ArticleJournal of racial and ethnic health disparities2026
Patient-Physician Ethnic Concordance and its Impact on Care Continuity: First Evidence from Tibet.
Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundContinuity of care is crucial for improving health outcomes, yet its relationship with patient-physician ethnic concordance remains understudied, particularly in ethnic minority populations. This study provides the first evidence of this relationship in Tibet, a region with unique ethnic dynamics.
methodsWe conducted a retrospective cohort study analyzing 3,883,031 patient visits from 2021 to 2023 across three major Tibetan cities. Using de-identified reimbursement claims data, we categorized patient-physician interactions into four groups based on patient-physican ethnic concordance. The Bice-Boxerman Continuity of Care (COC) index was used to quantify care continuity.
resultsEthnic concordance between patients and physicians positively influenced care continuity (coefficient = 0.0114; 95% CI 0.0100 to 0.0128). Han patient-physician pairs demonstrated the highest continuity (COC = 0.7765). Tibetan patients experienced lower continuity overall, particularly when treated by Han physicians (COC = 0.7192). However, Tibetan patient-physician pairs showed improved continuity compared to Tibetan-Han pairs, highlighting the positive effect of ethnic concordance.
conclusionsThis first study in Tibet reveals that while patient-physician ethnic concordance is associated with improved care continuity, significant disparities persist for Tibetan patients. These findings emphasize the need for culturally competent healthcare policies, support for traditional medicine, improved healthcare access, and targeted interventions for minority groups. The results have potential implications for healthcare delivery in ethnically diverse regions worldwide, as they may help bridge gaps in care continuity, enhance health equity for ethnic minorities in demographically diverse nation.
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