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Health Care Utilization and Patient-Provider Racial/Ethnic Concordance Among Asian American Subgroups.

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PubMed
Summary
This summary is machine-generated.

Patient-provider racial concordance increases healthcare use among Asian Americans, especially Chinese Americans. This highlights the need for culturally tailored outreach, particularly for foreign-born individuals.

Keywords:
AcculturationAndersen’s behavioral model of health servicesAsian AmericanDiscriminationHealth disparityHealth utilizationImmigrantRacial and ethnic concordance

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Area of Science:

  • Health Services Research
  • Sociology of Health and Illness
  • Health Disparities Research

Background:

  • Andersen's behavioral model provides a framework for understanding healthcare utilization.
  • Racial and ethnic concordance between patients and providers may influence healthcare access and outcomes.
  • Asian American populations are diverse, with varying healthcare needs and utilization patterns.

Purpose of the Study:

  • To examine the association between patient-provider racial and ethnic concordance and healthcare utilization among Asian American subgroups.
  • To apply Andersen's behavioral model to understand these associations, considering nativity.
  • To identify specific Asian American subgroups where concordance may be particularly impactful.

Main Methods:

  • Multivariate probit models were estimated using data from the Medical Expenditure Panel Survey (2013-2017).
  • Healthcare utilization was measured by visits for preventive care, new problems, ongoing problems, and total doctor visits.
  • Predisposing, enabling, and need factors, including racial/ethnic concordance, were analyzed in a sample of 61,667 observations.

Main Results:

  • Asian American patient-provider concordance was associated with increased likelihood of seeking preventive, new, and ongoing care.
  • The positive association varied across subgroups, being consistently significant for Chinese Americans.
  • Concordance specifically impacted the number of provider visits for foreign-born Chinese American patients.

Conclusions:

  • Asian patient-provider race concordance is positively associated with healthcare utilization.
  • Patient-provider concordance is especially crucial for Chinese Americans, who may be less likely to seek care.
  • Healthcare outreach programs should consider the diversity within the Asian population, particularly for non-US-born individuals.