TABLE 3.
Selected Baseline Characteristics (Weighted Percent) of Older Adults in Office-Based Outpatient Primary Care Settings by Time Periods, 2006-2012 NAMCS
| Pre-2009 (2006-2008) | Post-2009 (2010-2012) | Total | P Value | |
|---|---|---|---|---|
| Depression screening | ||||
| No | 98.1 | 98.1 | 98.1 | 0.963 |
| Yes | 1.9 | 1.9 | 1.9 | |
| Mental disorder diagnosis | ||||
| No | 93.7 | 93.1 | 93.4 | 0.330 |
| Yes | 6.3 | 6.9 | 6.6 | |
| Antidepressant prescribed | ||||
| No | 88.1 | 87.2 | 87.7 | 0.470 |
| Yes, appropriate | 10.4 | 11.4 | 10.9 | |
| Yes, potentially inappropriate | 1.5 | 1.4 | 1.5 | |
| Psychotherapy or other mental health counseling provided | ||||
| No | 99.4 | 99.3 | 99.3 | 0.669 |
| Yes | 0.6 | 0.7 | 0.7 | |
| Age, years | ||||
| 65-74 | 49.7 | 50.5 | 50.1 | 0.227 |
| 75-84 | 36.8 | 35.0 | 35.9 | |
| 85+ | 13.6 | 14.5 | 14.0 | |
| Gender | ||||
| Female | 59.9 | 56.7 | 58.3 | 0.012 |
| Male | 40.1 | 43.3 | 41.7 | |
| Race/ethnicity | ||||
| Non-Hispanic white | 77.9 | 78.2 | 78.0 | 0.935 |
| Non-Hispanic black | 9.4 | 8.6 | 9.0 | |
| Hispanic | 8.3 | 8.4 | 8.3 | |
| Othera | 4.5 | 4.9 | 4.7 | |
| Region | ||||
| Northeast | 17.0 | 18.6 | 17.8 | 0.096 |
| Midwest | 19.7 | 21.7 | 20.7 | |
| South | 43.4 | 35.7 | 39.6 | |
| West | 19.8 | 24.0 | 21.9 | |
| Source of payment | ||||
| Private | 17.2 | 14.7 | 15.9 | < 0.001 |
| Medicare | 75.9 | 82.4 | 79.1 | |
| Medicaid | 4.9 | 1.6 | 3.3 | |
| Otherb | 2.1 | 1.3 | 1.7 | |
| Reason for visit | ||||
| Acute problem | 32.5 | 31.3 | 31.9 | 0.265 |
| Routine chronic problem | 50.9 | 49.3 | 50.1 | |
| Preventive care | 14.3 | 16.6 | 15.4 | |
| Pre- or postsurgery | 2.3 | 2.9 | 2.6 | |
| Repeat of visits | ||||
| 0 visits | 2.6 | 4.5 | 3.3 | < 0.001 |
| 1-2 visits | 23.0 | 26.6 | 24.4 | |
| 3-5 visits | 39.3 | 39.3 | 39.3 | |
| 6+ visits | 35.1 | 29.6 | 33.0 | |
| Type of medical practice | ||||
| Solo | 89.0 | 89.5 | 89.3 | 0.832 |
| Otherc | 11.0 | 10.5 | 10.7 | |
| MSA status | ||||
| MSA | 80.6 | 79.7 | 80.1 | 0.780 |
| Non-MSA | 19.4 | 20.3 | 19.9 | |
| Time spent with doctor | ||||
| < 15 min. | 14.8 | 14.0 | 14.4 | < 0.001 |
| 15-20 min. | 61.8 | 52.0 | 56.9 | |
| 21-30 min. | 16.2 | 22.0 | 19.1 | |
| > 30 min. | 7.1 | 12.1 | 9.6 | |
| Multiple chronic conditions | ||||
| None | 11.1 | 8.8 | 10.0 | 0.008 |
| 1 | 21.8 | 19.9 | 20.9 | |
| 2-3 | 47.4 | 47.2 | 47.3 | |
| 4+ | 19.7 | 24.1 | 21.9 | |
| Number of medications | ||||
| 0 | 11.8 | 11.1 | 11.5 | 0.001 |
| 1-2 | 25.1 | 21.2 | 23.2 | |
| 3-5 | 29.4 | 25.8 | 27.6 | |
| 6+ | 33.7 | 41.9 | 37.7 | |
| Sample size | ||||
| Unweighted sample | 6,283 | 9,313 | 15,596 | |
| Weighted visits | 47,087,308 | 46,502,737 | 93,590,045 | |
aIncludes Asians, American Indian/Alaska Natives, Native Hawaiian or Other Pacific Islanders, and multiple races.
bIncludes worker’s compensation, self-pay, no charge, and others.
cIncludes federally qualified health center, non-federal government clinic, family planning clinic, health maintenance organization or other prepaid practice plan, and faculty practice plan.
MSA = metropolitan statistical area; NAMCS = National Ambulatory Medical Care Survey.