Does Diversity Matter for Health? Experimental Evidence from Oakland

被引:398
作者
Alsan, Marcella [1 ]
Garrick, Owen [2 ]
Graziano, Grant [3 ]
机构
[1] Harvard Kennedy Sch, 79 JFK St, Cambridge, MA 02138 USA
[2] Bridge Clin Res, 333 Hegenberger Rd,Suite 208, Oakland, CA 94621 USA
[3] Univ Calif Berkeley, Evans Hall, Berkeley, CA 94720 USA
关键词
MEDICAL MISTRUST; COST-EFFECTIVENESS; RACE; BLACK; CARE; ETHNICITY; GENDER; ME; DISPARITIES; PHYSICIANS;
D O I
10.1257/aer.20181446
中图分类号
F [经济];
学科分类号
02 ;
摘要
We study the effect of physician workforce diversity on the demand for preventive care among African American men. In an experiment in Oakland, California, we randomize black men to black or non-black male medical doctors. We use a two-stage design, measuring decisions before (pre-consultation) and after (post-consultation) meeting their assigned doctor. Subjects select a similar number of preventives in the pre-consultation stage, but are much more likely to select every preventive service, particularly invasive services, once meeting with a racially concordant doctor. Our findings suggest black doctors could reduce the black-white male gap in cardiovascular mortality by 19 percent.
引用
收藏
页码:4071 / 4111
页数:41
相关论文
共 90 条
  • [1] Abadie Alberto., 2017, NBER WORKING PAPER S
  • [2] Agency for Healthcare Research and Quality, 2016, CHALL MEAS PHYS QUAL
  • [3] Economics and identity
    Akerlof, GA
    Kranton, RE
    [J]. QUARTERLY JOURNAL OF ECONOMICS, 2000, 115 (03) : 715 - 753
  • [4] Does Diversity Matter for Health? Experimental Evidence from Oakland
    Alsan, Marcella
    Garrick, Owen
    Graziano, Grant
    [J]. AMERICAN ECONOMIC REVIEW, 2019, 109 (12) : 4071 - 4111
  • [5] TUSKEGEE AND THE HEALTH OF BLACK MEN
    Alsan, Marcella
    Wanamaker, Marianne
    [J]. QUARTERLY JOURNAL OF ECONOMICS, 2018, 133 (01) : 407 - 455
  • [6] American Medical Association (AMA), 2018, RED DISP HLTH CAR
  • [7] [Anonymous], 2017, NATL VITAL STAT REPO
  • [8] [Anonymous], 2017, National Diabetes Statistics Report, P20
  • [9] [Anonymous], 2013, AM COMM SURV 1 YEAR
  • [10] [Anonymous], 2014, DIV PHYS WORKF FACTS