Table 2. Characteristics of ‘Severity of Illness’ Subgroups, ADL + IADL <27 (0–28); ADL + IADL >26 and >4 PCP Visits/Year, and ADL + IADL >26 and <5 PCP Visits per Year
>Categorical VariablesDisabledNondisabled
High UsersLow UsersP
185197400
Age (years)
    65–7411 (27%)11 (27%)19 (46%)
    75–8487 (18%)121 (26%)264 (56%)
    85+87 (32%)65 (24%)117 (44%)0.0006
Sex
    Female57 (17%)84 (25%)197 (58%)
    Male128 (29%)113 (25%)203 (57%)0.002
Race
    White153 (23%)168 (25%)347 (52%)
    Nonwhite32 (28%)29 (29%)53 (53%)0.43
Marital status
    Married74 (27%)70 (26%)128 (47%)
    Other107 (21%)125 (25%)272 (54%)0.11
Income
    <$15,00050 (35%)34 (24%)57 (40%)
    $15,000–$35,000/year81 (24%)90 (26%)171 (50%)
    >$35,000/year49 (18%)67 (24%)160 (58%)0.0010
Education
    Less than high school43 (35%)25 (20%)55 (45%)
    High school43 (22%)61 (31%)90 (46%)
    More than high school99 (21%)111 (24%)255 (55%)0.0038
Confidant
    Present33 (31%)26 (25%)46 (44%)
    Absent150 (22%)170 (25%)354 (53%)0.10
Health
    Poor10 (83%)0 (0%)2 (17%)
    Fair62 (53%)29 (25%)26 (22%)
    Good80 (26%)83 (27%)141 (46%)
    Very good21 (8%)67 (25%)177 (67%)
    Excellent12 (14%)18 (21%)54 (64%)0.0001
Morbidity Index1.79 (1.18)1.46 (1.08)1.07 (0.92)
Continuous variables
    BMI30.84 (6.55)28.96 (5.32)28.02 (4.98)0.0002
Rating (0–100)65.09 (17.59)76.02 (14.93)81.17 (15.07)<0.0001
QWB-SA (0–1)0.53 (0.12)0.64 (0.11)0.67 (0.11)<0.0001
MOS SF-36
    General Health (0–100)50.38 (18.36)64.30 (15.83)71.57 (16.50)<0.0001
    Emotional Health (0–100)75.32 (17.56)78.30 (15.92)82.30 (14.55)<0.0001
Years with current PCP10.0 (9.1)11.4 (8.8)10.1 (8.6)0.81
    Median7108
PCP visits*5.7 (4.3)8.4 (5.3)2.6 (1.1)<0.0001
    Median563
Other visits to practice*0.80 (1.53)0.90 (1.7)0.47 (1.11)0.0002
    Median000
Other healthcare visits*5.5 (7.8)4.2 (4.9)2.8 (4.2)<0.001
    Median432
ED visit rate*0.59 (1.71)0.21 (0.46)0.11 (0.36)<0.001
    Median0.1200
Hospitalization rate (SD)0.45 (0.94)0.21 (0.46)0.11 (0.33)<0.0001
    Median0.0600
Deaths (N; %)100 (54.1)63 (32.0)101 (25.3)<0.0001
Survival time7.4 (3.4)8.7 (2.9)9.1 (2.6)<0.0001
Comprehensiveness5.02 (0.69)5.19 (0.61)4.97 (0.63)0.1112
Accumulated knowledge4.80 (0.93)5.00 (0.77)4.58 (0.86)0.0002
Communication4.65 (0.90)4.86 (0.78)4.76 (0.77)0.28
Preference for regular doctor5.12 (0.69)5.23 (0.63)5.00 (0.65)0.0006
Coordination4.48 (0.86)4.59 (0.82)4.19 (0.91)<0.0001
Advocacy5.10 (0.67)5.22 (0.60)4.98 (0.59)0.0031
Considers family context4.27 (1.39)4.35 (1.38)4.01 (1.37)0.0141
Community4.52 (1.30)4.47 (1.32)4.34 (1.28)0.3545
UPC0.55 (0.27)0.67 (0.21)0.59 (0.29)0.002
Total CPCI38.5 (5.7)39.6 (5.1)37.4 (5.2)0.0018
  • ADL, activities of daily living; IADL, independent activities of daily living; PCP, primary care physician; BMI, body mass index; QWB-SA, Quality of Well-Being Self-administered Scale; MOS, Medical Outcomes Study; ED, emergency department; UPC, proportion of care from PCP; CPCI, Components of Primary Care Index (scale 0–5 for subscales, 0–40 for total).