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The Review of Economics and Statistics Vol. 105 No. 4 2023

Patient-Physician Race Concordance, Physician Decisions, and Patient Outcomes

Han Ye1; Junjian Yi2

1 Department of Economics, Lingnan University · 2 China Center of Economic Research, National School of Development, Peking University

Abstract

Using administrative data from a large and diverse emergency department (ED), we examine the impact of race concordance between patients and physicians on physician decision-making and patient health outcomes. We find that patient-physician race concordance increases consultation time and decreases the probability of inpatient admission and diagnostic testing. Subsequently, race-concordant patients have lower revisit rates after ED discharge. The effect of race concordance is largely driven by patients who had less serious illnesses and whose diseases had nonspecific symptoms or less clear causes. The results are best explained by the informational and communication mechanism.

DOI
10.1162/rest_a_01236
Volume
105
Issue
4
Pages
766-779
Language
en
Sources
bibtex:phds-export.bib crossref openalex

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