Table 3.
Hazard Ratios of Visit-Level Determinants of Patient Talk, Physician Talk, and Visit Duration
| Patient Talk | Physician Talk | Visit Length | ||||
|---|---|---|---|---|---|---|
| HR | % | HR | % | HR | % | |
| Topic | ||||||
| Personal habit topic (%)† | 1.00 | 1.00 | 1.00 | |||
| Psychosocial issues topic (%)† | 0.98** | 0.8 | 1.00 | 0.99 | ||
| Patient–MD relationship topic (%)† | 1.01 | 0.98 | 1.00 | |||
| Other issues topic (%)† | 1.01* | −0.7 | 1.01 | 1.02 | ||
| Mental health topic (%)† | 0.99** | 0.7 | 1.00 | 1.00 | ||
| Patient initiated topic (%) | 0.99** | 0.4 | 1.00 | 1.00 | ||
| Physician showed uncertainty (%) | 0.99* | 0.3 | 1.00 | 1.00 | ||
| Patient showed uncertainty (%) | 1.00 | 1.00 | 1.00 | |||
| Patient showed mood problem nonverbally (%) | 1.00 | 1.00 | 1.00 | |||
| Site | ||||||
| Managed care group practice (MCG)‡ | 2.47** | −36.8 | 1.70* | −22.7 | 2.89** | −32.5 |
| Inner city fee-for-service solo practices (ICS)‡ | 6.58** | −61.6 | 2.51 | 3.24** | −35.4 | |
| Patient and physician | ||||||
| Age in years | 0.98 | 0.90 | 0.97** | 1.0 | ||
| Female patient§ | 0.95 | 0.74* | 16.1 | 0.91 | ||
| Having college or more years of education | 0.90 | 0.90 | 0.85 | |||
| SF36: physical role functioning | 1.01* | −0.6 | 1.01** | −0.4 | 1.01** | −0.3 |
| SF36: bodily pain | 0.99 | 0.97** | 1.3 | 0.98** | 0.8 | |
| SF36: social role functioning | 1.00 | 1.00 | 1.00 | |||
| Female physician§ | 0.87 | 1.04 | 0.74 | |||
| Years patient seen this MD | 1.02** | −1 | 1.01 | 1.01 | ||
| s | 1.97** | 2.05 | 2.69** | |||
| Number of observations | 366 | 366 | 366 | |||
p-value<.05
p-value<.01.
Biomedical topics make up the comparison group.
Academic medical center is the comparison site.
Male is the comparison group.