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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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    References listed on IDEAS

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    1. Steven G. Rivkin & Eric A. Hanushek & John F. Kain, 2005. "Teachers, Schools, and Academic Achievement," Econometrica, Econometric Society, vol. 73(2), pages 417-458, March.
    2. repec:aph:ajpbhl:2000:90:11:1774-1777_0 is not listed on IDEAS
    3. Kerwin Kofi Charles & Erik Hurst & Nikolai Roussanov, 2009. "Conspicuous Consumption and Race," The Quarterly Journal of Economics, Oxford University Press, vol. 124(2), pages 425-467.
    4. Grossman, Michael, 2006. "Education and Nonmarket Outcomes," Handbook of the Economics of Education, Elsevier.
    5. Balsa, Ana I. & McGuire, Thomas G., 2003. "Prejudice, clinical uncertainty and stereotyping as sources of health disparities," Journal of Health Economics, Elsevier, vol. 22(1), pages 89-116, January.
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    Citations

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    Cited by:

    1. 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.
    2. 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.
    3. 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.
    4. 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.
    5. 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.
    6. repec:eee:socmed:v:181:y:2017:i:c:p:191-198 is not listed on IDEAS

    More about this item

    Keywords

    Health inequality; Racial mortality gap; Adherence to medical therapy; Health production;

    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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