TABLE 3.
Multivariate Associations Between Physician and Practice Characteristics and Guideline(s) Rated as “Very Influential”: Cervical Cancer Screening (2006–2007 National Primary Care Physician Cancer Screening Survey)
| Physician and Practice Characteristics | No Guidelines (n = 1014) OR (95% CI) | Single Conservative (n = 710) OR (95% CI) | Single Aggressive (n = 1014) OR (95% CI) | Multiple Conservative (n = 710) OR (95% CI) | Multiple Conflicting (n = 1014) OR (95% CI) | Multiple Aggressive (n = 1014) OR (95% CI) |
|---|---|---|---|---|---|---|
| Race | ||||||
| White | 1.00† | 1.00* | 1.00‡ | |||
| Black | 0.51 (0.29–0.90) | 1.05 (0.45–2.45) | 1.04 (0.53–2.06) | |||
| Other | 1.42 (0.71–2.83) | 0.50 (0.29–0.86) | 1.71 (1.23–2.38) | |||
| Medical school training | ||||||
| US | 1.00§ | |||||
| International | 0.38 (0.22–0.68) | |||||
| Specialty | ||||||
| IM | 1.00* | 1.00¶ | 1.00¶ | 1.00¶ | 1.00¶ | 1.00¶ |
| FP/GP | 0.75 (0.47–1.20) | 0.66 (0.36–1.21) | 0.74 (0.42–1.30) | 0.61 (0.31–1.20) | 1.69 (1.17–2.45) | 0.74 (0.35–1.57) |
| OB-GYN | 0.47 (0.29–0.79) | — | 6.33 (3.63–11.06) | — | 0.35 (0.25–0.49) | 5.84 (2.72–12.54) |
| Practice setting | ||||||
| Urban | 1.00* | 1.00§ | ||||
| Rural—large city | 0.80 (0.32–2.04) | 0.80 (0.36–1.77) | ||||
| Rural—small town | 2.50 (1.07–5.84) | 0.11 (0.06–0.20) | ||||
| Patient volume (patients/wk) | ||||||
| ≤100 | 1.00* | 1.00* | ||||
| >100 | 1.36 (1.03–1.80) | 0.57 (0.34–0.95) | ||||
| CPG implementation | ||||||
| Not implemented | 1.00† | |||||
| Implemented, at POC | 0.82 (0.46–1.46) | |||||
| Implemented, N/A at POC | 0.50 (0.31–0.79) |
Multivariate logistic regression models adjusted for physician and practice characteristics: age, gender, race, medical school training, specialty, practice setting, type, and size, medical school affiliation, employment status, patient volume, uninsured patients, EMR, patient and physician screening reminder systems, CPG implementation, screening performance data, screening pay-for-performance.
Decreased and unequal N for individual models due to missing data; only respondents with non-missing values for physician and practice characteristics variables are included in the model.
P values for Wald F test of significance:
P < 0.05.
P < 0.01.
P < 0.005.
P < 0.001.
Only 1 nonzero cell for the dependent variable, observations excluded from the model.
FP/GP indicates family practice/general practice; IM, internal medicine; OB-GYN, obstetrics-gynecology; CPG, clinical practice guideline; N/A, not applicable; POC, point of care.