Table 4.
Factors associated with low satisfaction (step 3: effect of quality indicators on provider estimates)
| Factor | Category assessed | Bivariate | Model 1 – IMQI categorical | Model 2 – IMQI continuous |
|---|---|---|---|---|
| Type of provider (PGE) | Adult care GE (117) | 1.44 (0.96 to 2.17) | 0.57 (0.33 to 0.98) | 0.59 (0.35 to 1.00) |
| No specialist (72) | 2.16 (1.37 to 3.39) | 1.01 (0.57 to 1.82) | 1.07 (0.60 to 1.91) | |
| Health status | Per unit SIBDQ | 0.97 (0.95 to 0.98) | 0.98 (0.96 to 1.01) | 0.98 (0.96 to 1.01) |
| Anxiety symptoms | Present (17) | 3.54 (1.77 to 7.09) | 2.79 (1.07 to 7.27) | 2.84 (1.10 to 7.32) |
| Time with provider (>12 months) | <12 months (67) | 2.33 (1.51 to 3.61) | 2.04 (1.17 to 3.58) | 2.15 (1.23 to 3.76) |
| Time in waiting room (<15 minutes) | 15–30 minutes | 1.68 (1.09 to 2.60) | 1.61 (0.97 to 2.67) | 1.54 (0.93 to 2.56) |
| >30 minutes | 4.17 (2.56 to 6.79) | 4.76 (2.68 to 8.46) | 4.52 (2.56 to 7.98) | |
| Time with physician (<15 minutes) | 15–30 minutes (246) | 0.30 (0.20 to >0.46) | 0.35 (0.21 to 0.56) | 0.35 (0.22 to 0.57) |
| >30 minutes (120) | 0.19 (0.11 to 0.33) | 0.21 (0.11 to 0.39) | 0.20 (0.11 to 0.38) | |
| Quality of care | IMQI (continuous) | 0.27 (0.13 to 0.55) | 0.40 (0.16 to 0.97) | |
| Quality categories (high quality) | Middle (IMQI 0.70 to 0.90) | 0.87 (0.51 to 1.46) | 0.93 (0.50 to 1.75) | |
| Low (IMQI <0.70) | 2.05 (1.39 to 3.02) | 1.95 (1.20 to 3.17) |
Note: Bold values indicate strong associations (OR <0.5 or OR >2.0) or significant contributors.
Abbreviations: PGE, pediatric gastroenterologist; GE, gastroenterologist; IBD, inflammatory bowel disease; SIBDQ, Short Inflammatory Bowel Disease Questionnaire; IMQI, IBD Management Quality Index.