The Impact of Patient–Physician Racial and Gender Concordance on Patient Satisfaction with Outpatient Clinic Visits

Background Patient and provider race and gender concordance (patient and physician identify as the same race/ethnicity or gender) may impact patient experience and satisfaction. Objective We sought to examine how patient and physician racial and gender concordance effect patient satisfaction with outpatient clinical encounters. Furthermore, we examined factors that changed satisfaction among concordant and discordant dyads. Design Consumer Assessment of Healthcare Provider and Systems (CAHPS) Patient Satisfaction Survey Scores were collected from outpatient clinical encounters between January 2017 and January 2019 at the University of California, San Francisco. Participants Patients who were seen in the eligible time period, who voluntarily provided physician satisfaction scores. Providers with fewer than 30 reviews and encounters with missing data were excluded. Main Measures Primary outcome was rate of top satisfaction score. The provider score (1–10 scale) was dichotomized as “top score (9-10)” and “low scores (