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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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