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. 2018 Oct 12;1(6):e183506. doi: 10.1001/jamanetworkopen.2018.3506

Table 4. Physician-Level and Group-Level Characteristics Associated With Generalized Frequent Use of 2 or More Screening Tests (ie, Cross-Test Score ≥2) Among 2340 Physiciansa.

Variable Odds Ratio (95% CI)b 80% Interval Odds Ratiob,c
Physician-Level Fixed Effects
Male vs female 1.29 (1.01-1.64)d NA
IMG vs domestic 0.64 (0.49-0.84)d NA
Years since medical school graduation 1.03 (1.02-1.04)d NA
Group-Level Fixed Effects
Primary care modele
Family health organization vs family health group 0.90 (0.66-1.23) (0.44-1.85)
Family health team vs family health group 0.49 (0.34-0.71)d (0.23-1.07)
No. of patients per physician
<30-60 vs <0 0.67 (0.43-1.03) (0.28-1.57)
>60 to 110 vs <30 0.91 (0.60-1.38) (0.39-2.10)
>110 to 210 vs <30 0.69 (0.44-1.07) (0.29-1.62)
>210 vs <30 0.81 (0.53-1.26) (0.35-1.91)
Group-Level Random Effectsb
Variance (SE) 0.26 (0.12) NA
Median odds ratioc 1.62 (1.39-1.86) NA
Intracluster correlation coefficient, %c,f 7.27 NA

Abbreviations: IMG, international medical graduate; NA, not applicable.

a

All reported values are based on SAS PROC GLIMMIX output; model estimation method is Laplace; denominator df estimation method is between and within; covariance structure is standard variance.

b

Adjusted for all other factors present in the model and table, as well as the quarter and season in which the visit occurred.

c

Estimated using group-level variance estimate.

d

Significant at P < .05.

e

Represents the primary care patient enrollment model that informs group organization and remuneration. Suppressed comparison of other vs family health group because of low observed frequency of the other category.

f

Calculated using the latent response formulation (ie, set residual variance equal to 3.29).