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Financial Stress Among Latino Adults in California During COVID-19
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In: School of Public Policy Working Papers (2021)
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Disparities in Diabetes Care Quality by English Language Preference in Community Health Centers.
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In: Health services research, vol 53, iss 1 (2018)
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The predictors of patient-physician race and ethnic concordance: a medical facility fixed-effects approach.
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In: Health services research, vol 45, iss 3 (2010)
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Abstract:
ObjectiveTo examine the predictors of patient-physician race/ethnicity concordance among diabetes patients in an integrated delivery system.Data sourceKaiser Permanente's Northern California Diabetes Registry of 2005.Study designLogistic regression predicted concordance for each racial/ethnic group. Availability of a concordant physician, whether a patient chose their physician, and patient language were main explanatory variables.Data collection/extraction methodsThe study population consisted of 109,745 patients and 1,750 physicians.Principal findingsPatients who chose their physicians were more likely to have a same race/ethnicity physician with OR of 2.2 (95 percent CI 1.74-2.82) for African American patients, 1.71 (95 percent CI 1.44-2.04) for Hispanic patients, 1.11 (95 percent CI 1.04-1.18) for white patients, and 1.38 (95 percent CI 1.23, 1.55) for Asian patients. Availability of a same race/ethnicity physician was also a predictor of concordance for African American patients (OR 2.7; 95 percent CI 2.45-2.98) and marginally significant for Hispanic patients (OR 1.02; 95 percent CI 1.01-1.02), white patients (OR 1.02; 95 percent CI 1.00-1.04), and Asian patients (OR 1.05; 95 percent CI 1.03, 1.07). Limited English language was a strong predictor of concordance for Hispanic patients (OR 4.81; 95 percent CI 4.2-5.51) and Asian patients (OR 9.8; 95 percent CI 7.7, 12.6).ConclusionPatient language, preferences, and the racial composition of the physician workforce predict race/ethnicity concordance.
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Keyword:
Adult; African Americans; Asian Americans; California; Choice Behavior; Diabetes Mellitus; distribution; ethnic differences in health and health care; European Continental Ancestry Group; Female; Health Maintenance Organizations; Health Policy & Services; health work force; Healthcare Disparities; Hispanic Americans; Humans; Logistic Models; Male; Middle Aged; Multilingualism; Multivariate Analysis; Patient Acceptance of Health Care; Physician-Patient Relations; Physicians; Policy and Administration; Public Health and Health Services; Racial; Workforce
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URL: https://escholarship.org/uc/item/769835z3
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Adherence to Cardiovascular Disease Medications: Does Patient-Provider Race/Ethnicity and Language Concordance Matter?
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In: Traylor, Ana H.; Schmittdiel, Julie A.; Uratsu, Connie S.; Mangione, Carol M.; & Subramanian, Usha. (2010). Adherence to Cardiovascular Disease Medications: Does Patient-Provider Race/Ethnicity and Language Concordance Matter?. Journal of General Internal Medicine, 25(11), pp 1172-1177. doi:10.1007/s11606-010-1424-8. Retrieved from: http://www.escholarship.org/uc/item/1c72b0vh (2010)
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CHECKLIST OF THE 2010 CULTURAL COMPETENCE PLAN REQUIREMENTS CRITERIA CRITERION 1: COMMITMENT TO CULTURAL COMPETENCE
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In: http://www.dmh.ca.gov/DMHDocs/docs/notices10/10-2_Enclosure1.pdf (2010)
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Adherence to Cardiovascular Disease Medications: Does Patient-Provider Race/Ethnicity and Language Concordance Matter?
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In: Publisher (2010)
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Inclusion of Minority Patients in Breast Cancer Clinical Trials: The Role of the Clinical Trial Environment
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In: DTIC (2007)
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Racial and Ethnic Health Disparities: Influences, Actors, and Policy Opportunities
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Meyers, Kate. - : Kaiser Permanente Institute for Health Policy, 2007
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A STATE POLICY AGENDA TO ELIMINATE RACIAL AND ETHNIC HEALTH DISPARITIES ...
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A STATE POLICY AGENDA TO ELIMINATE RACIAL AND ETHNIC HEALTH DISPARITIES
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Culturally Competent Healthcare Systems: A Systematic Review ...
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Culturally Competent Healthcare Systems: A Systematic Review
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Eliminating Racial and Ethnic Health Disparities: Opportunities and Challenges for the Commonwealth ...
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Eliminating Racial and Ethnic Health Disparities: Opportunities and Challenges for the Commonwealth
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