREA L, SAFFORD, MONIKA M · 2015 to 2015
$834k
NHLBI Division of Intramural Research HL130691NHLBI NIH HHS UH2 HL130691NHLBI NIH HHS UH3 HL130691Weill Cornell Medicine 87001110
6 · The paper itself

Abstract

backgroundBlack people are more likely to have hypertension and report lower quality of care than White people. Patient-provider race concordance could improve perceived quality of care, potentially lessening disparities.

objectiveInvestigate the association between patient-provider race concordance and patient-perceived quality of chronic disease care, as measured by the Patient Assessment of Chronic Illness Care (PACIC) scale.

designCross-sectional analysis of baseline data from a randomized trial with Black patients with persistently uncontrolled hypertension.

settingParticipants received care at one of 69 rural primary care practices in Alabama and North Carolina.

participantsThree hundred and ninety-one Black patients with persistently uncontrolled hypertension enrolled in the Southeastern Collaboration to Improve Blood Pressure Control (SEC) trial. MAIN MEASURE: PACIC overall scores and subscale scores (patient activation, delivery system, goal setting, problem solving, follow-up).

resultsOf 1592 patients enrolled in the SEC trial, 391 participants self-reported race concordance data and completed the PACIC. Most participants were age < 60 (52.4%), 65.2% identified as women, and 50.1% were beneficiaries of either Medicare or Medicaid. Those with patient-provider race concordance reported higher overall PACIC scores (58.8% vs 46.1%, p < 0.05), with higher sub-scores of goal setting (60.9% vs 46.8%, p < 0.05) and problem-solving (62.7% vs 48.0%, p < 0.05) compared to those without race concordance. Poisson regression models of participants age ≥ 60 years demonstrated that those with race concordance were more likely to have higher overall PACIC scores (RR 1.53, 95% CI 1.17-2.0, p = 0.002), goal-setting subscale scores (RR 1.63, 95% CI 1.24-2.15, p = 0.0005), and problem-solving subscale scores (RR 1.66, 95% CI 1.29-2.14, p < 0.0001). Those < 60 years of age had no significant findings comparing those with and without race concordance.

conclusionsOlder Black patients perceived greater quality of care if their providers were also Black.

Indexed as

Black or African AmericanHypertensionPatient SatisfactionPhysician-Patient RelationsQuality of Health CareAdultAgedChronic DiseaseCross-Sectional StudiesFemaleHumansMaleMiddle AgedNorth CarolinaPrimary Health Carechronic illnessconcordancediscordancehypertensionrace

Identifiers

PMID39843675
PMCPMC12344043

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.