Table 3.

Multiple Logistic Regression Analysis of the Odds of Bypassing Local Primary Care

Characteristic	Odds Ratio (95% CI)	P Value
Age-group
18–34 years	Ref
35–49 years	1.21 (0.67–2.18)	.53
50–64 years	0.47 (0.26–0.84)	.01
≥65 years	0.62 (0.37–1.03)	.06
Race
Nonwhite	Ref
White	1.43 (0.72–2.84)	.31
Sex
Male	Ref
Female	1.32 (0.93–1.89)	.12
Marital status
Single, divorced, separated, or widowed	Ref
Married	1.40 (1.01–1.96)	.047
Health insurance status
Uninsured	Ref
Insured	0.86 (0.52–1.43)	.57
Time to closest hospital	0.86 (0.57–1.29)	.45
Self-reported general health	1.18 (0.95–1.45)	.13
Inpatient care in the past 12 months
No	Ref
Yes	2.69 (1.73–4.18)	<.001
Satisfaction with local CAH	0.61 (0.51–0.74)	<.001
Education
Less than high school	Ref
High school	0.84 (0.54–1.30)	.43
Some college	0.37 (0.21–0.65)	.001
College or more	0.70 (0.43–1.12)	.13
No. of licensed beds of closest CAH	0.95 (0.93–0.98)	<.001
PCP density
≤3,500 residents per PCP	Ref
3,501–4,500 residents per PCP	1.24 (0.79–1.92)	.35
>4,500 residents per PCP	1.58 (1.02–2.46)	.04
Constant	3.37 (–)	.08

CI = confidence interval; Ref = reference group; CAH = Critical Access Hospital; PCP = primary care physician.