Variables | Physician Variables Only | Physician + Practice Variables | Physician + Practice + Effects Variables | Physician + Practice + Effect + Perceptions Variables |
---|---|---|---|---|
Physician Variables | ||||
Race (white) | 0.080 (0.071) | 0.049 (0.080) | 0.081 (0.083) | 0.069 (0.085) |
Gender (female) | -0.024 (0.068) | -0.079 (0.076) | -0.083 (0.077) | -0.077 (0.079) |
Salaried | 0.341 (0.060)§ | 0.056 (0.076) | 0.049 (0.077) | 0.022 (0.079) |
Specialty | ||||
Internal medicine | -0.034 (0.331) | -0.092 (0.379) | -0.076 (0.380) | -0.159 (0.395) |
Family practice | 0.143 (0.331) | 0.106 (0.378) | 0.113 (0.379) | 0.048 (0.394) |
Pediatrics | 0.700 (0.336)* | 0.732 (0.387) | 0.759 (0.387)* | 0.653 (0.403) |
Began practice after 1975 | 0.103 (0.080) | 0.261 (0.091)‡ | 0.243 (0.092)† | 0.232 (0.094)* |
Importance of control of decisions (very important) | -0.046 (0.066) | -0.078 (0.073) | -0.068 (0.073) | -0.028 (0.075) |
Practice variables | ||||
Weeks practicing per year (n) | -0.040 (0.013)‡ | -0.036 (0.013)† | -0.030 (0.014)* | |
Hours per week in patient care (n) | -0.011 (0.003)§ | -0.011 (0.003)§ | -0.010 (0.003)§ | |
Multiple practices | -0.168 (0.118) | -0.171 (0.119) | -0.184 (0.121) | |
Solo practice | -0.369 (0.084)§ | -0.351 (0.085)§ | -0.308 (0.087)§ | |
No assistants | — | — | — | |
Frequently obtain high-quality services | ||||
Ancillary services | 0.444 (0.094)§ | 0.446 (0.095)§ | 0.267 (0.099)† | |
Imaging | 0.284 (0.142)* | 0.301 (0.143)* | 0.164 (0.147) | |
Mental health care | 0.404 (0.070)§ | 0.374 (0.070)§ | 0.270 (0.072)§ | |
Referrals | 0.545 (0.126)§ | 0.564 (0.127)§ | 0.379 (0.132)‡ | |
Revenue | ||||
From Medicaid (%) | 0.003 (0.002) | 0.003 (0.002) | 0.003 (0.002) | |
From Medicare (%) | -0.002 (0.002) | -0.003 (0.002) | -0.002 (0.002) | |
From managed care (%) | -0.004 (0.001)‡ | -0.004 (0.001)‡ | -0.003 (0.001)* | |
Care for adults and children | — | — | — | |
Patients with formulary (%) | -0.001 (0.002) | -0.001 (0.002) | -0.001 (0.002) | |
Effect variables | ||||
Moderate effect on practice | ||||
Computer-generated patient data | — | — | ||
Guidelines | 0.005 (0.071) | 0.038 (0.072) | ||
Patient profiles | -0.047 (0.074) | 0.016 (0.076) | ||
Reminders | — | — | ||
Patient surveys | 0.176 (0.071)* | 0.212 (0.073)‡ | ||
Computer-generated treatment alternative | — | — | ||
Information Technology (IT) uses (#) | 0.026 (0.018) | 0.025 (0.019) | ||
Perceptions variables | ||||
Expected complexity | -0.437 (0.078)§ | |||
Perceived autonomy | 0.934 (0.085)§ | |||
Χ2 (p) | 118.04 (0.000) | 345.96 (0.000) | 352.36 (0.000) | 516.59 (0.000) |
-2LogL | 7251.3 | 6198.6 | 6108.4 | 5855.8 |
Hosmer-Lemeshow Χ2 (p) | 3.69 (0.884) | 13.54 (0.095) | 5.84 (0.665) | 6.88 (0.549) |
Nagelkerke Adjusted R2 | 0.025 | 0.081 | 0.083 | 0.122 |
All data provided as β (SE).
* P ≤ .05.
† P ≤ .01.
‡ P ≤ .005.
§ P ≤ .001.