Race, Segregation, and Physicians' Participation in Medicaid

Many studies have explored the extent to which physicians' characteristics and Medicaid program factors influence physicians' decisions to accept Medicaid patients. In this article, we turn to patient race/ethnicity and residential segregation as potential influences. Using the 2000/2001 C...

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Bibliographische Detailangaben
Veröffentlicht in:The Milbank Quarterly. - Wiley Subscription Services, Inc.. - 84(2006), 2, Seite 239-272
1. Verfasser: Greene, Jessica (VerfasserIn)
Weitere Verfasser: Blustein, Jan, Weitzman, Beth C.
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2006
Zugriff auf das übergeordnete Werk:The Milbank Quarterly
Schlagworte:Medicaid Race Physician participation Segregation Economics Political science Behavioral sciences Health sciences Social sciences
Beschreibung
Zusammenfassung:Many studies have explored the extent to which physicians' characteristics and Medicaid program factors influence physicians' decisions to accept Medicaid patients. In this article, we turn to patient race/ethnicity and residential segregation as potential influences. Using the 2000/2001 Community Tracking Study and other sources we show that physicians are significantly less likely to participate in Medicaid in areas where the poor are nonwhite and in areas that are racially segregated. Surprisingly-and contrary to the prevailing Medicaid participation theory-we find no link between poverty segregation and Medicaid participation when controlling for these racial factors. Accordingly, this study contributes to an accumulating body of circumstantial evidence that patient race influences physicians' choices, which in turn may contribute to racial disparities in access to health care.
ISSN:0887378X