Designing Policies to Improve Medical Care for Underserved Minority Populations in California
California Program on Access to Care, Award Number DNN07K
Project Team
Richard Scheffler, PhDTimothy Brown, PhD
Jenny Liu, BA
Abstract
Previous research reveals that providing optimal medical care to racial and ethnic minorities is hindered by the lack of physician-patient racial/ethnic concordance, contributing to disparities in access to care and health. The study will provide policy-relevant information in the form of a descriptive report and two analytical papers, each of which will focus on African-American and Hispanic physicians. The descriptive report will graphically present the degree of physician-population racial/ethnic nonconcordance (the discrepancy between the proportion of African-Americans (Hispanics) in the physician workforce and the proportion of African-Americans (Hispanics) in the population) for each county in California, and the change in this measure over time for each county for the period 1995-2003. For the same time period, it will present graphically information on the turnover and tenure of these physicians and will also present additional breakdowns by specialty, age, sex, and county-level characteristics including various economic variables, medical system variables, demographic variables, amenity variables, and weather variables. The two analytical papers will use the same sets of variables to design logit and conditional logit models which will analyze the factors that influence the choices of African-American and Hispanic physicians in migrating within California and leaving California.
For information on funding for this project, go to the funding page.