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Health Aff (Millwood). 2008 May-Jun;27(3):w222-31. doi: 10.1377/hlthaff.27.3.w222. Epub 2008 Apr 22.

Do primary care physicians treating minority patients report problems delivering high-quality care?

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  • 1Center for Studying Health System Change in Washington, DC, USA.


Racial and ethnic disparities in primary health care likely reflect the aggregate socioeconomic composition of a physician's patient panels as well as differences in individual patients' characteristics. National physician survey data indicate that physicians in high-minority practices depend more on low-paying Medicaid, receive lower private insurance reimbursements, and have lower incomes. These constrained resources help explain the greater quality-related difficulties delivering care reported by these physicians--such as coordination of care, ability to spend adequate time with patients during office visits, and obtaining specialty care--that relate directly to physicians' ability to function as their patients' medical home.

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