TABLE 2—
Women’s Odds of Being Asked About Depression by Their Primary Care Physicians, by Primary Care Characteristics (n = 1202)
Primary Care Characteristic | Bivariate Odds Ratio | Full Model Odds Ratio |
Organizational accessibility | ||
Office hours/appointment availability | 1.04 | 0.73 |
Waiting time for appointments | 1.52** | 1.20 |
Ability to reach the office by telephone | 1.48** | 0.94 |
Amount of time spent with physician | 1.64** | 1.10 |
Comprehensiveness of medical services | ||
Ability of physician to address health care needs | 1.66** | 1.00 |
Thoroughness of physical examination | 1.79** | 1.44* |
Screening in past year | 1.50* | 1.33* |
Counseling comprehensiveness in past year | 3.12** | 3.05** |
Patient–physician relationship: communication | ||
Explanations of health problems or treatments | 1.56** | 0.91 |
How often questions were left unanswered | 1.12 | 0.93 |
Patient–physician relationship: trust | ||
Extent to which physician trusted | 1.48** | 1.12 |
Belief that physician’s primary concern is holding down costs (reference group: women responding affirmatively) | 0.89 | 1.18 |
Patient–physician relationship: compassion | ||
Physician is patient with questions or worries | 1.79** | 1.25 |
Physician is caring | 1.96** | 1.19 |
Physician is respectful | 2.00** | 1.78** |
Coordination of carea | ||
Help from physician in obtaining appointment with specialist | 1.43** | 0.89 |
Involvement of physician in treatment by specialist or hospitalization | 1.64** | 1.14 |
Physician helped provide an understanding of specialist’s or other doctor’s recommendations or directions | 1.59** | 1.12 |
Continuity of care | ||
Has usual site of primary care (reference group: no site) | 2.09 | 1.43 |
Presence of regular practitioner at site of care | 1.41 | 1.50 |
Visit continuity (more vs fewer visits with same practitioner) | 1.22 | 1.60 |
Duration of relationship more than 2 years (reference group: fewer than 2 years) | 1.39** | 1.30* |
Note. Unless otherwise noted, reference groups were those possessing fewer of the primary care characteristics. “Bivariate” odds ratios were obtained from bivariate logistic regression analyses that included 1 primary care variable along with all of the following covariates: age, depression status, income, education, health status, insurance status, and frequency of primary care visits. “Full model” odds ratios adjusted for age, depression status, income, education, health status, insurance coverage, frequency of primary care visits, and all of the primary care features included in the first column.
aCoordination of care items were completed only by the 748 women whose regular physicians had recommended that they see a specialist or who were hospitalized.
*P < .05; **P ≤ .01.