Article Figures & Data
Tables
- Table 1.
Items from the 2004 to 2006 Wisconsin Longitudinal Study Used to Define Desirable First-Contact Accessibility
Thinking about your own health care, how would you rate*: The convenience of location of the doctor's office? The hours when the doctor's office is open? Arrangements for making appointments for medical care by phone? The length of time spent waiting at the office to see the doctor? The length of time you wait between making an appointment for routine care and the day of your visit? The availability of medical information or advice by phone? The ease of seeing the doctor of your choice? The amount of time you have with doctors and staff during a visit? * Responses on a scale of 1 to 5 (poor,fair, good, very good, excellent); a 4 or 5 on all items is needed to qualify.
- Table 2.
Key Characteristics of 2003 to 2006 Respondents Overall and by First-Contact Accessibility Status (n = 5507)*
Overall Population By First-Contact Accessibility Status With First-Contact Accessibility Without First-Contact Accessibility P First-contact accessibility status 967 (18) 4540 (82) Age (years) .03 0–59 496 (9) 71 (7) 425 (9) 60–64 2829 (51) 479 (50) 2350 (52) 65–69 1677 (30) 314 (32) 1363 (30) ≥70 505 (9) 103 (11) 402 (9) Sex .02 Male 2567 (47) 417 (43) 2150 (47) Female 2940 (53) 550 (57) 2390 (53) Marital status .20 Married 4429 (80) 790 (82) 3639 (80) Separated or divorced 470 (9) 70 (7) 400 (9) Widowed 411 (7) 79 (8) 332 (7) Never married 195 (4) 28 (3) 167 (4) Educational attainment .36 <High school 2963 (54) 534 (56) 2429 (54) Some college 854 (16) 133 (14) 721 (16) College 807 (15) 149 (16) 658 (15) Postgraduate 831 (15) 145 (15) 686 (15) Total household income ($) .13 <30,000 1015 (18) 197 (20) 818 (18) 30,000–44,999 935 (17) 175 (18) 760 (17) 45,000–59,999 823 (15) 155 (16) 668 (15) 60,000–74,999 715 (13) 117 (12) 598 (13) >75,000 1781 (32) 287 (30) 1494 (33) Not provided 238 (4) 36 (4) 202 (4) Health insurance .06 Private 3071 (56) 503 (52) 2568 (57) Medicare and other private 1886 (34) 352 (36) 1534 (34) Medicare or other public 550 (10) 112 (12) 438 (10) Chronic conditions (mean n [SD])† 4.0 (2.5) 3.8 (2.4) 4.0 (2.5) <.01 Self-rated health (mean [SD])‡ 3.7 (1.0) 3.9 (1.0) 3.7 (0.9) <.01 Sample consists of patients who have reported a continuity relationship with a Family Medicine or Internal Medicine Physician of at least 2 years.
All values are presented as n (%) unless otherwise indicated.
* First-contact accessibility status is defined as very good or excellent ratings for all of the following: convenience of doctor's location, hours of doctor's availability, phone appointment arrangements, office wait time, time between when appointment is made and visit, availability by phone of medical advice and information, ease of seeing doctor of choice, and amount of visit time spent with doctors and staff. The sample consists of patients who have reported a continuity relationship of at least 2 years with a family medicine or internal medicine physician. Because of rounding, percents may not add up to 100.
† The following 22 chronic conditions were measured in this count: asthma, bronchitis/emphysema, serious back trouble, circulation problems, kidney/bladder problems, ulcers, allergies, multiple sclerosis, high blood pressure, diabetes, cancer, coronary heart disease/myocardial infarction, stroke, arthritis, pain and stiffness in the joints, mental illness, chronic sinusitis, fibromyalgia, high cholesterol, irritable bowel syndrome, osteoporosis, and prostate problems.
‡ Self-rated health was measured by respondents on a scale of 1 to 5 (poor, fair, good, very good, excellent).
- Table 3.
Preventive Services Receipt for Those With Continuity of Care, Comparing Those With (N = 967) and Without (N = 4540) First-Contact Accessibility
n/N (%) Unadjusted (OR [95% CI]) Adjusted* (OR [95% CI]) Cholesterol test With first-contact accessibility 657/714 (92) 1.29 (0.96–1.73) 1.36 (1.01–1.82) Without first-contact accessibility 3053/3395 (90) 1.00 1.00 Flu shot With first-contact accessibility 646/948 (68) 1.35 (1.16–1.57) 1.36 (1.16–1.59) Without first-contact accessibility 2731/4451 (61) 1.00 1.00 Prostate examination With first-contact accessibility 327/391 (84) 1.58 (1.19–2.11) 1.62 (1.2–2.18) Without first-contact accessibility 1519/1990 (76) 1.00 1.00 Mammogram With first-contact accessibility 464/542 (86) 1.24 (0.96–1.62) 1.23 (0.94–1.61) Without first-contact accessibility 1943/2349 (83) 1.00 1.00 This sample consists of patients who have reported a continuity relationship of at least 2 years with a family medicine or internal medicine physician. Bolded values are significant at P < .05.
* Adjusted for age, household income, education, marital status, sex, insurance type, chronic conditions count, and self-rated health.
OR, odds ratio.