Selected Characteristics | ONC (n = 101) | PCP (n = 58) | p-Value |
---|---|---|---|
Provider Discipline (%) | 0.29 | ||
Physician | 73.8 | 82.4 | |
Other Provider type (ARNP, PA, or RN) | 26.2 | 17.6 | |
Years in practice (%) | 0.03 | ||
<10 | 24.7 | 12 | |
10 to 19 | 18.2 | 40 | |
20 to 29 | 27.3 | 18 | |
30 or more | 29.9 | 30 | |
Practice location (%) | 0.05 | ||
Urban | 65.9 | 45.1 | |
Suburban | 18.3 | 23.5 | |
Rural | 15.9 | 31.4 | |
Number of patients seen per week | 0.03 | ||
25 or fewer | 30.0 | 11.8 | |
26 to 50 | 23.8 | 21.6 | |
51 to 75 | 23.8 | 19.6 | |
76 to 100 | 15.0 | 23.5 | |
101 or more- | 7.4 | 23.5 | |
Practice size | |||
Solo practice | 13.4 | 7.8 | 0.21 |
2 to 5 clinicians | 28.1 | 31.4 | |
5 to 10 clinicians | 23.2 | 11.8 | |
>10 clinicians | 35.3 | 49.0 | |
Practice has electronic billing system (% yes) | 57.4 | 53.7 | 0.66 |
Practice has electronic health record (% yes) | 67.8 | 57.3 | 0.14 |
Practice has secure messaging (% yes) | 47.8 | 47.6 | 1.0 |
Practice has patient registry/tracking available (% yes) | 35.7 | 26.8 | 0.22 |
Practice Referral Processes (%) | |||
No specific system (handled case-by-case) | 43.6 | 21.6 | 0.06 |
Protocols and tracking system | 10.2 | 13.7 | |
Comprehensive, health system-wide referral system | 15.4 | 15.7 | |
All of the above + dedicated personnel | 30.8 | 49.0 | |
Practice care coordination processes (%) | |||
No specific system (handled case-by-case) | 28.6 | 35.3 | 0.04 |
Organized communication approach (e.g., messaging) | 24.7 | 37.3 | |
Communication approach and dedicated personnel | 27.3 | 7.8 | |
Comprehensive, health system-wide care coordination | 19.4 | 19.6 | |
Perceived organizational/practice change capacity (%) | |||
Practice has not tried to implement changes or improvements in care processes | 3.7 | 0 | 0.32 |
It has been very difficult to implement changes | 7.4 | 11.8 | |
It has been challenging, but possible to implement changes | 24.7 | 35.3 | |
Several changes/improvements have been implemented successfully | 37.0 | 25.5 | |
The organization welcomes change and has a process to implement care improvements | 27.2 | 27.5 |
Abbreviations: ARNP, advanced registered nurse practitioner; PA, physician assistant; RN, registered nurses.