Table 2.
Unadjusted and adjusted rates (%) for positive responses to each question for physician selection and hospital selection by race/ethnicity
| Non-Hispanic | Hispanic | Non-Hispanic | Hispanic | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Question and responses | N (%) | White (n=222) |
Black (n=142) |
English Speaking (n=89) |
Spanish- speaking (n=47) |
p- valueb |
White (n=222) |
Black (n=142) |
English Speaking (n=89) |
Spanish- speaking (n=47) |
p- valuec,d |
Hosmer- Lemeshow goodness of fit (p value)h,i |
| 500 (100) | Unadjusted percent | Adjusted percent | ||||||||||
| Surgeon selection: Which of the following statements describe how the surgeon who performed your breast surgery was selected?e | ||||||||||||
| Chose surgeon based on his/her reputationc |
127 (25) | 34.2 | 16.9 | 21.3 | 17.0 | <.001 | 31.9 | 17.5 | 22.1 | 22.0 | .02 | .77 |
| Chose surgeon because I wanted to be treated at the medical institution where he/she workedc |
63 (13) | 17.6 | 7.0 | 12.4 | 6.4 | .01 | 17.0 | 7.0 | 12.9 | 7.1 | .06 | .35 |
| Surgeon recommended by relative or friendd |
57 (11) | 15.3 | 6.3 | 13.5 | 4.3 | .02 | 16.8 | 6.1 | 13.7 | 3.1 | .007 | .40 |
| Wanted surgeon who practiced near my homec |
48 (10) | 10.8 | 4.9 | 13.5 | 10.6 | .14 | 10.8 | 4.6 | 13.9 | 12.2 | .12 | .81 |
| Referred to surgeon by another doctorc |
388 (78) | 73.9 | 85.9 | 69.7 | 85.1 | .007 | 75.7 | 86.5 | 66.9 | 78.6 | .007 | .89 |
| Surgeon was one of the only ones available through health care planc |
116 (23) | 22.5 | 20.4 | 31.4 | 19.2 | .21 | 23.2 | 19.4 | 33.7 | 16.5 | .06 | .91 |
| Hospital selection: Which of the following statements describe how the hospital where you had your breast cancer surgery was selected?f | ||||||||||||
| Chose hospital because of its reputationc |
79 (16) | 22.5 | 9.2 | 14.6 | 6.4 | .001 | 23.2 | 8.3 | 15.0 | 7.2 | .003 | .77 |
| Chose hospital because I wanted to be treated at the medical institution where my doctor workedc |
198 (40) | 50.5 | 31.7 | 37.1 | 17.0 | <.001 | 48.9 | 31.7 | 37.8 | 17.2 | .001 | .46 |
| Hospital recommended by relative or friendd |
27 (5) | 5.0 | 5.6 | 7.9 | 2.1 | .57g | 5.1 | 5.4 | 8.3 | 1.9 | .49 | .76 |
| Wanted hospital near my homec |
99 (20) | 24.3 | 14.1 | 21.4 | 12.78 | .06 | 24.3 | 14.4 | 22.6 | 10.7 | .08 | .02 |
| Referred to hospital by my doctorc |
149 (30) | 25.7 | 32.4 | 27.0 | 46.8 | .03 | 28.4 | 30.5 | 27.1 | 38.4 | .67 | .76 |
| Hospital available through health planc |
292 (58) | 53.2 | 60.6 | 64.0 | 66.0 | .17 | 50.6 | 60.5 | 63.9 | 77.8 | .02 | .13 |
For each question, patients were instructed to select all responses that applied to them.
By chi-square testing for differences in responses by race/ethnicity
Using multivariable logistic regression, adjusting for age, comorbidity, marital status, mean health literacy score, insurance status, stage, and education. Bolded results are significant with p<.05.
Using multivariable logistic regression, adjusting for age, comorbidity, marital status, mean health literacy score, stage, and education. Bolded results are significant with p<.05.
Participants may be included in more than one model. Models were not performed for ‘treated by surgeon in past’ and ‘other’ because of the rarity of these responses
Participants may be included in more than one model. Models were not performed for ‘treated by hospital in past’ and ‘other’ because of the rarity of these responses
Using the fisher’s exact test because some cell counts <5
Models for surgeon selection had c-statistics ranging from .62–.72
Models for hospital selection had c-statistics ranging from .63–.71