Multivariable Regression of Advance Care Planning Conversations, Including the APCP Index*
| Variable | Odds Ratio | 95% Confidence Interval | P value |
|---|---|---|---|
| APCP index | 1.07 | (1.05–1.09) | .00 |
| Age 45+ | 1.26 | (0.89–1.79) | .20 |
| Male | 1.30 | (0.95–1.78) | .10 |
| Considering work high stress | 1.06 | (0.79–1.42) | .70 |
| Practice location | |||
| City | reference | ||
| Suburb | 0.65 | (0.45–0.93) | .02 |
| Small town | 0.94 | (0.62–1.43) | .78 |
| Rural | 0.89 | (0.54–1.46) | .63 |
| Practice belongs to an ACO | 0.96 | (0.69–1.33) | .81 |
| Physician payment | |||
| Clinical targets | 1.15 | (0.83–1.59) | .40 |
| CMS incentives | 0.94 | (0.69–1.29) | .71 |
| Fee for service | 1.16 | (0.73–1.82) | .53 |
| Capitation | 1.48 | (1.03–2.13) | .04 |
| Salaried | 0.83 | (0.55–1.24) | .36 |
| Practice often sees patients with: | |||
| Multiple chronic conditions | 9.95 | (4.87–20.34) | .00 |
| Palliative care needs | 2.03 | (1.41–2.93) | .00 |
| Practice does home visits | 2.01 | (1.47–2.75) | .00 |
APCP, advanced primary care. ACO, accountable care organization.
↵* N = 977. Values imputed when absent.
Bolded items and values are statistically significant.