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AJPH First Look, published online ahead of print Dec 27, 2005
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American Journal of Public Health, 10.2105/AJPH.2004.041806

Research and Practice

Physicians' Perceptions of Patients' Social and Behavioral Characteristics and Race Disparities in Treatment Recommendations for Men With Coronary Artery Disease

Michelle van Ryn 1*, Diana Burgess 2, Jennifer Malat 3, Joan Griffin 4

1 University of Minnesota
2 Center for Chronic Disease Outcomes Research, Minneapolis VAMC
3 Department of Sociology, University of Cincinatti
4 Center for Chronic Disease Outcomes Research, Mpls VAMC

* To whom correspondence should be addressed. E-mail: vanry001{at}tc.umn.edu.


  Abstract

Objectives. A growing body of evidence suggests that provider decisionmaking contributes to racial/ethnic disparities in care. We examined the factors mediating the relationship between patient race/ethnicity and provider recommendations for coronary artery bypass graft surgery.

Methods. Analyses were conducted with a data set that included medical record, angiogram, and provider survey data on postangiogram encounters with patients who were categorized as appropriate candidates for coronary artery bypass graft surgery.

Results. Race significantly influenced physician recommendations among male, but not female, patients. Physicians' perceptions of patients' education and physical activity preferences were significant predictors of their recommendations, independent of clinical factors, appropriateness, payer, and physician characteristics. Furthermore, these variables mediated the effects of patient race on provider recommendations.

Conclusions. Our findings point to the importance of research and intervention strategies addressing the ways in which providers' beliefs about patients mediate disparities in treatment. In addition, they highlight the need for discourse and consensus development on the role of social factors in clinical decisionmaking.

Key Words: Health Policy, Access to Care, Quality of Care, African Americans/Blacks, Hispanics/Latinos, Race/Ethnicity




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