Predictors of High-Intensity Patient Engagement
| Predictor | Model 1: High-Intensity Patient Engagement Including Structural Predictors and PCMH Certification Status, N = 1368; OR (95% CI) | Model 2: High-Intensity Patient Engagement Including Structural Predictors and PCMH Subcomponents, N = 1368; OR (95% CI) |
|---|---|---|
| Practice Size (ref: Solo practice) | ||
| Small | 1.32 (0.82, 2.11) | 1.10 (0.67, 1.79) |
| Medium | 1.98 (1.22, 3.21) | 1.42 (0.83, 2.41) |
| Large | 3.30 (1.96, 5.57) | 2.07 (1.12, 3.82) |
| Practice ownership (ref: private practice) | ||
| Hospital | 1.08 (0.78, 1.49) | 1.02 (0.73, 1.43) |
| FQHC | 1.13 (0.74, 1.73) | 1.21 (0.77, 1.91) |
| Other | 1.22 (0.74, 2.00) | 1.22 (0.72, 2.09) |
| Academic | 1.58 (0.96, 2.59) | 1.75 (1.05, 2.89) |
| % Vulnerable patients served (ref: <10%) | ||
| 10% to 50% | 1.77 (1.29, 2.43) | 1.71 (1.24, 2.36) |
| >50% | 1.83 (1.18, 2.84) | 1.89 (1.19, 2.99) |
| Census region (ref: Midwest) | ||
| Northeast | 0.65 (0.44, 0.98) | 0.70 (0.46, 1.06) |
| South | 0.67 (0.49, 0.92) | 0.74 (0.53, 1.02) |
| West | 0.90 (0.65, 1.25) | 0.88 (0.63, 1.22) |
| PCMH stage (ref: not applying) | ||
| Applying | 1.66 (1.16, 2.36) | |
| Accredited | 2.19 (1.62, 2.97) | |
| Number of non-MD disciplines represented on care team (0 to 7 possible disciplines) | 1.06 (0.98, 1.16) | |
| Care coordination (yes/no to having a care coordinator) | 1.75 (1.28, 2.39) | |
| Access (0 to 4 patient access features) | 1.11 (0.96, 1.30) | |
| Quality improvement activities (0 to 4 score) | 1.56 (1.34, 1.81) |
PCMH, patient-centered medical home; OR, odds ratio; CI, confidence interval; FQHC, Federally Qualified Health Center; MD, medical doctor. Underlined odds ratios indicate P-value <.05.