TABLE 4.
Key Odds Ratios from Multivariate Models Predicting Urban Physicians' Participation in Medicaid
Percentage of the Poor That Are White | Racial Segregation | Poverty Segregation | Full Model | |||||
---|---|---|---|---|---|---|---|---|
(1) Primary Care Physicians (n= 5,551) | (2) Specialist Physicians (n= 3,031) | (3) Primary Care Physicians (n= 5,551) | (4) Specialist Physicians (n= 3,031) | (5) Primary Care Physicians (n= 5,551) | (6) Specialist Physicians (n= 3,031) | (7) Primary Care Physicians (n= 5,551) | (8) Specialist Physicians (n= 3,031) | |
Percentage of the Poor That Are White | ||||||||
<25% | (1.00) | (1.00) | (1.00) | (1.00) | ||||
25%–<45% | 1.42a | 1.26 | 1.21 | 1.01 | ||||
45%–<65% | 1.46a | 1.35 | 1.32b | 1.20 | ||||
65%+ | 2.06c | 4.87c | 1.83a | 4.36c | ||||
Racial Segregationd | ||||||||
<.35 | (1.00) | (1.00) | (1.00) | (1.00) | ||||
.35–<.50 | 0.66a | 0.99 | 0.65a | 0.86 | ||||
.50–<.60 | 0.63a | 0.63e | 0.87 | 0.83 | ||||
.60+ | 0.64a | 0.80 | 0.79 | 0.51e | ||||
Poverty Segregationd | ||||||||
<.25 | (1.00) | (1.00) | (1.00) | (1.00) | ||||
.25–<.33 | 0.90 | 0.61e | 1.13 | 0.83 | ||||
.33–<.37 | 0.52c | 0.52a | 0.73e | 0.96 | ||||
.37+ | 0.78 | 0.96 | 1.12 | 2.13e |
All models control for physician and practice characteristics (age, gender, race, type of physician, board certification, place of medical school graduation, type of practice), Medicaid characteristics (Medicaid/Medicare reimbursement ratio, Medicaid hassle factor, percentage of county population receiving Medicaid, Medicaid managed care penetration), and county characteristics (per capita income, primary care or specialty physician/population ratio).
p < .01.
p < .10.
p < .001.
Segregation is measured using the dissimilarity index, which can be interpreted as the percentage of the subgroup (nonwhites or poor population in racial and poverty segregation, respectively) that would need to move in order to be evenly spread across the zip codes in the county.
p < .05.