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The Relationship Between Racial/Ethnic Concordance and Hypertension Control

Francesca Adriano1, Raoul J Burchette2, Alyson C Ma3

  • 1Kaiser Permanente San Diego Family Medicine Residency Program, Kaiser Permanente Southern California, San Diego, CA.

The Permanente Journal
|March 29, 2022
PubMed

Insights

Racial and ethnic concordance between patients and providers is linked to better hypertension control. Longer relationships with primary care providers also improve blood pressure management, highlighting the importance of the patient-provider connection.

Area of Science:

  • Health Services Research
  • Health Disparities
  • Cardiovascular Health

Background:

  • Hypertension poses a significant economic burden due to its high healthcare costs.
  • Understanding and improving hypertension control is crucial, especially concerning racial and ethnic disparities.

Purpose of the Study:

  • To investigate the relationship between hypertension control and patient-provider racial/ethnic concordance.
  • To determine if shared race/ethnicity between patient and provider predicts better high blood pressure control.

Main Methods:

  • Analysis of data from 612,524 adult patients diagnosed with hypertension.
  • Utilized multiple regression analysis to assess correlations between patient-provider concordance and hypertension control.
  • Data collected from Kaiser Permanente Southern California between January 2016 and December 2019.

Main Results:

  • Patient-provider concordance in language, gender, and race showed statistically significant positive correlations with hypertension control.
  • Language concordance had the highest impact, followed by gender and then race.
  • Asian patients experienced longer periods of hypertension control, while Black and Hispanic patients had less time in control.

Conclusions:

  • Racial/ethnic concordance between patients and providers is correlated with hypertension control.
  • Longer duration of care with the same primary care provider is positively associated with sustained hypertension control.
  • The patient-provider relationship is a critical factor influencing health outcomes in hypertension management.
Abstract

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