Separate But Not Equal? A Cross-Sectional Study of Segregation by Payor Mix in Academic Primary Care Clinics.
Samer F HassanCatherine M ViscoliPatrick G O'ConnorLydia S DugdaleAndre N SofairMatthew M FitzBradley RichardsKirsten B FeiereiselSusan Y LeeShelley R OstJennifer L SwailsMary B FishmanWalter N KernanPublished in: Journal of general internal medicine (2023)
Some US AHCs maintain separate clinics defined by the proportion of patients with Medicaid. Clinics with a higher proportion of patients insured by Medicaid are more likely to employ residents (with faculty oversight), feature residents as providers of longitudinal care, and serve patients who are Black and Hispanic. Further research is needed to understand why some AHCs have primary care clinics distinguishable by insurance mix with the goal of ensuring that racism and discrimination are not root causes.
Keyphrases
- primary care
- end stage renal disease
- ejection fraction
- newly diagnosed
- chronic kidney disease
- healthcare
- affordable care act
- prognostic factors
- machine learning
- health insurance
- palliative care
- peritoneal dialysis
- physical activity
- general practice
- chronic pain
- quality improvement
- cross sectional
- deep learning
- medical students