Table 2.
Logistic Regression of Preventable Emergency Department Visits by Health Information Technology Patient Engagement Functionalities
VARIABLE | OR | SE | p |
---|---|---|---|
Race | |||
Non-Hispanic White | Ref | ||
Non-Hispanic Black | 1.386 | 0.004 | <0.001 |
Hospital HIT-PE functionalities | |||
Low/below median (0–10) | Ref | ||
High/above median (11–13) | 0.992 | 0.002 | <0.001 |
Black*high HIT-PE | |||
No | Ref | ||
Yes | 0.977 | 0.003 | <0.001 |
Gender | |||
Male | Ref | ||
Female | 1.242 | 0.002 | <0.001 |
Age group | |||
18–34 years old | Ref | ||
35–64 years old | 0.914 | 0.002 | <0.001 |
65+ years old | 0.853 | 0.003 | <0.001 |
Primary payer | |||
Private | Ref | ||
Medicare | 1.147 | 0.003 | <0.001 |
Medicaid | 1.272 | 0.003 | <0.001 |
Other | 1.203 | 0.003 | <0.001 |
Elixhauser comorbidities | |||
0 | Ref | ||
≥1 | 1.072 | 0.002 | <0.001 |
Time index | |||
Q1 | Ref | ||
Q2 | 0.901 | 0.002 | <0.001 |
Q3 | 0.871 | 0.002 | <0.001 |
Q4 | 0.966 | 0.002 | <0.001 |
Income quartile by ZIP code | |||
76th–100th percentile | Ref | ||
0–25th percentile | 1.189 | 0.004 | <0.001 |
26th–50th percentile | 1.140 | 0.003 | <0.001 |
51th–75th percentile | 1.106 | 0.003 | <0.001 |
County average percent African American | |||
Below average (<15.50%) | Ref | ||
Above average (≥15.50%) | 1.038 | 0.002 | <0.001 |
Urban/rural residence | |||
Urban | Ref | ||
Rural | 1.012 | 0.003 | <0.001 |
Hospital beds | |||
<200 | Ref | ||
200–299 | 0.954 | 0.002 | <0.001 |
300–499 | 0.907 | 0.002 | <0.001 |
≥500 | 0.836 | 0.002 | <0.001 |
Hospital teaching status | |||
No | Ref | ||
Yes | 1.049 | 0.003 | <0.001 |
Hospital ownership | |||
For profit | Ref | ||
Not-for-profit | 0.956 | 0.003 | <0.001 |
Government | 0.949 | 0.003 | <0.001 |
States | |||
North Carolina | Ref | ||
Arizona | 0.906 | 0.003 | <0.001 |
Florida | 0.966 | 0.002 | <0.001 |
Kentucky | 0.907 | 0.003 | <0.001 |
Maryland | 0.790 | 0.003 | <0.001 |
Vermont | 0.885 | 0.010 | <0.001 |
Wisconsin | 0.885 | 0.003 | <0.001 |
Note: Authors' analysis of the 2019 State Emergency Department Databases, Area Health Resources File, and AHAIT. p Value is based on the χ2 test. HIT-PE is the use of hospital-based HIT functionalities for the active involvement of patients and measured using 13 functionalities in the AHAIT. N = 6,543,514.
OR, odds ratio; SE, standard error.