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Updated: Jun 3, 2026

Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation
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Patient-Provider Race Concordance and Medication Adherence: A Systematic Review.

Ava J Fabian1, Roberto L Balado1, Michael G Chase1

  • 1Sacred Heart University, College of Health Professions, 5151 Park Ave, Fairfield, CT, 06825, USA.

Journal of Racial and Ethnic Health Disparities
|February 27, 2025
PubMed
Summary

Racial concordance between patients and healthcare providers is linked to better medication adherence for Black, Indigenous, and People of Color (BIPOC). Increasing provider diversity may improve adherence rates in this population.

Keywords:
EthnicityHealthcare disparitiesLiterature reviewMedication adherencePhysician–patient relationsPolypharmacyRace-concordance

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Area of Science:

  • Health Services Research
  • Health Equity
  • Patient Outcomes

Background:

  • Black, Indigenous, and People of Color (BIPOC) exhibit lower medication adherence rates compared to white individuals.
  • Historical mistreatment and systemic oppression contribute to persistent healthcare disparities for BIPOC.
  • Patient-provider race concordance is a potential factor influencing medication adherence in BIPOC populations.

Purpose of the Study:

  • To systematically review the literature on the impact of patient-provider race concordance on medication adherence in BIPOC patients.
  • To synthesize current evidence regarding the relationship between racially concordant care and adherence.
  • To identify potential strategies for improving medication adherence among diverse patient groups.

Main Methods:

  • Systematic literature search across eight databases.
  • Screening of 412 results by two independent authors.
  • Qualitative synthesis of five articles meeting inclusion criteria.

Main Results:

  • Four studies indicated that patient-provider race concordance was associated with higher adherence to cardiovascular and dermatological medications in BIPOC patients.
  • One study noted higher adherence in Black-Black dyads, though this was not statistically significant.
  • Evidence suggests a positive correlation between racially concordant relationships and improved medication adherence.

Conclusions:

  • Patient-provider race concordance shows an association with increased medication adherence for BIPOC patients.
  • While promising, this review did not control for confounding factors like cost, access, or polypharmacy.
  • Enhancing diversity within the healthcare workforce can increase opportunities for race-concordant care, potentially improving adherence.