Table 1.

Characteristics of American Board of Family Medicine Diplomates Providing Palliative Care

Characteristics (n)Diplomates (n)Provides Palliative Care
Diplomates, n (%)OR (95% CI)
All10,8943,609 (33.13)
Palliative-specific practices
    Routinely see patients in hospice733616 (84.04)5.77 (4.62–7.19)*
    Routinely see patients in nursing home1,6411,086 (66.20)3.40 (3.05–3.80)*
    Routinely makes home visits2,4741,609 (65.04)2.36 (2.07 to −2.69)*
    Certified in hospice and palliative medicine241227 (94.19)
Sex
    Male6,8912,475 (35.92)Reference
    Female4,0031,134 (28.33)0.96 (0.87 −1.06)*
Region of practice
    South3,6871,088 (29.51)Reference
    Northeast1,579558 (35.34)1.07 (0.93 to −1.24)
    West2,661856 (32.17)1.16 (1.03 to −1.32)
    Midwest2,9421,100 (37.39)1.07 (0.95 to −1.21)
Race
    White8,7433,172 (36.28)Reference
    Black65999 (15.02)0.36 (0.28 to −0.46)*
    Asian1,300287 (22.08)0.62 (0.53–0.73)*
    Other19251 (26.56)0.67 (0.47 to −0.96)
Years in practice
    0–102,983811 (27.20)Reference
    11–203,4611,076 (31.09)1.17 (1.04 to −1.32)
    21–303,2781,242 (37.89)1.32 (1.70 to −1.50)*
    ≥311,171479 (40.91)1.36 (1.15 to −1.60)*
Ethnicity
    Non-Hispanic10,2583,452 (33.65)Reference
    Hispanic636157 (24.69)0.74 (0.60–0.92)*
Rurality
    Urban (population >50,000)9,0792,662 (29.32)Reference
    Population 20,000–50,000740325 (43.92)1.38 (1.16 to −1.64)*
    Population 2,500–19,999926524 (56.59)2.05 (1.75 to −2.40)*
    Rural (population <2,500)14998 (65.77)2.38 (1.61 to −3.50)*
Practice size
    Large (>20 providers)1,929582 (30.17)Reference
    Medium (6–20 providers)3,3821,106 (32.70)1.02 (0.89 to −1.17)*
    Small (2–5 providers)3,9021,342 (34.39)1.06 (0.93 to −1.22)*
    Solo1,681579 (34.44)1.10 (0.93 to −1.30)*
PCMH status
    Neither applicant nor certified4,7581330 (36.90)Reference
    PCMH applicant3,5621,380 (38.20)1.54 (1.38 to −1.70)*
    PCMH certified2,574899 (24.90)1.73 (1.54 to −1.96)*
  • Source: 2013 American Board of Family Medicine Maintenance of Certification Demographic Survey.

  • * P < .001.

  • P < .05.

  • CI, confidence interval; OR, odds ratio; PCMH, patient-centered medical home.