TABLE 4.
Factors Associated with Blame Allocation to Plan and Provider
| Blame to Provider | Blame to Health Plan | |||||
|---|---|---|---|---|---|---|
| Explanatory Variables | Coef. | St. Error | Odds-Ratio | Coef. | St. Error | Odds-Ratio |
| Variables Testing Specific Hypotheses | ||||||
| Hypothesis 1: Problem Involves Treatment | 1.082 | 0.269 | 2.95** | 0.578 | 0.351 | |
| Hypothesis 1: Problem Involves Payment | 0.592 | 0.351 | 1.80# | 1.843 | 0.374 | 6.31** |
| Hypothesis 2: Competence of Plan/Provider | −0.398 | 0.102 | 0.67** | −0.410 | 0.114 | 0.66** |
| Hypothesis 3: Years Client Has Been in Treatment | 0.035 | 0.016 | 1.04* | 0.016 | 0.019 | |
| Hypothesis 4: Severity of Illness (Behavior Problems) | −0.147 | 0.167 | −0.033 | 0.190 | ||
| Hypothesis 5: Plan/Provider Seen as Good Agent | −0.125 | 0.114 | 0.121 | 0.141 | ||
| Hypothesis 6: Social Status (College Educated) | 0.415 | 0.246 | 1.51# | −0.210 | 0.298 | |
| Hypothesis 8: Accurately Knows in Managed Care | 0.244 | 0.360 | 1.23 | 0.411 | 3.40** | |
| Hypothesis 8: Mistakenly Thinks in Managed Care | 1.32 | 0.637 | 3.76* | −12.77 | 444.4 | |
| Hypothesis 8: Not Aware in Managed Care but Is | 0.144 | 0.272 | 0.825 | 0.347 | 2.28* | |
| Variables Used to Control for Other Influences | ||||||
| Knowledge of Grievance Process | −0.960 | 0.454 | 0.38* | 0.307 | 0.479 | |
| Confusion about Paperwork | −0.018 | 0.084 | 0.055 | 0.100 | ||
| Needed Immediate Care in Past Year | 0.015 | 0.015 | −0.059 | 0.047 | ||
| Report from Family (versus Client) | 0.128 | 0.287 | 0.427 | 0.367 | ||
| Time Enrolled in Plan | NA | NA | NA | 0.005 | 0.016 | |
| Aggregate Regression Statistics | ||||||
| Number of observations | 372 | 372 | ||||
| Likelihood ratio (Pr > ChiSq) | 0.001 | 0.001 | ||||
| Pseudo R-squared | 0.140 | 0.157 | ||||
#
Statistical significance: # Pr < 0.10;
*
Pr < 0.05
**
Pr < 0.01.