Physician–patient racial concordance and disparities in birthing mortality for newborns

Brad N. Greenwood (), Rachel R. Hardeman, Laura Huang and Aaron Sojourner
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Brad N. Greenwood: School of Business, George Mason University, Fairfax, VA 22030
Rachel R. Hardeman: School of Public Health, University of Minnesota–Twin Cities, Minneapolis, MN 55455
Laura Huang: Harvard Business School, Harvard University, Boston, MA 02163

Proceedings of the National Academy of Sciences, 2020, vol. 117, issue 35, 21194-21200

Abstract: Recent work has emphasized the benefits of patient–physician concordance on clinical care outcomes for underrepresented minorities, arguing it can ameliorate outgroup biases, boost communication, and increase trust. We explore concordance in a setting where racial disparities are particularly severe: childbirth. In the United States, Black newborns die at three times the rate of White newborns. Results examining 1.8 million hospital births in the state of Florida between 1992 and 2015 suggest that newborn–physician racial concordance is associated with a significant improvement in mortality for Black infants. Results further suggest that these benefits manifest during more challenging births and in hospitals that deliver more Black babies. We find no significant improvement in maternal mortality when birthing mothers share race with their physician.

Keywords: racial bias; birthing outcomes; concordance; mortality; health care (search for similar items in EconPapers)
Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:nas:journl:v:117:y:2020:p:21194-21200

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