Multivariable Regression Predicting Physicians Routinely Engaging Older and Sicker Patients in Advance Care Planning, Using Binary PCMH Variable*
| Variable | Odds Ratio | 95% Confidence Interval | P value |
|---|---|---|---|
| Practice is APCP/PCMH (binary variable) | 1.00 | (0.72–1.49) | .99 |
| Age 45+ | 1.22 | (0.87–1.72) | .25 |
| Male | 1.40 | (1.03–1.90) | .03 |
| Consider work high stress | 0.99 | (0.74–1.32) | .94 |
| Practice location | |||
| City | reference | ||
| Suburb | 0.66 | (0.46–0.94) | .02 |
| Small town | 0.98 | (0.65–1.48) | .94 |
| Rural | 0.86 | (0.53–1.40) | .55 |
| Practice belongs to an ACO | 1.14 | (0.82–1.57) | .43 |
| Physician payment | |||
| Clinical targets | 1.42 | (1.04–1.94) | .03 |
| CMS incentives | 1.18 | (0.87–1.60) | .28 |
| Fee for service | 1.14 | (0.73–1.78) | .57 |
| Capitation | 1.48 | (1.03–2.11) | .03 |
| Salary | 0.92 | (0.61–1.37) | .67 |
| Practice often sees patients with: | |||
| Multiple chronic conditions | 11.53 | (5.67–23.42) | <.001 |
| Palliative care needs | 2.36 | (1.65–3.36) | <.001 |
| Practice does home visits | 2.12 | (1.56–2.88) | <.001 |
APCP, advanced primary care; PCMH, patient centered medical home; ACO, accountable care organization.
↵* N = 977. Values imputed when absent.
Bolded items and values are statistically significant.