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Title |
Physician Effects on Racial and Ethnic Disparities in Patients’
Experiences of Primary Care |
Author(s) |
Hector P. Rodriguez, Ted von Glahn, David E. Grembowski, William H. Rogers and Dana Gelb Safran - Personal Name
|
Subject |
Health Care Management |
Publisher |
Society of General Internal Medicine |
Publishing Year |
2008 |
Specific Detail Info |
BACKGROUND: Few studies have clarified the mechanisms
that contribute to racial and ethnic disparities in
primary care quality among comparably-insured
patients.
OBJECTIVE: To examine relative contribution of “between-”
and “within-” physician effects on disparities in
patients’ experiences of primary care.
DESIGN: Regression models using physician fixed
effects to account for patient clustering were specified
to assess “between-” and “within-”physician effects on
observed racial and ethnic disparities in patients’
experiences of primary care.
PARTICIPANTS: The Ambulatory Care Experiences
Survey (ACES) was administered to patients visiting
1,588 primary care physicians (PCPs) from 27 California
medical groups. The analytic sample included
49,861 patients (31.4 per PCP) who confirmed a PCP
visit during the preceding 12 months.
MAIN RESULTS: Most racial and ethnic minority
groups were significantly clustered within physician
practices (p |
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