A Key To Black Infant Survival? Black Doctors

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Cerita let's jump into this latest research. What was the big question? Your team was kind of trying to answer what were you looking out? So we were interested in really understanding patient physician racial concordance meaning does it matter if a patient has a physician caring for them that shares the same racial identity racial background the other piece is that know with respect to infant mortality for as long as we have collected data on infant mortality there has. been a racial gap and so even when as a country are infant mortality rates have improved, the gap has remained the same between black and white babies or gotten worse. The other piece that I think is really critical are interesting for this study is that it gave us an opportunity to understand if patient physician racial concordance matters when communication is part of the scenario. So of course, infants can't talk and you know so often we. We've looked at the the concordance question with respect to communication issues or a lack of communication between a patient and provider, and so the study really presented an opportunity to dig into all of those things, right right and so how did your team go about this Rachel like what data did you pull to look at? So we use data from the state of Florida's Agency for Health Care Administration and these data have been used extensively in public health and economics research to look at patients admitted to Florida Hospitals Between Nineteen Ninety two and twenty fifteen. So we were able to look at one point eight, million births between that time period and we're also able to access. Information about both the mother and the newborn including their race co morbidity. Outcomes, and the hospital that they were treated at. We had less information actually about the the race of the physician because that's not a variable that's actually collected are coded very accurately or often, and so we had to get a little bit creative with that piece of it and we actually employed sort of an army of graduate research assistants. One of my colleagues was able to hire ten fifteen students to help us. Pull all of the physician names and photos. So in addition to what data did have around physician race, we also had folks who were looking at pictures of physicians and identifying race in that way as well which I think is an important in unique actually part of this study because you know so much of how we as human sort of categorizing group people and think about sort of racial identity is based on what we see in front of us, and so we were able to add that. To our data set as well. So reach team looked at one point, eight, million hospital birth records, how each baby did the babies race and the race of the doctor in charge of the newborns care and what they found was striking when a black newborn was cared for by a black physician they were less likely to experience death in the hospital setting to put some numbers on it when. Cared for by White Physicians Black Newborns in this study were approximately three times more likely to die in the hospital then white newborns. But when black physicians cared for black newborns that excess mortality rate dropped by about fifty percent, we also found that the effects appear to sort of manifest themselves more strongly the more complex cases meaning the effect is even more prevalent in complicated or difficult birthing situations. But when the team looked at the health outcome of the birthing person, racial concordance didn't seem to make a difference. That's a really interesting piece that I. It wasn't unexpected finding for me based on the body of research that I do. We didn't see that two There was a significant improvement in maternal mortality when the birthing mother shared the race with their

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