提供者多样性对种族健康差距的影响: 来自军队的证据
The Effect of Provider Diversity on Racial Health Disparities: Evidence from the Military
Review of Economic Studies · 2025 · [{"name": "Michael A. Frakes", "affiliation": ["Duke Energy (United States)"]}, {"name": "Jonathan Gruber", "affiliation": ["Moscow Institute of Thermal Technology"]}]
中文摘要
我们评估了医疗服务提供者的种族多样性与预防性护理使用及患者结局中的种族健康差距之间的关系。我们使用来自军事卫生系统（Military Health System）的独特数据：在该系统中，医疗服务提供者本身也作为患者被观察到，从而使我们能够识别其种族；同时，跨基地的调动以一种可合理视为外生的方式改变了患者对提供者种族的暴露。我们考察了患有四种慢性、致命但可管理疾病的患者，对这些疾病而言，与提供者之间的关系可能对健康产生最直接的影响。我们发现了有力的证据，表明提供者的种族多样性可减少预防性护理维持与死亡率方面的差距。
Abstract
We assess the relationship between the racial diversity of medical providers and racial health disparities in the use of preventive care and in patient outcomes. We use unique data from the Military Health System, where we observe providers as patients so that we can identify their race, and where moves across bases change exposure to provider race in a plausibly exogenous fashion. We consider patients with four chronic, deadly, but manageable illnesses, where the relationship with the provider may have the most direct impact on health. We find striking evidence that provider racial diversity leads to reduced disparities in maintenance of preventive care and mortality.