患者与医生种族一致性、医生决策与患者结局
Patient-Physician Race Concordance, Physician Decisions, and Patient Outcomes
Review of Economics and Statistics · 2022 · Han Ye、Junjian Yi
中文摘要
我们利用一家规模较大且患者构成多样化的急诊科（ED）的行政数据，考察患者与医生种族一致性对医生决策和患者健康结局的影响。我们发现，患者与医生种族一致性延长了问诊时间，并降低了住院收治和接受诊断性检查的概率。随后，与医生种族一致的患者在急诊科出院后的再就诊率较低。种族一致性的效应主要由病情较轻且疾病表现为非特异性症状或病因较不明确的患者所驱动。信息与沟通机制最能解释这些结果。
Abstract
Abstract Using administrative data from a large and diverse emergency department (ED), we examine the impact of race concordance between patients and physicians on physician decision-making and patient health outcomes. We find that patient-physician race concordance increases consultation time and decreases the probability of inpatient admission and diagnostic testing. Subsequently, race-concordant patients have lower revisit rates after ED discharge. The effect of race concordance is largely driven by patients who had less serious illnesses and whose diseases had nonspecific symptoms or less clear causes. The results are best explained by the informational and communication mechanism.