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Racial Concordance on Healthcare Use within Hispanic Population Subgroups.

Alyson Ma1, Jason Campbell1, Alison Sanchez2

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Summary
This summary is machine-generated.

Patient-provider racial and ethnic concordance increases healthcare use among Hispanic subgroups. However, this association varies significantly across different Hispanic populations, highlighting the need for tailored health promotion strategies.

Keywords:
ConcordanceHispanicLatinoRacial disparitiesUtilization

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Area of Science:

  • Health Services Research
  • Health Disparities
  • Sociology of Health

Background:

  • Patient-provider racial and ethnic concordance is a critical factor in healthcare access and utilization.
  • Understanding these dynamics within diverse Hispanic subgroups is essential for equitable healthcare delivery.

Purpose of the Study:

  • To investigate the association between patient-provider racial and ethnic concordance and healthcare utilization among distinct Hispanic ethnic subgroups.
  • To identify variations in this association across different Hispanic populations.

Main Methods:

  • Utilized multivariate probit models with data from the Medical Expenditure Panel Survey (2007-2017).
  • Analyzed data on preventive care, new health problems, and ongoing health problems visits.
  • Included sociodemographic factors, health characteristics, provider communication, and location characteristics.

Main Results:

  • Hispanic patient-provider concordance positively correlates with higher probabilities of seeking preventive, new, and ongoing care.
  • The strength of this association differs across Hispanic subgroups, being lowest for Mexicans and highest for Cubans.
  • Results remained robust when considering interactions with Hispanic patient categories and foreign-born status.

Conclusions:

  • Racial disparities in healthcare utilization exist within Hispanic subgroups.
  • Patient-provider concordance significantly impacts healthcare use, but this effect varies by specific Hispanic origin.
  • Disaggregating Hispanic categories is crucial for effective community health promotion and addressing subgroup-specific health outcome differences.