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. 2007 Sep;85(3):499–531. doi: 10.1111/j.1468-0009.2007.00497.x

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**
a

Coefficient values below 1 indicate that the program characteristic is associated with lower mortality.

b

Negative coefficient values indicate better functional and self-assessed health outcomes.

c

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.