Factors Associated with Changes in the Doctor-Patient Relationship
n | % Improved | % Neutral | % Worsened | P | |
---|---|---|---|---|---|
Total (95% CI) | 225 | 23 (17% to 29%) | 73 (65–79%) | 5 (2–13%) | |
Socioeconomic variables | |||||
Annual Income | <0.001 | ||||
Less than $15,000 | 23 | 22 | 44 | 35 | |
$15,000–$24,999 | 42 | 14 | 86 | 0 | |
$25,000–$49,999 | 63 | 22 | 75 | 3 | |
$50,000 or more | 73 | 21 | 78 | 1 | |
Education | <0.001 | ||||
Less than high school | 19 | 26 | 42 | 32 | |
Completed high school | 73 | 29 | 69 | 3 | |
Some college, no graduation | 60 | 15 | 83 | 2 | |
College graduate or higher degree | 71 | 21 | 78 | 1 | |
Race/Ethnicity | <0.001 | ||||
White, non-Hispanic | 169 | 22 | 77 | 2 | |
Black, non-Hispanic | 33 | 21 | 61 | 18 | |
Hispanic | 11 | 27 | 73 | 0 | |
Asian, non-Hispanic | 2 | 100 | 0 | 0 | |
Employment status | <0.001 | ||||
Not employed | 15 | 33 | 27 | 40 | |
Employed part-time | 30 | 10 | 87 | 3 | |
Employed full-time | 101 | 26 | 73 | 1 | |
Self-employed | 16 | 13 | 82 | 6 | |
Other | 58 | 24 | 74 | 2 | |
Health Status | 0.254 | ||||
Poor health | 16 | 25 | 75 | 0 | |
Good health | 55 | 24 | 76 | 0 | |
Chronic disease | 154 | 22 | 71 | 7 | |
Insurance status | <0.001 | ||||
Insured through work or privately | 154 | 21 | 76 | 3 | |
Medicare | 33 | 27 | 67 | 6 | |
Medicaid | 24 | 25 | 75 | 0 | |
Not insured | 13 | 15 | 46 | 39 | |
Managed care? | 0.726 | ||||
Yes | 143 | 23 | 73 | 4 | |
No | 65 | 25 | 74 | 2 | |
Gender | 0.011 | ||||
Male | 98 | 31 | 67 | 2 | |
Female | 127 | 16 | 7 | 77 | |
Age | 0.011 | ||||
18–24 | 16 | 31 | 63 | 6 | |
25–44 | 82 | 11 | 81 | 9 | |
45–64 | 86 | 34 | 64 | 2 | |
65+ | 39 | 18 | 80 | 3 | |
Attitudes to health information | |||||
Proactive about health information? | 0.014 | ||||
Yes | 104 | 19 | 80 | 1 | |
No | 121 | 26 | 66 | 8 | |
Relationship with health care professionals | |||||
Do you have a regular doctor or health care professional? | 0.447 | ||||
Yes | 212 | 23 | 72 | 5 | |
No | 12 | 8 | 83 | 8 | |
How do you rate the overall level of health care provided by your regular doctor? | 0.001 | ||||
Excellent/very good/good | 200 | 24 | 75 | 2 | |
Fair/poor | 23 | 17 | 52 | 30 | |
Did you get specific intervention requested? | 0.029 | ||||
Yes | 89 | 27 | 73 | 0 | |
No | 70 | 20 | 73 | 7 |