Article Figures & Data
Tables
- Table 1.
Patient Characteristics by Whether a Request was Denied for Visits with a Patient Request (n = 867 Visits)
All Visits with One or More Requests Patients Who Did Not Report a Denial Patients Who Reported One or More Denials P-Value n 867 685 182 Age, mean (SD) 46.4 (15.8) 46.7 (16.0) 45.2 (14.8) .25 Male gender 267 (30.8%) 215 (31.4%) 52 (28.6%) .46 Race/ethnicity White 399 (46.0%) 312 (45.5%) 87 (47.8%) .74 Hispanic 208 (24.0%) 164 (23.9%) 44 (24.2%) Black 104 (12.0%) 86 (12.6%) 18 (9.9%) Asian 53 (6.1%) 39 (5.7%) 14 (7.7%) Other/multiple races 75 (8.7%) 60 (8.9%) 15 (8.2%) Decline to state 28 (3.2%) 24 (3.5%) 4 (2.2%) Education level HS/GED or less 170 (19.6%) 134 (19.6%) 36 (19.7%) .33 Some college 315 (36.3%) 249 (36.4%) 66 (36.3%) College grad 184 (21.2%) 137 (20.0%) 47 (25.8%) >College 198 (22.8%) 165 (24.1%) 33 (18.1%) Marital status Married or domestic partnership 361 (41.6%) 287 (41.9%) 74 (40.7%) .40 Divorced 125 (14.4%) 98 (14.3%) 27 (14.8%) Unmarried couple 86 (9.9%) 75 (10.9%) 11 (6.0%) Never married 207 (23.9%) 158 (23.1%) 49 (26.9%) Separated 30 (3.5%) 22 (3.2%) 8 (4.4%) Widowed 58 (6.7%) 45 (6.6%) 13 (7.7%) Saw usual physician (self-reported) 442 (51.0%) 365 (53.3%) 77 (42.3%) .008 Patient saw faculty physician 211 (24.3%) 176 (25.7%) 35 (19.2%) .07 Self-reported physical health good or better 663 (76.5%) 534 (78.0%) 129 (70.9%) .04 Mental Health index, mean (SD) 72.5 (19.0) 73.2 (18.9) 69.9 (56.0, 84.0) .04 Symptom burden Low 240 (27.7%) 203 (29.6%) 37 (20.3%) <.001 Mid 222 (25.6%) 192 (28.0%) 30 (16.5%) High 405 (46.7%) 290 (42.3%) 115 (63.2%) Medical skepticism, mean (SD) 3.0 (0.66) 3.0 (0.65) 3.1 (0.70) .06 Life satisfaction, mean (SD) 25.1 (6.50) 25.1 (6.5) 25.1 (6.3) .99 SD, standard deviations; HS/GED, High School/General Educational Development.
Saw usual doctor: patient answered on survey that they saw the usual doctor they see for medical care (patient self-report of usual doctor).
Mental Health index: higher is better self-reported mental health (range, 4 to 100).
Symptom burden: higher is great symptom burden.
Medical skepticism: higher value is more skeptical (range, 1 to 5).
Life satisfaction: higher value is more satisfied (range, 5 to 35).
- Table 2.
Predictors of Physician Denial of One or More Patient Requests Among All Visits with a Request (n = 867)
Patients Who Reported ≥1 Requests Denied aOR (95% CI) P-Value Age 1.00 (0.99, 1.01) .92 Male gender (female = reference) 1.00 (0.68, 1.49) .99 Race/ethnicity White reference Hispanic 0.74 (0.47, 1.18) .21 Black 0.64 (0.35, 1.17) .15 Asian 1.37 (0.67, 2.81) .38 Other/multiple races 0.74 (0.38, 1.49) .38 Decline to state 0.59 (0.19, 1.83) .36 Education level HS/GED or less reference Some college 1.12 (0.68, 1.82) .66 College grad 1.38 (0.80, 2.37) .25 >College 0.74 (0.41, 1.32) .30 Marital status Married or partnership reference Divorced 0.93 (0.54, 1.60) .80 Member of unmarried couple 0.44 (0.19, 1.02) .06 Never married 0.99 (0.53, 1.87) .99 Separated 1.33 (0.50, 3.54) .56 Widowed 1.23 (0.55, 2.77) .61 Saw usual physician (self-reported) 0.61 (0.42, 0.88) .009 Patient saw faculty physician 0.72 (0.44, 1.16) .18 Self-reported physical health good or better 0.75 (0.48, 1.17) .21 Mental Health index 0.99 (0.98, 1.00) .18 Symptom burden Low reference Mid 0.84 (0.49, 1.44) .53 High 2.21 (1.38, 3.55) .001 Medical skepticism 1.35 (1.03, 1.78) .03 Life satisfaction 1.03 (0.99, 1.07) .06 aOR, adjusted odds ratio; CI, confidence interval; HS/GED, High School/General Educational Development.
Saw usual doctor: patient answered on survey that they saw the usual doctor they see for medical care (patient self-report of usual doctor).
Mental Health index: higher is better self-reported mental health (range, 4 to 100).
Symptom Burden: higher is great symptom burden.
Medical Skepticism: higher value is more skeptical (range, 1 to 5).
Life Satisfaction: higher value is more satisfied (range, 5 to 35).
- Table 3.
Predictors of Patient Satisfaction Among Patients who Had at Least one Request Denied During the Visit (n = 182)
Adjusted Change in Percentile Rank in Visit Satisfaction (95% CI) P-Value Age (per year) 0.2 (−0.1, 0.6) .14 Male gender (female = reference) 2.1 (−6.8, 10.9) .65 Race/ethnicity White reference Hispanic 0.1 (−9.8, 10.0) .98 Black −0.6 (−14.4, 13.1) .93 Asian 5.2 (−9.8, 20.3) .50 Other/multiple races 3.1 (−11.3, 17.5) .67 Decline to state −19.1 (−46.4, −8.1) .17 Education level HS/GED or less reference Some college −1.5 (−12.4, 9.3) .78 College grad −9.7 (−21.8, 2.5) .12 >College −15.4 (−29.2, −1.7) .028 Marital status Married or partnership (reference) reference Divorced 8.6 (−20.3, 3.2) .16 Member of unmarried couple −16.8 (−36.1, 2.5) .09 Never married 0.6 (−12.7, 13.8) .93 Separated −15.6 (−37.0, 5.9) .16 Widowed −8.0 (−26.4, 10.4) .40 Saw usual physician (self-reported) 12.4 (3.5, 21.2) .006 Patient saw faculty physician 11.7 (0.7, 22.7) .036 Self-reported physical health good or better 3.8 (−6.5, 14.1) .45 Mental Health index (per point increase) 0.1 (−0.1, 0.3) .43 Symptom burden Low (reference) reference Mid −1.8 (−14.4, 10.9) .78 High 1.4 (−9.5, 12.4) .80 Medical skepticism (per point increase) −6.9 (−12.7, −1.1) .02 Life satisfaction (per point increase) 1.0 (0.2, 1.8) .03 CI, confidence interval; HS/GED, High School/General Educational Development.
Saw usual doctor: patient answered on survey that they saw the usual doctor they see for medical care (patient self-report of usual doctor).
Mental Health index: higher is better self-reported mental health (range, 4 to 100).
Symptom Burden: higher is great symptom burden.
Medical Skepticism: higher value is more skeptical (range, 1 to 5).
Life Satisfaction: higher value is more satisfied (range, 5 to 35).
