Availability of Hospital Discharge Summary (HDS) by Key Characteristics (Row Percentages Shown)
| Availability of HDS | P-Value* | P-Value† | |||
|---|---|---|---|---|---|
| 0% to 40% of the Time (N = 128) | 41% to 80% of the Time (N = 193) | 81% to 100% of the Time (N = 145) | |||
| Direct access to inpatient data | <.0001 | <.0001 | |||
| 0% to 40% of the time | 91 (65.9%) | 40 (29.0%) | 7 (5.1%) | ||
| 41% to 80% of the time | 30 (19.9%) | 109 (72.2%) | 12 (7.9%) | ||
| 81% to 100% of the time | 5 (2.9%) | 43 (24.7%) | 126 (72.4%) | ||
| Community size | .79 | .15 | |||
| ≤20,000 | 34 (30.6%) | 39 (35.1%) | 38 (34.2%) | ||
| 20,001 to 100,000 | 40 (27.8%) | 60 (41.7%) | 44 (30.6%) | ||
| 100,001 to 500,000 | 30 (26.1%) | 53 (46.1%) | 32 (27.8%) | ||
| >500,000 | 24 (25.5%) | 39 (41.5%) | 31 (33.0%) | ||
| Practice type | |||||
| Solo | .0003 | .58 | |||
| No | 92 (23.8%) | 166 (42.9%) | 129 (33.3%) | ||
| Yes | 36 (45.6%) | 27 (34.2%) | 16 (20.3%) | ||
| Single-specialty group | .28 | .68 | |||
| No | 87 (25.8%) | 139 (41.2%) | 111 (32.9%) | ||
| Yes | 41 (31.8%) | 54 (41.9%) | 34 (26.4%) | ||
| Multi-specialty group | .007 | .82 | |||
| No | 115 (30.2%) | 157 (41.2%) | 109 (28.6%) | ||
| Yes | 13 (15.3%) | 36 (42.4%) | 36 (42.4%) | ||
| Hospital-owned office-based | .049 | .73 | |||
| No | 112 (29.7%) | 155 (41.1%) | 110 (29.2%) | ||
| Yes | 16 (18.0%) | 38 (42.7%) | 35 (39.3%) | ||
| Academic | .09 | .02§ | |||
| No | 117 (27.5%) | 182 (42.7%) | 127 (29.8%) | ||
| Yes | 11 (27.5%) | 11 (27.5%) | 18 (45.0%) | ||
| Other‡ | .23 | .56 | |||
| No | 102 (27.9%) | 144 (39.5%) | 119 (32.6%) | ||
| Yes | 26 (25.7%) | 49 (48.5%) | 26 (25.7%) | ||
↵* Unadjusted P-value (χ2 test).
↵† Adjusted P-value from nominal logistic regression model including all predictors listed in this table.
↵‡ Community clinic, hospital inpatient, group staff HMO, or other.
↵§ When stratified according to direct access to inpatient data, there is slightly less availability of the HDS among those in academic settings (see Table 3).
HMO, Health Maintenance Organization.