TY - JOUR
T1 - Vulnerability and the patient-practitioner relationship
T2 - The roles of gatekeeping and primary care performance
AU - Shi, Leiyu
AU - Forrest, Christopher B.
AU - Von Schrader, Sarah
AU - Ng, Judy
PY - 2003/1/1
Y1 - 2003/1/1
N2 - Objectives. We examined whether patients' perceptions of their relationships with primary care practitioners (PCPs) vary by vulnerability status and assessed the extent to which gatekeeping arrangements and primary care performance moderate potential disparities. Methods: We used the nationally representative 1996-1997 Community Tracking Study Household Survey as our data source. Results. Whites reported better patient-practitioner relationships than minorities. Requirements that patients select a PCP and obtain referral authorization neither reduced nor exacerbated racial disparities in the patient-practitioner relationship. On the other hand, access to and continuity with a PCP substantively reduced disparities, especially for the most vulnerable group. Conclusions. Enhancing primary care performance may reduce some of the barriers to care experienced by vulnerable populations, thereby improving patients' relationships with their PCPs.
AB - Objectives. We examined whether patients' perceptions of their relationships with primary care practitioners (PCPs) vary by vulnerability status and assessed the extent to which gatekeeping arrangements and primary care performance moderate potential disparities. Methods: We used the nationally representative 1996-1997 Community Tracking Study Household Survey as our data source. Results. Whites reported better patient-practitioner relationships than minorities. Requirements that patients select a PCP and obtain referral authorization neither reduced nor exacerbated racial disparities in the patient-practitioner relationship. On the other hand, access to and continuity with a PCP substantively reduced disparities, especially for the most vulnerable group. Conclusions. Enhancing primary care performance may reduce some of the barriers to care experienced by vulnerable populations, thereby improving patients' relationships with their PCPs.
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U2 - 10.2105/AJPH.93.1.138
DO - 10.2105/AJPH.93.1.138
M3 - Article
C2 - 12511403
AN - SCOPUS:0037221637
SN - 0090-0036
VL - 93
SP - 138
EP - 144
JO - American journal of public health
JF - American journal of public health
IS - 1
ER -