Does the content of primary care visits differ by the racial composition of physicians' practices?

Kevin Fiscella, Peter Franks

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

PURPOSE: The study compared the content of primary care visits between physicians with larger and smaller African American practices. METHODS: We compared the content of primary care adult visits between physicians with larger and smaller African American practices using data from the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey 1997 to 2002. Larger African American practice (>14% of primary care visits by African Americans) was empirically defined to conform with previous studies. RESULTS: Larger African American practices comprised 24% of all practices but accounted for 80% of all visits by African American patients. In adjusted analyses, physicians with larger African American practices were less likely to refer patients to specialists (adjusted odds ratio 0.77; 95% confidence internal 0.61-0.98) and marginally less likely to perform rectal examinations (adjusted odds ratio 0.84; 95% confidence interval 0.56-1.00) but were more likely to schedule a return appointment (adjusted odds ratio 1.25; 95% confidence interval, 1.02-1.52). However, there were no other significant differences in the reported content of the office visits. Results were not altered when different cutoffs for larger African American practices were used or when obstetricians-gynecologists were excluded from the analyses. CONCLUSION: There are few differences in the content of office visits between physicians with larger and smaller African American practices.

Original languageEnglish (US)
Pages (from-to)348-353
Number of pages6
JournalAmerican Journal of Medicine
Volume119
Issue number4
DOIs
StatePublished - Apr 2006

Keywords

  • African Americans
  • Delivery of Health Care
  • Physician Practice Patterns
  • Primary Health Care

ASJC Scopus subject areas

  • Nursing(all)

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