BMJ  2008;336:908-909 (26 April), doi:10.1136/bmj.39559.726736.BD

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Low reimbursement means US doctors with many ethnic minority patients have less time for each consultation

Bob Roehr

1 Washington, DC

The first 150 words of the full text of this article appear below.

Low levels of compensation from Medicaid programmes in the United States contribute to racial and ethnic disparities in health care, a study has shown (Health Affairs 2008 Apr 22; doi: 10.1377/hlthaff.27.3.w222). The federal-state programmes serve poor Americans who meet their eligibility criteria.

Primary care doctors with predominately black and Latino patients see more patients and provide more charity care. They also earn less than colleagues who treat fewer patients from ethnic minority groups.

The study, by James Reschovsky and Ann O’Malley at the Center for Studying Health System Change, was based on responses from 3320 primary care doctors who participated in the 2004-5 community tracking study physician survey.

They stratified medical practices into those with low (<30%), medium (30%-70%), and high (>70%) minority populations. The study found that doctors in practices with high minority populations spent about 30% less time with each patient than in low minority practices . . . [Full text of this article]


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