Description
- Abstract:
- Disparities in treatment and health outcomes exist among different racial/ethnic groups. Black women are three times more likely to die from a pregnancy-related cause than White women. Within Medicare, Black and White patients are treated by different physicians. Those who treat Black patients may receive less clinical training and lack access to resources to provide high quality of care. In Medicaid managed care plans, care is highly concentrated: just 25% of primary care doctors deliver 86% of care. This highlights ongoing concerns about physician participation in the program, which fuels limited access to physicians among beneficiaries. This research seeks to expand on previous findings by describing the racial/ethnic demographics of patients treated by Medicaid physicians treat in the year prior to delivery and during childbirth. Our results demonstrate that, despite a higher proportion of Black births on Medicaid compared to White births, 25% of facilities treated no Black patients but did treat White and/or other racial/ethnic groups. Further, 13% of facilities treated only White patients (no other racial/ethnic groups). This suggests that Black patients lack access to Medicaid physicians in the year prior to delivery, which may contribute to racial disparities in maternal and neonatal outcomes. In addition, 31% of all facilities treated only one racial/ethnic demographic. This suggests that patients may lack access to facilities that treat diverse groups of individuals or are prevented from accessing facilities due to disparities associated with their racial/ethnic group, including but not limited to access to care, implicit biases, and racism. Patients may also self-select facilities to seek care and deliver based on recommendations from patients of the same racial/ethnic group.
- Notes:
- Scholarly concentration: Non-Scholarly Concentrator
Access Conditions
- Use and Reproduction
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- Rights
- In Copyright
- Restrictions on Use
- All Rights Reserved
Citation
Paterson, Victoria J., Thompson, Kathryn D., Lee, Yoojin, et al.,
"The One, The Few, The Many: Physicians That Disproportionately Treat Black Women on Medicaid"
(2022).
Warren Alpert Medical School Academic Symposium.
Brown Digital Repository. Brown University Library.
https://doi.org/10.26300/nj31-st41
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Warren Alpert Medical School Academic Symposium
The Warren Alpert Medical School Academic Symposium is an annual event at Warren Alpert Medical School of Brown University that provides Year II medical students a venue to present their summer research in a poster format. Participation in the Symposium …...