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. Author manuscript; available in PMC: 2016 Jan 11.
Published in final edited form as: Med Care. 2013 Aug;51(8):699–705. doi: 10.1097/MLR.0b013e31829a4f73

Table 3.

Reasons for Voluntary Outpatient Out-of-Network Use

Primary Reason*§ General Medical Contacts Unweighted n (Weighted%) Mental Health Contacts Unweighted n (Weighted %)
Total 494 (100%) 161 (100.0%)
Issues related to provider quality
 Recommendation of another doctor, family, or friends 72 (12.9%) 39 (26.1%)
 Continuity with previously known provider 140 (21.9%) 35 (23.7%)
 Physician skill 85 (13.7%) 38 (19.3%)
 Second opinion 6 (0.8%) 1 (0.2%)
Issues related to provider network size and composition
 Could schedule appointment sooner 5 (1.0%) 3 (2.4%)
 Convenient location 13 (3.7%) 3 (1.9%)
 Service or specialty not covered by insurance 11 (1.4%) 2 (1.9%)
 Illness that needed care right away 27 (9.0%) 3 (0.7%)
 No in-network physician available in area 14 (4.5%) 2 (0.6%)
 Other 39 (12.0%) 20 (11.4%)
 Refused 1 (0.3%)
 Missing 81 (18.9%) 15 (11.8%)

Unit of analysis is contacts between the respondents and out-of-network providers. A respondent could report contacts with up to 2 different outpatient out-of-network providers.

Percentages may not total 100 because of rounding.

*

Participants were asked to indicate 1 main reason among all reasons selected for why they used an out-of-network physician.

§

P < 0.05.