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
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