Usual Source of Care | Patient-centeredness | Enhanced Access (Night and Weekends) | Comprehensiveness | |||||
---|---|---|---|---|---|---|---|---|
Preventive Care | Referrals | New Problems | Ongoing Care | Composite | ||||
Mammography | 2.30 (2.02–2.63) | 1.33 (1.10–1.59) | 0.94 (0.84–1.06)† | 1.52 (1.22–1.90) | 1.32 (1.07–1.63) | 1.48 (1.17–1.88) | 1.50 (1.17–1.92) | 1.53 (1.21–1.95) |
CRC screen | 2.66 (2.30–3.08) | 1.16 (1.00–1.35)† | 0.97 (0.87–1.07)† | 1.83 (1.48–2.26) | 1.62 (1.33–1.98) | 1.61 (1.30–1.99) | 1.60 (1.29–1.99) | 1.80 (1.43–2.26) |
Pap test | 1.99 (1.73–2.29) | 1.30 (1.09–1.55) | 0.94 (0.83–1.08)† | 1.37 (1.10–1.70) | 1.24 (1.01–1.52) | 1.26 (1.01–1.56) | 1.21 (0.97–1.51)† | 1.31 (1.04–1.65) |
Flu shot | 1.75 (1.62–1.89) | 1.25 (1.13–1.38) | 0.99 (0.92–1.07)† | 1.38 (1.21–1.57) | 1.38 (1.22–1.56) | 1.43 (1.26–1.63) | 1.43 (1.26–1.63) | 1.48 (1.29–1.70) |
Annual exam | 2.26 (2.11–2.42) | 1.37 (1.23–1.53) | 0.83 (0.77–0.91)‡ | 1.47 (1.31–1.64) | 1.36 (1.21–1.52) | 1.38 (1.22–1.57) | 1.46 (1.31–1.64) | 1.48 (1.32–1.67) |
Cholesterol tests | 3.08 (2.71–3.49) | 1.59 (1.28–1.96) | 0.98 (0.84–1.15)† | 1.98 (1.59–2.47) | 1.68 (1.32–2.13) | 1.75 (1.37–2.24) | 2.07 (1.65–2.60) | 2.01 (1.58–2.55) |
PSA screen | 3.05 (2.56–3.64) | 1.35 (1.10–1.65) | 0.91 (0.78–1.05)† | 2.08 (1.61–2.71) | 2.11(1.62–2.73) | 1.93 (1.47–2.53) | 1.91 (1.47–2.46) | 2.24 (1.69–2.97) |
Data are adjusted odds ratios (95% confidence intervals).
↵* Adjustors: demographics, medical skepticism, health behaviors, disease burden, and mental and physical health status as measured by the 12-item Short Form Mental Component Summary and Physical Component Summary scores.
§A diagnosis of high cholesterol was excluded from this measure's disease burden control variable.
↵† No statistically significant effect on compliance with preventive care measure.
↵‡ Statistically significant negative effect on compliance with preventive care measure.
CRC, colorectal cancer; Flu, influenza; Pap, Papanicolaou; PSA, prostate-specific antigen.