Table 2.

Multivariable Regression Predicting Physicians Routinely Engaging Older and Sicker Patients in Advance Care Planning, Using Binary PCMH Variable*

VariableOdds Ratio95% Confidence IntervalP value
Practice is APCP/PCMH (binary variable)1.00(0.72–1.49).99
Age 45+1.22(0.87–1.72).25
Male1.40(1.031.90).03
Consider work high stress0.99(0.74–1.32).94
Practice location
Cityreference
Suburb0.66(0.460.94).02
Small town0.98(0.65–1.48).94
Rural0.86(0.53–1.40).55
Practice belongs to an ACO1.14(0.82–1.57).43
Physician payment
Clinical targets1.42(1.041.94).03
CMS incentives1.18(0.87–1.60).28
Fee for service1.14(0.73–1.78).57
Capitation1.48(1.032.11).03
Salary0.92(0.61–1.37).67
Practice often sees patients with:
Multiple chronic conditions11.53(5.6723.42)<.001
Palliative care needs2.36(1.653.36)<.001
Practice does home visits2.12(1.562.88)<.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.