Table 3.
Influence of Patient, Physician, and System Characteristics on Referral for Mental Health Care (n =294)
| Characteristic | Odds Ratio | 95% CI | P-Value |
|---|---|---|---|
| Patient characteristics (design variables) | |||
| Psychiatric condition is major depression (vs adjustment disorder) | 1.60 | 0.86, 2.97 | .14 |
| Antidepressant request (vs no request) | 3.53 | 1.65, 7.55 | .001 |
| Site (CA-PCN is the reference category) | |||
| CA-HMO | 2.07 | 0.42, 10.1 | .37 |
| NY-RHI | 1.89 | 0.45, 7.90 | .38 |
| CA-IPA | 1.98 | 0.46, 8.59 | .36 |
| Physician characteristics | |||
| Specialty=family medicine (vs internal medicine) | 1.20 | 0.53, 2.72 | .66 |
| Age (vs <40 y) | |||
| 40–54 y | 0.90 | 0.38, 2.12 | .81 |
| >=55 y | 0.46 | 0.13, 1.56 | .21 |
| Female gender (vs male) | 0.56 | 0.23, 1.38 | .21 |
| White race/ethnicity (vs other) | 1.89 | 0.72, 4.99 | .20 |
| At least 10% of professional time devoted to teaching, research, or administration | 3.42 | 1.45, 8.07 | .005 |
| High degree of confidence in management of depression (vs moderate-low confidence) | 0.39 | 0.17, 0.86 | .020 |
| Personal/vicarious experience | |||
| With medication only | 0.81 | 0.26, 2.51 | .72 |
| With psychotherapy (alone or in combination with medication) | 2.74 | 1.15, 6.52 | .022 |
| Usually able to obtain mental health consultation within 2 wk (physician self-report) | 2.94 | 1.26, 6.92 | .013 |
Results obtained using random intercepts, mixed effects logistic regression. Bold numbers are significant, P<.05.