Mixed-Effects Logistic Regression Model of the Relationship Between Telehealth Use in Family Practice Clinics, Patient and Provider Characteristics
MV-Adjusted OR | |||||
---|---|---|---|---|---|
Variables | OR | 95%CI | P value | ||
Patient characteristics | |||||
Age | |||||
18 to 64 | Ref. | ||||
<18 | 0.22 | 0.19 | - | 0.26 | 0.001 |
>65 | 0.89 | 0.81 | - | 0.98 | 0.013 |
Sex | |||||
Female | Ref. | ||||
Male | 1.01 | 0.87 | 1.03 | 0.87 | |
Race/ethnicity | |||||
Hispanic | Ref. | ||||
Non-Hispanic White | 1.61 | 1.53 | - | 1.69 | 0.001 |
Non-Hispanic Black | 1.37 | 1.27 | - | 1.47 | 0.001 |
Asian | 1.05 | 0.92 | - | 1.20 | 0.920 |
Other | 1.31 | 0.95 | 1.81 | 0.097 | |
Mixed race | 1.88 | 1.50 | - | 2.36 | 0.001 |
Insurance coverage | |||||
Private insurance | Ref. | ||||
Medicare | 0.91 | 0.83 | - | 1.01 | 0.068 |
Medicaid | 1.03 | 0.96 | - | 1.12 | 0.068 |
Uninsured | 0.81 | 0.77 | - | 0.86 | 0.001 |
Metropolitan status | |||||
Nonmetropolitan | Ref. | ||||
Metropolitan | 1.25 | 1.08 | - | 1.46 | 0.004 |
MUA status | |||||
Non-MUA | Ref. | ||||
MUA | 1.19 | 1.13 | - | 1.27 | 0.001 |
Commute time to clinic | |||||
0 to 10 minutes | Ref. | ||||
11 to 20 minutes | 1.04 | 0.99 | - | 1.10 | 0.135 |
21 to 30 minutes | 1.14 | 1.07 | - | 1.21 | 0.001 |
>30 minutes | 1.28 | 1.19 | - | 1.38 | 0.001 |
Provider characteristics | |||||
Provider type | |||||
Non-MD (APRN, FNP, PAC) | Ref. | ||||
MD | 1.05 | 0.64 | - | 1.73 | 0.86 |
Provider language | |||||
English only | Ref. | ||||
English and Spanish | 1.35 | 0.84 | - | 2.17 | 0.22 |
Years in practice | |||||
0 to 5 years | Ref. | ||||
6 to 10 years | 1.78 | 0.93 | - | 3.41 | 0.08 |
11 to 20 years | 1.42 | 0.73 | - | 2.78 | 0.30 |
21 + years | 1.00 | 0.47 | - | 2.13 | 0.99 |
Intraclass correlation coefficient for provider and patient random effects | |||||
Variance estimate | 95% CI | Std Err | |||
Patient (variance estimate, CI) | 0.31 | 0.26 | - | 0.38 | 0.21 |
Patient | provider (variance estimate, CI) | 0.38 | 0.35 | - | 0.41 | 0.02 |
Abbreviations: MV-Adjusted OR, Multi-variable-adjusted odds ratio; CI, confidence interval; APRN, advanced practice registered nurse; FNP, family nurse practitioner; MUA, medically underserved area; PAC, certified physician assistant.