Patient–Provider and Patient–Staff Racial Concordance and Perceptions of Mistreatment in the Health Care Setting
Open accessAbstract
Objectives To determine what roles patient-provider and patient-staff racial concordance play on patients' perceptions within the health care setting. Design, setting, participants Data from the Commonwealth Fund 2001 Quality of Care telephone survey. Analysis focused on the subsample of 6,066 adults who live in the continental United States and who reported having a regular provider or a usual source of care (n = 4,762). Measurements and results We analyzed patients' responses about perceptions of disrespect, unfair treatment because of race and language, and the belief that he/she would have received better treatment if he/she belonged to a different race. We compared these perceptions of mistreatment with provider and staff racial concordance, controlling for sociodemographic variables. Contrary to our hypothesis, Hispanics were more likely to report being treated with disrespect if in a concordant relationship with their provider than if in a nonconcordant one (odds ratio [OR] 2.42, P < .01). Asians were less likely to report being treated unfairly because of race if in racially concordant relationships with providers than if in nonconcordant ones (P < .05). Hispanics were also less likely to perceive unfair treatment because of language when in concordant relationships with staff as compared to nonconcordant relationships with staff (P < .05). Conclusions Patients' perceptions of health care relationships may partially depend on racial concordance with providers and staff. The nature of the association between racial concordance and perceived disrespect varies by racial group, indicating that other race-specific factors may also need to be examined.
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Patients' experience of health care is affected by perceived discrimination, resulting in distrust in the provider and, potentially, racial concordance with providers.
“Patients' experience of health care is also affected by perceived discrimination, resulting distrust in the provider, and, potentially, racial concordance with providers [47-51].”
From Prevalence of cardiovascular disease among Asian, Pacific Islander and multi-race populations in Hawai’i and California (2023) · cites this paper as [51]
The Methods section measures perceived race-based unfair treatment, and the Results and Discussion associate racial concordance with perceptions of mistreatment, with findings that vary by racial group. The paper does not report that perceived discrimination causes distrust in providers or leads patients to seek racially concordant providers. (LLM, conf=0.87)
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References 27 · Cited by 133
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- Authors
- Blanchard, J., Nayar, S., & Lurie, N.
- Affiliations
- RAND Corporation (US)
- George Washington University (US)
- Corresponding author
- Blanchard, Janice
- ORCID
- Blanchard, Janice
- Venue
- Journal of General Internal Medicine
- Published
- 2007-05-08
- Volume
- 22
- Issue
- 8
- Pages
- 1184-1189
- ISSN
- 0884-8734 (ISSN-L)
- 1525-1497
- PMC
- PMC2305737
- OpenAlex
- W2012672783
- Cited by
- 133
- References
- 27
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 5 · 2023: 16 · 2022: 11 · 2021: 12 · 2020: 7 · 2019: 6 · 2018: 12 · 2017: 3 · 2016: 4 · 2015: 4 · 2014: 3 · 2013: 6 · 2012: 5
- FWCI
- 11.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of General Internal Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Funders
- Commonwealth Fund
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Social Sciences › Gender Studies › Diversity and Career in Medicine
- Keywords
- racial concordance, patient-provider relationship, patient-staff relationships, racism in healthcare, language barriers, Hispanic patients, Asian patients, usual source of care
- MeSH terms
- Adolescent, Adult, Aged, Asian, Black or African American, Female, Hispanic or Latino, Humans, Male, Middle Aged, Physician-Patient Relations, Prejudice, Professional-Patient Relations, Quality of Health Care, Social Perception, Socioeconomic Factors, Patient Satisfaction, Health Care Surveys
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