Physician–Patient Racial Concordance, Continuity of Care, and Patterns of Care for Hypertension
Open accessAbstract
To assess the effects of physician–patient racial concordance and continuity of care on hypertension outcomes, we described patterns of care for hypertension; we used cross-tabulations and repeated measures (generalized estimating equations) analyses with panel survey data from elderly persons interviewed and examined in 1987 and 1990. Continuity of care was associated with recognition of hypertension, receipt of medication, and lower incidence of undetected hypertension. Physician race had little effect, but continuity is important for successful management of hypertension in older persons.
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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 [50]
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References 30 · Cited by 41
- Authors
- Konrad, T. R., Howard, D. L., Edwards, L. J., Ivanova, A., & Carey, T. S.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2005-12
- Volume
- 95
- Issue
- 12
- Pages
- 2186-2190
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC1449505
- OpenAlex
- W2060427034
- Cited by
- 41
- References
- 30
- Citations by year
- 2025: 1 · 2024: 6 · 2023: 2 · 2021: 1 · 2020: 1 · 2019: 3 · 2016: 1 · 2015: 4 · 2014: 1 · 2013: 3 · 2012: 4
- FWCI
- 1.82
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Funders
- National Institutes of Health (n01ag012102-011)
- Agency for Healthcare Research and Quality (1R24 HS 13353, R24HS013353, P01 HS010861)
- National Institute on Aging (R01AG012765, R01AG12765, N01‐AG12102)
- National Institute on Minority Health and Health Disparities (1P60 MD 00239, P60MD000239, R24MD000167)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- continuity of care, hypertension, patterns of care, older adults, hypertension detection, antihypertensive medication use, physician race
- MeSH terms
- Aged, Antihypertensive Agents, Continuity of Patient Care, Female, Humans, Hypertension, Male, North Carolina, Physician-Patient Relations, Practice Patterns, Physicians', Cohort Studies, Incidence, Outcome Assessment, Health Care, Racial Groups
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