Table 3:
Health Care System and Physician Practice Characteristics Associated with Patient Engagement and Chronic Care Management Capabilities for Adults with Diabetes and/or Cardiovascular Disease (2017/2018)
| Patient Engagement Capabilities | Chronic Care Management Capabilities | ||
|---|---|---|---|
| Coefficient (Robust Standard Error) | |||
| Health Care System Characteristics | |||
| Process to Assess New Evidence | 1.36 (2.45) | 6.79** (2.35) | |
| Culture of Innovation | −1.05 (1.12) | −1.18 (1.36) | |
| Advanced Health Information Technology | 0.30 (1.15) | 2.85* (1.30) | |
| Participation in Delivery Reform | −1.67 (2.48) | −0.26 (2.56) | |
| Participation in Payment Reform | 0.83 (1.21) | −1.32 (1.21) | |
| Health Care System Standardization | −0.65 (1.19) | 1.54 (1.42) | |
| Size (Number of Physician Practices) | 1–22 | Ref. | Ref. |
| 22–68 | −3.51 (2.80) | 4.16 (3.15) | |
| 69–165 | −3.57 (3.24) | −0.39 (2.96) | |
| 166+ | −0.54 (3.82) | 1.65 (3.95) | |
| Physician Practice Characteristics | |||
| Process to Assess New Evidence | 4.44* (1.97) | 7.37*** (1.88) | |
| Culture of Innovation | 10.73*** (0.89) | 9.70*** (0.97) | |
| Advanced Health Information Technology | 3.18*** (0.87) | 5.59*** (1.08) | |
| Size (Number of Physicians) | 1–9 | Ref. | Ref. |
| 10–20 | −2.11 (2.39) | 0.40 (2.67) | |
| 21+ | −4.55 (2.80) | −3.09 (2.90) | |
| Proportion Primary Care Physicians | <33% | Ref. | Ref. |
| 33–99% | −0.74 (3.25) | −5.61 (3.88) | |
| 100% | 6.14 (4.09) | −4.05 (4.58) | |
| Medicaid Percentage | None | Ref. | Ref. |
| Low (1–29%) | 1.00 (3.55) | 6.09 (3.90) | |
| High (30%+) | 1.85 (4.02) | 5.23 (4.22) | |
| Census Region | West | Ref. | Ref. |
| South | −3.96 (3.05) | −1.93 (2.96) | |
| Northeast | −5.68 (3.99) | −8.41 (4.52) | |
| Midwest | −4.67 (3.52) | −6.97* (3.35) | |
| Constant | 44.36*** (6.05) | 63.78*** (6.19) | |
| sd(Health System) | 8.58*** (2.02) | 8.77*** (2.19) | |
| sd(Constant) | 23.83*** (0.74) | 24.25*** (0.91) | |
***
P < 0.001;
**
P < 0.01;
*
P < 0.05.
Source: National Survey of Healthcare Organizations and Systems (NSHOS). Sample consists of 796 physician practices nested within 247 parent health care systems.