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The Racial and Ethnic Composition and Distribution of Primary Care PhysiciansImam M Xierali et al. J Health Care Poor Underserved. 2018.
AbstractRacial and ethnic minority physicians are more likely to practice primary care and serve in underserved communities. However, there are micro-practice patterns within primary care specialties that are not well understood. To examine the differences among primary care physician practice locations by specialty and race/ethnicity, a retrospective study was conducted on U.S. medical graduates who were direct patient care physicians in 2012. The group-specific contributions to primary care accessibility were decomposed by individual group of minorities underrepresented in medicine (URM). Results confirm significant differences not only in their distribution across underserved areas but also in their racial/ethnic composition by primary care specialties, with internist most diverse and family physicians least diverse. However, stratified analysis shows that within each primary care subspecialty, URM physicians were more likely to practice in underserved areas than their White peers regardless of specific specialties.
Conflict of interest statementConflict of interest
All authors confirm there is nothing to declare; No conflict of interest.
FiguresFigure 1
Racial ethnic composition of primary…
Figure 1
Racial ethnic composition of primary care physicians in the study cohort. Notes: FPGP=…
Figure 1Racial ethnic composition of primary care physicians in the study cohort. Notes: FPGP= Family Physicians and General Practitioners IM= General Internists PD= Pediatricians PCP= Primary Care Physicians
Figure 2
Variations in practice location by…
Figure 2
Variations in practice location by primary care physician race ethnicity and specialty: Percent…
Figure 2Variations in practice location by primary care physician race ethnicity and specialty: Percent in HPSA. Notes: FPGP= Family Physicians and General Practitioners IM= General Internists PD= Pediatricians PCP= Primary Care Physicians
Figure 3
Variations in practice location by…
Figure 3
Variations in practice location by primary care physician race ethnicity and specialty: Percent…
Figure 3Variations in practice location by primary care physician race ethnicity and specialty: Percent in MUA/P. Notes: FPGP= Family Physicians and General Practitioners IM= General Internists PD= Pediatricians PCP= Primary Care Physicians
Figure 4
Variations in practice location by…
Figure 4
Variations in practice location by primary care physician race ethnicity and specialty: rural…
Figure 4Variations in practice location by primary care physician race ethnicity and specialty: rural areas. Notes: FPGP= Family Physicians and General Practitioners IM= General Internists PD= Pediatricians PCP= Primary Care Physicians
Map-1
Impact of Black primary care physician…
Map-1
Impact of Black primary care physician on primary care spatial accessibility
Map-1Impact of Black primary care physician on primary care spatial accessibility
Map-2
Impact of Native American primary care…
Map-2
Impact of Native American primary care physician on primary care spatial accessibility
Map-2Impact of Native American primary care physician on primary care spatial accessibility
Map-3
Impact of Hispanic primary care physician…
Map-3
Impact of Hispanic primary care physician on primary care spatial accessibility
Map-3Impact of Hispanic primary care physician on primary care spatial accessibility
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Impact of URM primary care physician…
Map-4
Impact of URM primary care physician on primary care spatial accessibility
Map-4Impact of URM primary care physician on primary care spatial accessibility
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