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Doctors, patients and the racial mortality gap

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  • Simeonova, Emilia

Abstract

Research in the health sciences reports persistent racial differences in health care access, utilization, and outcomes. This study investigates three potential sources of these disparities – differential quality of care, physician discrimination, and patient response to therapy. It uses a unique panel dataset of physician–patient encounters, the resulting medication therapies and the patients’ adherence to those medical recommendations. Equalizing access to quality health care will not erase the racial differences in mortality among chronically ill patients. Targeted programs aimed at improving adherence with medication therapy among disadvantaged groups must be an integral part of any policy aimed at achieving equality in health outcomes.

Suggested Citation

  • Simeonova, Emilia, 2013. "Doctors, patients and the racial mortality gap," Journal of Health Economics, Elsevier, vol. 32(5), pages 895-908.
    • Handle: RePEc:eee:jhecon:v:32:y:2013:i:5:p:895-908
    DOI: 10.1016/j.jhealeco.2013.07.002
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    Cited by:

    1. Sergei Koulayev & Niels Skipper & Emilia Simeonova, 2013. "Who Is in Control? The Determinants of Patient Adherence with Medication Therapy," NBER Working Papers 19496, National Bureau of Economic Research, Inc.
    2. Anwar Shamena & Fang Hanming, 2012. "Testing for the Role of Prejudice in Emergency Departments Using Bounceback Rates," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 13(3), pages 1-49, December.
    3. Emilia Simeonova & Niels Skipper & Peter R. Thingholm, 2020. "Physician Health Management Skills and Patient Outcomes," NBER Working Papers 26735, National Bureau of Economic Research, Inc.
    4. Alyson Ma & Alison Sanchez & Mindy Ma, 2022. "Racial disparities in health care utilization, the affordable care act and racial concordance preference," International Journal of Health Economics and Management, Springer, vol. 22(1), pages 91-110, March.
    5. Sergei Koulayev & Emilia Simeonova & Niels Skipper, 2017. "Can Physicians Affect Patient Adherence With Medication?," Health Economics, John Wiley & Sons, Ltd., vol. 26(6), pages 779-794, June.
    6. Orchard, Jacob & Price, Joseph, 2017. "County-level racial prejudice and the black-white gap in infant health outcomes," Social Science & Medicine, Elsevier, vol. 181(C), pages 191-198.
    7. Dora L. Costa, 2015. "Health and the Economy in the United States from 1750 to the Present," Journal of Economic Literature, American Economic Association, vol. 53(3), pages 503-570, September.
    8. David Frisvold & Ezra Golberstein, 2013. "The Effect of School Quality on Black-White Health Differences: Evidence From Segregated Southern Schools," Demography, Springer;Population Association of America (PAA), vol. 50(6), pages 1989-2012, December.
    9. Simeonova, Emilia, 2013. "Marriage, bereavement and mortality: The role of health care utilization," Journal of Health Economics, Elsevier, vol. 32(1), pages 33-50.
    10. Martha J. Bailey & Andrew Goodman-Bacon, 2015. "The War on Poverty's Experiment in Public Medicine: Community Health Centers and the Mortality of Older Americans," American Economic Review, American Economic Association, vol. 105(3), pages 1067-1104, March.
    11. Ida Lykke Kristiansen & Sophie Yanying Sheng, 2022. "Doctor Who? The Effect of Physician-Patient Match on The SES-Health Gradient," CEBI working paper series 22-05, University of Copenhagen. Department of Economics. The Center for Economic Behavior and Inequality (CEBI).

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    More about this item

    Keywords

    Health inequality; Racial mortality gap; Adherence to medical therapy; Health production;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

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