Fabian Ava J, Balado Roberto L, Chase Michael G, Nemec Eric C
Sacred Heart University, College of Health Professions, 5151 Park Ave, Fairfield, CT, 06825, USA.
J Racial Ethn Health Disparities. 2025 Feb 27. doi: 10.1007/s40615-025-02330-y.
Black, Indigenous, and People of Color (BIPOC) have lower rates of traditional medication use and compliance in comparison to their white counterparts. Documented mistreatment and systematic oppression of BIPOC patients in the healthcare system have led to perpetual consequences for this population, including lower rates of medication adherence. This systematic review of the current literature aims to examine the impact of patient-provider race-concordant relationships on medication adherence in BIPOC patients.
A comprehensive and systematic search of published literature was conducted using eight databases, yielding 412 results, each of which was screened by two independent authors. Nine articles met the specified inclusion criteria. After a full-text review, five articles were retained for qualitative synthesis.
Four studies found that patient-provider race concordance was associated with higher cardiovascular and dermatological medication adherence rates in BIPOC patients. One study observed higher rates of medication adherence in Black-Black racially concordant dyads; however, this finding was not significant.
While increased medication adherence rates were observed in patient-provider race concordant dyads, this systematic review did not account for any complex confounding factors that influence an individual's adherence to medication, such as cost, access, or polypharmacy. Increasing diversity in healthcare allows for greater opportunity for patients to be in race-concordant dyads with their providers, thereby enhancing the potential for improved medication adherence.
Patient-provider race concordance was associated with higher medication adherence rates for BIPOC patients.
PROSPERO: CRD42023459428.
与白人相比，黑人、原住民和有色人种（BIPOC）使用传统药物及遵医嘱的比例较低。医疗系统中记录在案的对BIPOC患者的虐待和系统性压迫给这一群体带来了长期后果，包括较低的药物依从率。本对当前文献的系统综述旨在研究患者与医护人员种族匹配关系对BIPOC患者药物依从性的影响。
使用八个数据库对已发表文献进行全面系统的检索，共得到412条结果，每条结果由两名独立作者进行筛选。九篇文章符合指定的纳入标准。经过全文审查，保留了五篇文章进行定性综合分析。
四项研究发现，患者与医护人员种族匹配与BIPOC患者更高的心血管和皮肤科药物依从率相关。一项研究观察到黑人与黑人种族匹配的二元组中药物依从率较高；然而，这一发现并不显著。
虽然在患者与医护人员种族匹配的二元组中观察到药物依从率有所提高，但本系统综述并未考虑任何影响个体药物依从性的复杂混杂因素，如成本、可及性或多重用药。医疗保健领域多样性的增加使患者有更多机会与医护人员形成种族匹配的二元组，从而提高了改善药物依从性的可能性。
患者与医护人员种族匹配与BIPOC患者更高的药物依从率相关。
PROSPERO：CRD42023459428。
