Vulnerability and the patient-practitioner relationship: The roles of gatekeeping and primary care performance

Leiyu Shi, Christopher B. Forrest, Sarah Von Schrader, Judy Ng

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)138-144
Number of pages7
JournalAmerican journal of public health
Volume93
Issue number1
DOIs
StatePublished - Jan 1 2003

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Fingerprint Dive into the research topics of 'Vulnerability and the patient-practitioner relationship: The roles of gatekeeping and primary care performance'. Together they form a unique fingerprint.

Cite this