Xierali Imam M, Nivet Marc A
J Health Care Poor Underserved. 2018;29(1):556-570. doi: 10.1353/hpu.2018.0036.
Racial and ethnic minority physicians are more likely to practice primary care and serve in underserved communities. However, there are micro-practice patterns within primary care specialties that are not well understood. To examine the differences among primary care physician practice locations by specialty and race/ethnicity, a retrospective study was conducted on U.S. medical graduates who were direct patient care physicians in 2012. The group-specific contributions to primary care accessibility were decomposed by individual group of minorities underrepresented in medicine (URM). Results confirm significant differences not only in their distribution across underserved areas but also in their racial/ethnic composition by primary care specialties, with internist most diverse and family physicians least diverse. However, stratified analysis shows that within each primary care subspecialty, URM physicians were more likely to practice in underserved areas than their White peers regardless of specific specialties.
少数族裔医生更有可能从事初级保健工作,并服务于医疗服务不足的社区。然而,初级保健专业内部存在一些微观执业模式,目前还没有得到很好的理解。为了研究按专业和种族/族裔划分的初级保健医生执业地点的差异,对2012年直接从事患者护理工作的美国医学毕业生进行了一项回顾性研究。医学中代表性不足的少数群体(URM)的各个群体对初级保健可及性的具体贡献进行了分解。结果证实,不仅他们在医疗服务不足地区的分布存在显著差异,而且按初级保健专业划分的种族/族裔构成也存在显著差异,内科医生的多样性最高,家庭医生的多样性最低。然而,分层分析表明,在每个初级保健亚专业中,无论具体专业如何,URM医生比白人同行更有可能在医疗服务不足的地区执业。