Patient-Provider Racial Concordance and Patient Reported Healthcare Experience, Among Adults With Atherosclerotic Cardiovascular Disease: Insights From Medical Expenditure Panel Survey, 2010-2013

Rurality as Concordance: Mental Health Service Delivery for Rural Survivors of Intimate Partner Violence

“…A corollary finding is that in these rural and remote contexts, regard for a trained mental health professional as an “elite” or “outsider” may inhibit an individual’s desire to seek out mental health services. Indeed, previous research on concordance suggests that “mismatches” between the patient and provider on relevant characteristics compromises the quality of care, likelihood to seek treatment, and satisfaction with treatment (Alegría et al 2013; Cooper et al 2003; Okunrintemi et al 2018).…”

“…Lisa A. Cooper et al (2003) find that in racially concordant patient-physician relationships, patients use more services, are more satisfied with those services, and rate their physicians as more participatory than patients in racially discordant relationships. While some studies challenge the effect of patient-provider racial concordance on health outcomes (see Meghani et al 2009), patients’ subjective ratings of their experiences, health-related outcomes, and willingness to use health services prove consistently related to racial concordance (LaVeist and Nuru-Jeter 2002; Okunrintemi et al 2018). As specifically pertains to mental health, others demonstrate racially concordant patients’ increased likelihood of continuing their mental health care (Alegría et al 2013) and patients’ preferences for mental health providers of their own racial identity (Cabral and Smith 2011).…”