Does Diversity Matter for Health? Experimental Evidence from Oakland

• 成果类型: Article
• 署名作者: Alsan, Marcella; Garrick, Owen; Graziano, Grant
• 署名单位: Harvard University; University of California System; University of California Berkeley
• 刊物名称: AMERICAN ECONOMIC REVIEW
• ISSN/ISSBN: 0002-8282
• DOI: 10.1257/aer.20181446
• 发表日期: 2019
• 页码: 4071-4111
• 关键词: medical mistrust; cost-effectiveness; RACE; black; care; ETHNICITY; GENDER; me; disparities; physicians

摘要

We study the effect of physician workforce diversity on the demand for preventive care among African American men. In an experiment in Oakland, California, we randomize black men to black or non-black male medical doctors. We use a two-stage design, measuring decisions before (pre-consultation) and after (post-consultation) meeting their assigned doctor. Subjects select a similar number of preventives in the pre-consultation stage, but are much more likely to select every preventive service, particularly invasive services, once meeting with a racially concordant doctor. Our findings suggest black doctors could reduce the black-white male gap in cardiovascular mortality by 19 percent.