Mirror Study

Concordant medical care -- based upon race/ethnicity, language or gender -- has consistently demonstrated benefits in patient experience and patient outcomes. Absent thus far in the conversation are the experience of the medical providers in these concordant physician-patient relationships. In medical education, we frequently see students seeking opportunities to reflect their communities and contribute to improving health outcomes for groups with which they identify. Within our health system at Benioff Children’s Hospital Oakland, the BLOOM clinic was created in Summer 2023 to provide wrap-around racially-concordant care for Black-identifying babies and young children (0-3yo). As part of the program pilot, we seek to explore resident physician perspectives on incorporating concordant care into training. 

 

Foundational Works:

  1. Chu, Jun, Nianyang Wang, Yoon Soon Choi, and Dylan H. Roby. “The Effect of Patient-Centered Communication and Racial Concordant Care on Care Satisfaction Among U.S. Immigrants.” Medical Care Research and Review: MCRR 78, no. 4 (August 2021): 404–12. https://doi.org/10.1177/1077558719890988. 

  1. Ku, Leighton, and Anushree Vichare. “The Association of Racial and Ethnic Concordance in Primary Care with Patient Satisfaction and Experience of Care.” Journal of General Internal Medicine 38, no. 3 (February 2023): 727–32. https://doi.org/10.1007/s11606-022-07695-y. 

  1. Poma, Pedro A. “Race/Ethnicity Concordance Between Patients and Physicians.” Journal of the National Medical Association 109, no. 1 (March 1, 2017): 6–8. https://doi.org/10.1016/j.jnma.2016.12.002. 

  1. Shen, Megan Johnson, Emily B. Peterson, Rosario Costas-Muñiz, Migda Hunter Hernandez, Sarah T. Jewell, Konstantina Matsoukas, and Carma L. Bylund. “The Effects of Race and Racial Concordance on Patient-Physician Communication: A Systematic Review of the Literature.” Journal of Racial and Ethnic Health Disparities 5, no. 1 (February 2018): 117–40. https://doi.org/10.1007/s40615-017-0350-4. 

  1. Takeshita, Junko, Shiyu Wang, Alison W. Loren, Nandita Mitra, Justine Shults, Daniel B. Shin, and Deirdre L. Sawinski. “Association of Racial/Ethnic and Gender Concordance Between Patients and Physicians With Patient Experience Ratings.” JAMA Network Open 3, no. 11 (November 2, 2020): e2024583. https://doi.org/10.1001/jamanetworkopen.2020.24583. 

  1. Taylor, Lauren A., Osaze Udeagbala, Adam Biggs, Helen-Maria Lekas, and Keisha Ray. “Should a Healthcare System Facilitate Racially Concordant Care for Black Patients?” Pediatrics 148, no. 4 (October 2021): e2021051113. https://doi.org/10.1542/peds.2021-051113. 

  1. Oliver, Kelvin B. Jr, Mridula V. Nadamuni, Christina Ahn, Marc Nivet, Byron Cryer, and Dale O. Okorodudu. “Mentoring Black Men in Medicine.” Academic Medicine 95, no. 12S (December 2020): S77. https://doi.org/10.1097/ACM.0000000000003685.