Dr. Woolhandler

Racial Disparities in Specialty Outpatient Physician Care

MedicalResearch.com Interview with:

Dr. Woolhandler

Dr. Woolhandler

Steffie Woolhandler MD MPH, FACP
Professor of Public health and Health Policy
CUNY School of Public Health at Hunter College
Co-founder and board member
Physicians for a National Health Program

MedicalResearch.com: What is the background for this study? What are the main findings?

Response:   We analzyed a national database of healthcare utilization. We found racial disparities exist in use of specialist MD services by Black- and Native-Americans relative to White-Americans, despite their greater needs.  Hispanic- and Asian-Americans also receive specialist care at low rates.  

MedicalResearch.com: What should readers take away from your report? 

Response: To remedy these disparities, we should remove financial barriers to specialist care though Medicare for All or Single-Payer reform.

We must also increase medical school enrollment for students of color.

Finally we must increase access to specialist services in communities of color.  

MedicalResearch.com: What recommendations do you have for future research as a result of this work?

Response: Future research should focus on evaluating solutions to these disparities, which are best characterized as a result of structural racism. This includes eliminating financial barriers for patients of color or other reparative actions.

Christopher Cai has worked as a paid health policy fellow in the office of US Representative Pramila Jayapal, as an unpaid board member of Physicians for a National Health Program (PNHP), which advocates for single payer national health insurance, and has received a small stipend from PNHP for prior work on an unrelated study. 

Citation:

Cai C, Gaffney A, McGregor A, et al. Racial and Ethnic Disparities in Outpatient Visit Rates Across 29 Specialties. JAMA Intern Med. Published online July 19, 2021. doi:10.1001/jamainternmed.2021.3771

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Last Updated on July 29, 2021 by Marie Benz MD FAAD