scpod said:
How about this...if you have information other than from California in 1975 and a survey in 1993, I'd be willing to look at that. You neither have enough data, nor is it recent enough to make a conclusion. Based on 2 studies in one state, I don't think that you could make a generalization. If you were to do that with any other area of medicine (2 old studies in one state) you would be guilty of malpractice. I'm sure you are aware that for every single study you find, you'll find another with contradictory evidence. Besides, if you'll look at other resources, you'll realize that the percentage of black physicians in the workforce has doubled since 1975, invalidating much of that data.
More interesting might be
this study from 2004 that said, "Black patients may receive their care from a subgroup of physicians whose qualifications or resources are inferior to those of the physicians who treat white patients." Granted, it was limited too because it it concerned only visits by medicare patients. Read further in that issue and you'll find that,"Although black patients were more likely than their white counterparts to receive care from black clinicians,
the large majority of their visits were with nonblack clinicians."
Sayoc, I'm not sure how that refutes his point. The guy is saying minorities have a preference for minority doctors. You seem to be saying yes, they do, but most doctors are white.
😕
In re to the former, this is from Arch Pediatr Adolesc Med. 2000;154:912-917. :
RESEARCH EXAMINING the relationship between physician race or ethnicity and the race or ethnicity of patients has produced fairly consistent results, demonstrating that there is a strong positive correlation between physician race or ethnicity and patient race or ethnicity. Minority physicians tend to report caring for more minority patients than do nonminority physicians, and minority patients have a higher likelihood of consulting a minority physician than do nonminority patients. Several studies1-3 have shown an apparent specific race or ethnicity pairing between physicians and patients, whereas other studies4-5 have found a more general relationship (ie, minority patients of nonspecified racial or ethnic status seeing more nonwhite physicians).
Besides serving more minority patients, minority physicians, compared with nonminority physicians, also have an increased likelihood to practice in health profession shortage areas,2 to serve Medicaid-insured patients,2-4,6-7 and to serve poor or uninsured patients.4, 6-7 It is likely that these relationships are the result of mutual preferences, ie, patients seek out physicians whom they are comfortable seeing and physicians likewise practice in areas that have patient populations that are similar to them.1, 6
1. Gray B, Stoddard JJ. Patient-physician pairing: does racial and ethnic congruity influence selection of a regular physician? J Community Health. 1997;22:247-259. FULL TEXT | ISI | PUBMED
2. Keith SN, Bell RM, Swanson AG, Williams AP. Effects of affirmative action in medical schools: a study of the class of 1975. N Engl J Med. 1985;313:1519-1525. ABSTRACT
3. Komaromy M, Grumbach K, Drake M, et al. The role of black and Hispanic physicians in providing health care for underserved populations. N Engl J Med. 1996;334:1305-1310. FREE FULL TEXT
4. Moy E, Bartman BA. Physician race and care of minority and medically indigent patients. JAMA. 1995;273:1515-1520. ABSTRACT
5. Woloshin S, Bickell NA, Schwartz LM, Gany F, Welch HG. Language barriers in medicine in the United States. JAMA. 1995;273:724-728. FULL TEXT | ISI | PUBMED
6. Cantor JC, Miles EL, Baker LC, Barker DC. Physician service to the underserved: implications for affirmative action in medical education. Inquiry. 1996;33:167-180. ISI | PUBMED
7. Xu G, Fields SK, Laine C, Veloski JJ, Barzansky B, Martini CJM. The relationship between the race/ethnicity of generalists physicians and their care for underserved populations. Am J Public Health. 1997;87:817-822. ABSTRACT