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AJPH First Look, published online ahead of print Oct 27, 2005
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December 2005, Vol 95, No. 12 | American Journal of Public Health 2186-2190
© 2005 American Public Health Association
DOI: 10.2105/AJPH.2004.046177

RESEARCH AND PRACTICE

Physician–Patient Racial Concordance, Continuity of Care, and Patterns of Care for Hypertension

Thomas R. Konrad, PhD, Daniel L. Howard, PhD, Lloyd J. Edwards, PhD, Anastasia Ivanova, PhD and Timothy S. Carey, MD, MPH

Thomas R. Konrad and Timothy S. Carey are with the Cecil G. Sheps Center for Health Services Research at the University of North Carolina, Chapel Hill. Daniel L. Howard is with Shaw University, Raleigh, NC. Lloyd J. Edwards and Anastasia Ivanova are with the Department of Biostatistics, School of Public Health, University of North Carolina, Chapel Hill.

Correspondence: Requests for reprints should be sent to Thomas R. Konrad, PhD, Cecil G. Sheps Center for Health Services Research, UNC-CH, 725 MLK Blvd/Airport Rd CB 7590, Chapel Hill, NC 27599-7590 (e-mail: bob_konrad{at}unc.edu).

To assess the effects of physician–patient racial concordance and continuity of care on hypertension outcomes, we described patterns of care for hypertension; we used cross-tabulations and repeated measures (generalized estimating equations) analyses with panel survey data from elderly persons interviewed and examined in 1987 and 1990. Continuity of care was associated with recognition of hypertension, receipt of medication, and lower incidence of undetected hypertension. Physician race had little effect, but continuity is important for successful management of hypertension in older persons.






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