Adjusted Odds Ratios for Likelihood of Medicare Outpatient Visits to Physicians in Practices with IT to Support Specific Patient Care Functions in 2001 |
|
Access Treatment Guidelines
|
Exchange Clinical Data with Other Physicians | Access Patient Notes | Generate Preventive Care Reminders | Electronic Prescribing | |
| PATIENT CHARACTERISTICS |
|
|
|
|
|
| Health Status1 |
|
|
|
|
|
| Healthiest Third2 |
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
| Middle Third |
0.86***
|
0.97
|
1.02
|
1.05
|
1.01
|
| Sickest Third |
0.90*
|
0.93
|
0.98
|
1.06
|
1.03
|
| Age |
|
|
|
|
|
| <65 |
0.99
|
1.01
|
1.17*
|
0.86**
|
1.06
|
| 65-742 |
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
| 75-84 |
1.01
|
0.98
|
0.99
|
1.01
|
1.08
|
| 85+ |
0.91
|
1.00
|
0.91*
|
0.97
|
1.08
|
| Location of Residence3 |
|
|
|
|
|
| Urban2 |
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
| Rural |
1.18
|
1.02
|
1.46***
|
1.30*
|
1.08
|
| Income3 | |||||
| Wealthiest Quartile2 |
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
| 3rd Quartile |
1.00
|
0.99
|
1.12
|
0.97
|
1.02
|
| 2nd Quartile |
1.10
|
1.10
|
1.14
|
0.99
|
0.96
|
| Poorest Quartile |
1.03
|
0.89
|
1.01
|
0.89
|
0.92
|
| Race | |||||
| White2 |
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
| Black |
0.91
|
0.97
|
1.07
|
0.90
|
1.06
|
| Other |
0.94
|
1.08
|
1.13
|
1.24
|
1.12
|
| PHYSICIAN CHARACTERISTICS | |||||
| Practice Type | |||||
| Solo/Two Physicians |
0.54*
|
0.19***
|
0.25***
|
1.07
|
0.55**
|
| Small Group (<10) |
0.52**
|
0.24***
|
0.33***
|
0.97
|
0.68
|
| Medium Group (10 to 49) |
0.36***
|
0.31***
|
0.34***
|
0.63
|
0.54
|
| Large Group (50+)2 |
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
| Office Owned by Hospital |
0.50**
|
0.32***
|
0.27***
|
0.65
|
0.55
|
| Hospital Staff |
1.23
|
1.39
|
1.54
|
1.02
|
1.10
|
| Medical School |
0.76
|
1.39
|
1.54
|
1.02
|
1.10
|
| Staff/Group HMO |
1.03
|
0.80
|
1.50
|
2.29*
|
1.73
|
| Other |
0.60*
|
0.37***
|
0.56*
|
1.03
|
0.53*
|
| Specialty Category | |||||
| Primary Care |
0.74**
|
0.82
|
0.86
|
1.36**
|
1.63*
|
| Surgical Specialty |
0.60***
|
0.82
|
1.11
|
1.44**
|
0.87
|
| Medical Specialty2 |
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
| Physician Age | |||||
| Under 35 |
1.30
|
1.03
|
0.94
|
1.00
|
1.12
|
| 35-542 |
1.00
|
1.00
|
1.00
|
1.00
|
1.00
|
| 55+ |
0.77*
|
0.87
|
0.72**
|
1.08
|
0.64*
|
| 1 Patient health status as measured by the Klabunde index
of relative comorbidity. For details see endnote 2. 2 Reference group. 3 Patient zip code of residence was used to determine urban/rural location and neighborhood income. Urban refers to metropolitan areas defined by the Office of Management and Budget. Income data are from the U.S. Bureau of the Census. Comparison with reference group is statistically significant at ***p<.001, **p<.01, *p<.05. Source: Linked data from the Centers for Medicare and Medicaid Services 2001 5 Percent Carrier File and 2001 CTS Physician Survey |
|||||