April 22, 2008
Health Affairs , Web exclusive
James D. Reschovsky, Ann S. O'Malley
Racial and ethnic disparities in primary health care likely reflect the aggregate socioeconomic composition of a physicians 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 physicianssuch as coordination of care, ability to spend adequate time with patients during office visits, and obtaining specialty carethat relate directly to physicians ability to function as their patients medical home.
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