Table 3.

Relationship between the HCI^a Index of Residency Training Hospital and Physician Cost-Consciousness (n = 2,307)

	Beta	P value	95% CI
HCI index of training hospital	−0.83	.04	−1.60	−0.05
Experience, years	0.08	<.001	0.05	0.10
Male gender	0.29	.23	−0.18	0.75
Region of current practice
East	Ref
West	1.24	<.001	0.51	1.96
Midwest	0.91	.007	0.25	1.58
South	0.41	.22	−0.24	1.06
Practice setting
Small/solo	Ref
Group/HMO	0.52	.09	−0.07	1.12
City/state/federal government	0.78	.20	−0.41	1.96
Medical school	0.67	.09	−0.11	1.46
Other	0.38	.76	−2.06	2.82
Specialty
Primary care	Ref
Surgery	−0.33	.29	−0.93	0.28
Procedural specialty	−0.42	.16	−1.01	0.17
Non-procedural specialty	−0.51	.11	−1.12	0.11
Non clinical	−0.74	.35	−2.28	0.81
Other	4.42	<.001	1.84	7.02
Compensation type
Billing only	Ref
Salary plus bonus	0.86	<.001	0.36	1.36
Salary only	0.61	.05	0.01	1.21
Other	0.36	.47	−0.63	1.35
I find the uncertainty involved in patient care disconcerting
Strongly disagree	Ref
Moderately disagree	−0.59	.09	−1.27	0.09
Moderately agree	−1.34	<.001	−1.97	−0.70
Strongly agree	−2.21	<.001	−3.04	−1.37
My enjoyment of the practice of medicine is substantially lessened because of the threat of lawsuits
Strongly disagree	Ref
Moderately disagree	0.38	.37	−0.45	1.20
Moderately agree	−0.60	.11	−1.33	0.13
Strongly agree	−1.31	.003	−2.18	−0.45
Satisfaction with medicine overall
Very dissatisfied	Ref
Somewhat dissatisfied	0.79	.12	−0.19	1.77
Somewhat satisfied	0.67	.18	−0.32	1.65
Very satisfied	1.56	.005	0.48	2.63

^aHCI = Hospital Care Intensity index