Scholarlink

Objectives <p>Evidence suggests that effective provider–patient relationships result in enhanced quality of care and can close health equity gaps, although little is known about the impact of racial and ethnic provider–patient concordant relationships. This study examined how patient–provider concordance impacts the likelihood of missing an appointment in a primary care setting.</p> Methods <p>We obtained electronic medical records (EMR) data from a large family medicine Federally Qualified Healthcare Center (FQHC) clinic in Texas between March and November 2020. A mixed-effects multivariable logistic regression model, with patient ID as a random effect, was used to account for the nested data structure of repeated appointments within each patient. We report predicted probabilities and average marginal effects of concordant visits vs. non-concordant visits by race/ethnicity.</p> Results <p>The analytic sample included 76,658 appointments for 31,123 unique patients. Provider–patient concordance occurred in 51% of all appointments. Bivariate analyses revealed that 20% of appointments with patient–provider concordance were missed, compared to 21% in appointments without patient–provider concordance. In the adjusted models, patient–provider concordance was associated with 5% lower odds of missed appointments. Sex, insurance type, and provider experience were also significant factors. Average marginal effects by race/ethnicity showed lower predicted probabilities of missed appointments for concordant visits, compared to non-concordant visits.</p> Interpretation <p>The decreased likelihood of missed appointments among patients with similar racial/ethnic backgrounds as their providers supports the notion that representation in healthcare is important, as it can contribute to fewer no-shows, which can lead to improved clinic efficiency.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Patient–Provider Concordance Reduces Missed Appointments in Texas Primary Care Safety-Net Clinics

  • 期刊论文

  • 发表日期：

    2025年4月4日

查看全文
  • Omolola E. Adepoju,
  • Patrick Dang

摘要

Objectives

Evidence suggests that effective provider–patient relationships result in enhanced quality of care and can close health equity gaps, although little is known about the impact of racial and ethnic provider–patient concordant relationships. This study examined how patient–provider concordance impacts the likelihood of missing an appointment in a primary care setting.

Methods

We obtained electronic medical records (EMR) data from a large family medicine Federally Qualified Healthcare Center (FQHC) clinic in Texas between March and November 2020. A mixed-effects multivariable logistic regression model, with patient ID as a random effect, was used to account for the nested data structure of repeated appointments within each patient. We report predicted probabilities and average marginal effects of concordant visits vs. non-concordant visits by race/ethnicity.

Results

The analytic sample included 76,658 appointments for 31,123 unique patients. Provider–patient concordance occurred in 51% of all appointments. Bivariate analyses revealed that 20% of appointments with patient–provider concordance were missed, compared to 21% in appointments without patient–provider concordance. In the adjusted models, patient–provider concordance was associated with 5% lower odds of missed appointments. Sex, insurance type, and provider experience were also significant factors. Average marginal effects by race/ethnicity showed lower predicted probabilities of missed appointments for concordant visits, compared to non-concordant visits.

Interpretation

The decreased likelihood of missed appointments among patients with similar racial/ethnic backgrounds as their providers supports the notion that representation in healthcare is important, as it can contribute to fewer no-shows, which can lead to improved clinic efficiency.