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Race, Segregation, and Physicians' Participation in Medicaid

Jessica Greene, Jan Blustein and Beth C. Weitzman
The Milbank Quarterly
Vol. 84, No. 2 (2006), pp. 239-272
Published by: Wiley on behalf of Milbank Memorial Fund
Stable URL: http://www.jstor.org/stable/25098117
Page Count: 34
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Since scans are not currently available to screen readers, please contact JSTOR User Support for access. We'll provide a PDF copy for your screen reader.
Race, Segregation, and Physicians' Participation in Medicaid
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Abstract

Many studies have explored the extent to which physicians' characteristics and Medicaid program factors influence physicians' decisions to accept Medicaid patients. In this article, we turn to patient race/ethnicity and residential segregation as potential influences. Using the 2000/2001 Community Tracking Study and other sources we show that physicians are significantly less likely to participate in Medicaid in areas where the poor are nonwhite and in areas that are racially segregated. Surprisingly-and contrary to the prevailing Medicaid participation theory-we find no link between poverty segregation and Medicaid participation when controlling for these racial factors. Accordingly, this study contributes to an accumulating body of circumstantial evidence that patient race influences physicians' choices, which in turn may contribute to racial disparities in access to health care.

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