TABLE 3.
Associations Between Provider and Practice Characteristics and Initiating ART Regardless of CD4 Count, MMP Provider Survey, 2013–2014 (N = 889)
| No. | Wt. Row %* | 95% CI | Rao-Scott χ2, P | PR | CI | P† | aPR | 95% CI | P† | |
|---|---|---|---|---|---|---|---|---|---|---|
| Total | 889 | 71.2 | 64.6 to 77.8 | |||||||
| Certification type | 0.71 | |||||||||
| ID board–certified MD | 422 | 70.0 | 58.8 to 81.2 | |||||||
| Other board-certified MD | 247 | 74.0 | 64.9 to 83.1 | |||||||
| Nurse practitioner | 138 | 71.5 | 63.8 to 79.2 | |||||||
| Physician assistant | 43 | 76.5 | 55.8 to 97.3 | |||||||
| Non–board-certified MD | 35 | 58.6 | 40.5 to 76.7 | |||||||
| HIV specialist (HIVMA criteria or AAHIV-S) | 0.06 | |||||||||
| Yes | 659 | 74.4 | 67.5 to 81.4 | |||||||
| No | 230 | 66.4 | 57.5 to 75.3 | |||||||
| Provides primary care | 0.76 | |||||||||
| Yes | 803 | 70.9 | 63.2 to 78.5 | |||||||
| No | 80 | 72.4 | 64.8 to 80.0 | |||||||
| HIV patients for whom you provide continuous and direct care | <0.0005 | |||||||||
| ≤20 | 51 | 47.3 | 34.3 to 60.3 | 0.60 | 0.44 to 0.80 | 0.0001 | 0.69 | 0.47 to 1.02 | 0.03 | |
| 21–50 | 131 | 67.0 | 51.1 to 82.9 | 0.84 | 0.66 to 1.08 | 0.15 | 0.87 | 0.72 to 1.06 | 0.15 | |
| 51–200 | 359 | 76.1 | 67.4 to 84.8 | 0.96 | 0.85 to 1.09 | 0.51 | 0.94 | 0.82 to 1.07 | 0.33 | |
| >200 | 333 | 79.3 | 72.6 to 86.1 | Ref. | Ref. | |||||
| Years caring for HIV patients | 0.88 | |||||||||
| 0–10 yrs | 312 | 70.9 | 60.4 to 81.4 | |||||||
| 11–20 yrs | 311 | 70.4 | 63.2 to 77.6 | |||||||
| >20 | 259 | 73.0 | 64.1 to 81.9 | |||||||
| Facility is Ryan White funded | <0.0001 | |||||||||
| Yes | 585 | 80.4 | 74.1 to 86.6 | Ref. | Ref. | |||||
| No | 224 | 61.7 | 50.6 to 72.9 | 0.77 | 0.64 to 0.92 | 0.002 | 0.85 | 0.74 to 0.98 | 0.02 | |
| Facility is a private practice | 0.09 | |||||||||
| Yes | 207 | 65.9 | 54.3 to 77.5 | |||||||
| No | 682 | 75.0 | 9.4 to 80.6 | |||||||
| Practice uses an electronic medical record | 0.84 | |||||||||
| Yes | 565 | 71.3 | 64.7 to 77.9 | |||||||
| No | 232 | 69.3 | 52.9 to 85.7 | |||||||
| Source of information on HIV care used in past year | ||||||||||
| DHHS Antiretroviral Treatment Guidelines | 0.29 | |||||||||
| Yes | 796 | 72.6 | 65.6 to 79.6 | |||||||
| No | 93 | 64.3 | 49.2 to 70.5 | |||||||
| International Antiviral Society USA Antiretroviral Treatment of Adult HIV Infection Recommendations | 0.24 | |||||||||
| Yes | 554 | 74.1 | 66.1 to 82.1 | |||||||
| No | 335 | 68.0 | 59.3 to 76.7 | |||||||
| Medication provided by prescription drug plan is sufficient to meet patients’ HIV treatment needs | ||||||||||
| ADAP | 0.28 | |||||||||
| Agree | 754 | 73.0 | 65.4 to 80.8 | |||||||
| Do not agree | 64 | 61.9 | 41.9 to 81.9 | |||||||
| Medicare prescription drug plan | 0.31 | |||||||||
| Agree | 581 | 73.0 | 65.4 to 80.2 | |||||||
| Do not agree | 205 | 66.4 | 53.3 to 79.5 | |||||||
| Medicaid | 0.06 | |||||||||
| Agree | 667 | 75.0 | 67.5 to 82.1 | |||||||
| Do not agree | 136 | 63.9 | 51.2 to 76.5 | |||||||
| Commercial insurance | 0.46 | |||||||||
| Agree | 539 | 71.0 | 61.8 to 79.5 | |||||||
| Do not agree | 235 | 75.0 | 66.3 to 83.6 | |||||||
| Pharmaceutical industry drug assistance plans | <0.005 | |||||||||
| Agree | 397 | 78.0 | 71.6 to 84.3 | Ref. | Ref. | |||||
| Do not agree | 308 | 62.0 | 51.2 to 72.7 | 0.80 | 0.66 to 0.96 | 0.009 | 0.79 | 0.65 to 0.98 | 0.02 |
*
Values exclude “don’t know” responses.
†
Obtained from pairwise comparisons, based on the average marginal predictions.
AAHIV-S, AAHIVM Practicing HIV Specialist; HIVMA, HIV Medicine Association; Wt., weighted.