TABLE 5.
Program Characteristics Influencing Risk-Adjusted Health Outcomes
Mortality (Time to Death within 12 Months from Enrollment: Relative Hazard)a | Change in ADLs within 3 Months from Enrollmentb | Change in ADLs within 12 Months from Enrollmentb | Self-Assessed Health at 3 Months after Enrollmentb | Self-Assessed Health at 12 Months after Enrollmentb | |
---|---|---|---|---|---|
I. Financial factors | NSc | S | S | NS | NS |
1. Percentage of participant | −0.212** | −0.533** | |||
time under full capitation | |||||
2. Freestanding site | −0.211** | −0.372** | |||
II. Personnel | NS | S | S | NS | NS |
1. Number of | |||||
disciplines at451 | |||||
care meetings | 0.043* | −0.451* | |||
2. Ethnic overlap between | |||||
participants and | |||||
nonprofessional staff | −0.023** | −0.017* | |||
3. Medical director with | |||||
geriatric training | −0.275** | −0.319** | |||
4. Medical director | |||||
with only administrative | |||||
responsibilities | 0.207** | ||||
5. Percent FTE of | |||||
medical director | −0.004** | ||||
III. Practice variables | S | S | S | NS | S |
1. Total FTEs per 100 enrollees | −0.519** | ||||
2. Ratio of professional | |||||
FTEs to nonprofessional FTEs | 0.989** | 1.009** | |||
3. Specialty concentration | 0.006* | 0.005** | |||
4. Service concentration | 0.956** | 0.015* | 0.029** | 1.013** | |
5. Separate dementia program | 0.194** | ||||
6. Propensity to hospitalize | 0.210** | 0.233* | |||
7. Team effectiveness | −0.011** | ||||
IV. Case mix | NS | S | S | NS | S |
1. Median ADL | −0.257** | ||||
2. Variation in ADLs | 0.495* | ||||
3. Percentage of participants | |||||
with middle ADLs | 1.746** | 4.103** | |||
4. Percentage of participants | |||||
with late ADLs | 1.231** | ||||
5. Average number of diagnoses | −0.032** | ||||
6. Concentration in diagnoses | 0.002* | ||||
7. Percentage of participants | |||||
with dementia | −0.726 | −3.028** | |||
8. Percentage of participants | |||||
living alone | 0.854* | 0.412** | |||
V. Program size | NS | S | S | NS | NS |
1. Participants (in 100s) | −0.079** | −0.124** | |||
VI. Program age | NS | S | S | S | S |
1. At time of enrollment | −0.042** | −0.059** | −0.013* | −0.016** |
Coefficient values below 1 indicate that the program characteristic is associated with lower mortality.
Negative coefficient values indicate better functional and self-assessed health outcomes.
S and NS denote significant or not significant association of the whole category at the 0.05 level, as shown in Table 4.
p < 0.05
p < 0.01. Variables that were listed in Table 2 and not included here were not significantly associated with any of the outcomes.