Racial, ethnic, and language concordance between patients and their usual healthcare providers

Individual Author(s) / Organizational Author
Gonzalez, Dulce
Kenney, Genevieve M.
McDaniel, Marla
O'Brien, Claire
Publisher
Robert Wood Johnson Foundation
Urban Institute
Date
March 2022
Abstract / Description

Patients of color are less likely than White patients to report being the same race as their healthcare providers. The disparity could have negative implications for patient-provider relationships and patient health outcomes.
The Issue: Historical medical mistreatment of Black people in America, and other people of color, has contributed to a mistrust of healthcare providers within these groups. Perceptions of a shared identity between patients and providers could be one way to improve the patient-provider relationship and foster trust and better communication.
Key Findings:Black adults were less likely to report being the same race as their healthcare providers (22.2 percent) than White adults (73.8 percent) or adults of other races (34.4 percent).
Less than one in four Hispanic/Latinx adults (23.1 percent) reported sharing a racial, ethnic, or language background with their usual health provider.
Hispanic/Latinx adults (55.8 percent) and non-Hispanic/Latinx Black adults (65.6 percent) were less likely to have a usual healthcare provider than non-Hispanic/Latinx White adults (70.4 percent). Similarly, uninsured adults were much less likely to have a usual healthcare provider (28.5 percent) than adults with public or private insurance (68.3 percent and 72.8 percent).
Conclusion: Efforts to diversify the healthcare workforce have the potential to help promote health equity and reduce disparities. Researchers provide several recommendations for policymakers, including improving access to medical translation services, providing training on culturally competent care, and exploring avenues to invest in diversifying the healthcare workforce long-term (i.e., through diversifying medical education). (author description) #P4HEwebinarDecember2023

Artifact Type
Research
Reference Type
Report
Priority Population
Ethnic and racial groups
P4HE Authored
No
Topic Area
Policy and Practice » Services & Programs
Social/Structural Determinants » Isms and Phobias » Racism