Tulane School of Public Health and Tropical Medicine, 1440 Canal St. Suite 2200, New Orleans, LA, 70112, USA.
Portland State University, P.O. Box 751, Portland, OR, 97207, USA.
J Racial Ethn Health Disparities. 2024 Jun;11(3):1339-1344. doi: 10.1007/s40615-023-01612-7. Epub 2023 Apr 26.
While Asian Americans experience disparate access to health services, little is known about the extent to which providers discriminate against Asian American patients. Further, research on Asian American health disparities tends to group Asian American ethnicities together, overlooking potential within-group differences. We deployed a field experiment to assess whether Asian American ethnic sub-groups experience discrimination in appointment scheduling. We further explored the impact of racial concordance between Asian patients and physicians. Overall, we did not detect significant differences in appointment offer rates between White and Asian American patients. However, we found that Asian Americans experienced longer wait times driven primarily by the treatment of patients of Chinese and Korean descent. Physician offices, surprisingly, offered concordant Asian patients appointments at significantly lower rates. The disparities Asian Americans experience relative to White Americans through longer waits for primary care appointments are not consistent across sub-groups. Increased attention to the unique experiences of people of Asian descent in accessing health services is warranted.
尽管亚洲裔美国人在获得医疗服务方面存在差异,但对于医疗服务提供者是否歧视亚洲裔美国患者,人们知之甚少。此外,关于亚洲裔美国人健康差距的研究往往将亚洲裔美国人归为一个群体,忽略了群体内部的潜在差异。我们开展了一项实地实验,以评估亚洲裔美国人的亚群体在预约安排方面是否受到歧视。我们进一步探讨了亚洲患者和医生之间种族一致性的影响。总的来说,我们没有发现白人和亚洲裔美国患者的预约提供率有显著差异。然而,我们发现,亚洲裔美国人的预约等待时间更长,主要是因为对中国和韩国裔患者的治疗。令人惊讶的是,医生办公室为亚洲裔患者提供的预约服务比例明显较低。与白人相比,亚洲裔美国人在接受初级保健预约方面的等待时间更长,这一差距在不同亚群体中并不一致。需要更加关注亚洲裔人士在获得医疗服务方面的独特经历。