Furthermore, concordance (patients and their physicians sharing similar characteristics, such as race or ethnicity, language, and sex) is associated with better patient-reported outcomes. In race-concordant visits, patients are more satisfied with their care and feel that they are more involved in decision making about their care (10 - 11). Language concordance also has these effects and results in improvements in self-reported health status (12 - 13). Unfortunately, we do not clearly understand why concordance leads to better patient-reported outcomes. If we did, we could teach all physicians how to achieve these outcomes whether or not they and their patients were of the same race or ethnicity. Differences in communication patterns in race-concordant and race-discordant relationships do not explain why patients in race-concordant relationships rate their care more highly (11).