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  1. Racial Concordance and the Quality of Medical Care
    Evidence from the Military
    Erschienen: December 2022
    Verlag:  National Bureau of Economic Research, Cambridge, Mass

    One explanation for insufficient use of primary care in the U.S. is a lack of trust between patients and providers - particularly along racial lines. We assess the role of racial concordance between patients and medical providers in driving use of... mehr

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    Sächsische Landesbibliothek - Staats- und Universitätsbibliothek Dresden
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    Universitätsbibliothek Freiburg
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    Helmut-Schmidt-Universität, Universität der Bundeswehr Hamburg, Universitätsbibliothek
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    Staats- und Universitätsbibliothek Hamburg Carl von Ossietzky
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    Technische Informationsbibliothek (TIB) / Leibniz-Informationszentrum Technik und Naturwissenschaften und Universitätsbibliothek
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    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
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    One explanation for insufficient use of primary care in the U.S. is a lack of trust between patients and providers - particularly along racial lines. We assess the role of racial concordance between patients and medical providers in driving use of preventive care and the implications for patient outcomes. We use unique data from the Military Health System, where we observe providers as patients so that we can identify their race, and where moves across bases change exposure to provider race. We consider patients with four chronic, deadly, but ultimately manageable illnesses, where the relationship with the provider may have the most direct and important impact on health. We find striking evidence that racial concordance leads to improved maintenance of preventive care - and ultimately lower patient mortality. Pooling across these diseases, we estimate that a one-standard deviation increase in the share of providers who are Black leads to a 15% relative decline in Black mortality among those with these manageable illnesses. Our results further suggest that between 55 and 69% of this mortality impact arises through improved medication use and adherence, with other aspects of the provider-patient relationship accounting for the residual

     

    Export in Literaturverwaltung   RIS-Format
      BibTeX-Format
    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Online
    Schriftenreihe: NBER working paper series ; no. w30767
    Schlagworte: Militär; Gesundheitswesen; Ethnische Gruppe; Soldaten; Gesundheitsversorgung; USA; Health Behavior; Health and Inequality; Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    Umfang: 1 Online-Ressource, illustrations (black and white)
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    Hardcopy version available to institutional subscribers

  2. Public and private options in practice
    the military health system
    Erschienen: December 2020
    Verlag:  National Bureau of Economic Research, Cambridge, MA

    ZBW - Leibniz-Informationszentrum Wirtschaft, Standort Kiel
    W 1 (28256)
    uneingeschränkte Fernleihe, Kopie und Ausleihe
    Export in Literaturverwaltung   RIS-Format
      BibTeX-Format
    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Druck
    Schriftenreihe: Working paper series / National Bureau of Economic Research ; 28256
    Schlagworte: Gesundheitsreform; Gesundheitswesen; Soldaten; Militär; USA
    Umfang: 42 Seiten, Illustrationen
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