Table 3.
Association of Demographic and Practice Setting Factors with Positive Responses to Questionable Chart Documentation Scenarios—Physician’s Self-Report
| Factors | n | Mean score* | Unadjusted odds ratio (95% CI) | value | Adjusted** odds ratio (95% CI) | value |
|---|---|---|---|---|---|---|
| Age (decreasing by decade) | - | - | 1.28 (1.15–1.43) | <.0001 | 1.35 (1.19–1.53) | <.0001 |
| Gender | ||||||
| Male | 802 | 1.39 | 1.25 (0.98–1.59) | 0.07 | 1.29 (0.96–1.73) | 0.10 |
| Female | 297 | 1.18 | ||||
| Race | ||||||
| White | 755 | 1.47 | 1.97 (1.54–2.51) | <.0001 | 1.47 (1.08–2.00) | 0.014 |
| Not white | 322 | 1.01 | ||||
| Medical school | ||||||
| US graduate | 634 | 1.49 | 2.16 (1.68–2.78) | <.0001 | 1.75 (1.31–2.34) | 0.0002 |
| Not US | 323 | 0.96 | ||||
| Practice setting | ||||||
| Private | 666 | 1.24 | 0.7 (0.57–0.88) | 0.002 | 1.03 (0.78–1.36) | 0.83 |
| Not private | 436 | 1.51 | ||||
| Electronic medical record | ||||||
| Use | 211 | 1.45 | 1.14 (0.87–1.49) | 0.40 | 0.96 (0.70–1.33) | 0.81 |
| Do Not Use | 891 | 1.31 | ||||
| Physician extenders | ||||||
| Yes | 405 | 1.45 | 1.29 (1.03–1.61) | 0.03 | 0.98 (0.75–1.27) | 0.87 |
| No | 696 | 1.27 | ||||
| Housestaff | ||||||
| Yes | 632 | 1.55 | 1.97 (1.58–2.46) | <.0001 | 1.71 (1.30–2.25) | 0.0001 |
| No | 468 | 1.06 | ||||
| Subspecialist | ||||||
| Yes | 572 | 1.49 | 1.55 (1.25–1.92) | <.0001 | 1.15 (0.84–1.57) | 0.39 |
| No | 546 | 1.18 | ||||
| Procedures | ||||||
| Yes | 376 | 1.62 | 1.71 (1.37–2.15) | <.0001 | 1.37 (1.00–1.88) | 0.05 |
| No | 726 | 1.20 | ||||
* Scores range from 0 to 6, counting one point for each positive response to the six questions about documentation practices.
**The multivariable model included all the factors listed above and the possible influences (rules, billing, litigation, and good medical practice)