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The final sample included 390,392 hospitalizations and 2808 providers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Measures<\/jats:title>\n                    <jats:p>The primary outcome was the occurrence of an ACP conversation, identified using CPT codes 99497 and 99498, assessed from admission through day 10 or discharge. Patient and provider races were categorized as White, Black, Hispanic, or Asian. Models included fixed effects for patient demographics, clinical risk, and hospital characteristics, and random effects for hospital clustering.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Results<\/jats:title>\n                    <jats:p>Asian providers were more likely and Hispanic providers less likely to engage in ACP discussions. Patient\u2013provider racial concordance modestly increased the likelihood of ACP for Black, White, and Hispanic patients, and several cross-race pairings also showed higher engagement. These effects were modest, varied across racial dyads, and occurred in the context of higher than national average inpatient\u00a0ACP rates under the PSO\u2019s quality improvement initiative.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Provider race and patient\u2013provider concordance each influenced the likelihood of inpatient ACP, though effects were modest and context-dependent. Concordance and certain racial pairings were associated with higher engagement, but disparities persisted across groups, highlighting that broader structural and communication barriers continue to shape inequities in end-of-life care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11606-026-10231-x","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T19:37:20Z","timestamp":1773949040000},"page":"3383-3391","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Race and Physician\u2013Patient Racial Concordance on the Incidence of Inpatient Advance Care Planning"],"prefix":"10.1007","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5837-1507","authenticated-orcid":false,"given":"Benjamin","family":"Carter","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satveer","family":"Kaur-Gill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Murphy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. 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