Cantor J C, Miles E L, Baker L C, Barker D C
United Hospital Fund, New York, NY 10118, USA.
Inquiry. 1996 Summer;33(2):167-80.
Affirmative action is under increasing scrutiny. In medicine, the observation that minority physicians disproportionately serve minority patients has been one rationale for affirmative action. Using two large physician surveys, we find that minority and women physicians are much more likely to serve minority, poor, and Medicaid populations. Weaker, but significant association exists between physician and patient socioeconomic background. Service patterns are sustained over time and are generally consistent with physician career preferences. Ending affirmative action in medicine may imperil access to care. Results do not support affirmative action based on economic disadvantage instead of race, ethnicity, and sex.
平权行动正受到越来越多的审视。在医学领域，少数族裔医生为少数族裔患者提供服务的比例过高这一现象，一直是平权行动的一个理由。通过两项大型医生调查，我们发现少数族裔医生和女性医生更有可能为少数族裔、贫困和医疗补助人群提供服务。医生与患者的社会经济背景之间存在较弱但显著的关联。服务模式长期持续，并且总体上与医生的职业偏好一致。在医学领域终止平权行动可能危及医疗服务的可及性。研究结果不支持基于经济劣势而非种族、族裔和性别的平权行动。
