Table 5 shows the distribution of health care-seeking behavior and satisfaction with medical care of African American elders with IMG versus USMG physicians.
Table 6 reveals the distribution of health care-seeking behavior and satisfaction with medical care of white elders with IMG versus USMG physicians.
The goal of this study was to examine the impact that international medical school graduate (IMG) physicians in comparison with USMG physicians have on the satisfaction with medical care and health care-seeking behaviors of an oversampled racial cohort of urban and rural elders.
Our study indicated no difference in access to care or consistency of care among elders with USMG versus IMG physicians.
Table 1: United States Medical Graduate (USMG) and International Medical School Graduate (IMG) Physician Characteristics by Year 1986 (N = 341) African- Other Physician American White Race Characteristics USMG USMG USMG IMG N 35 280 4 22 Male 88.
No study has examined longitudinally the impact that IMGs have had in comparison with USMGs on the health care-seeking behavior and satisfaction with medical care of the minority populations they serve.
There was no difference in being satisfied with medical care between African-American elders with IMGs in comparison with African-American elders with USMGs.
White elders with IMGs in comparison with white elders with USMGs were less likely to be satisfied with their medical care (OR = 0.
Other study results indicate that whites with IMGs were less likely to be satisfied with their medical care in comparison with their counterparts with USMGs.
Our study results suggest that the differences in health care-seeking behavior among elders differed for elders with IMGs versus USMGs.
According to Baer, Konrad, and Miller (1999), CHC administrators frequently reported that they prefer National Health Services Corps (NHSC) physicians to IMGs as IMGs reportedly have fewer acceptances by patients than do USMGs or NHSC physicians.
There is no conclusive evidence in the literature that IMGs are any less or more competent than USMGs (Mick and Pfahler 1995; Mick and Comfort 1997).