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. 2019 May 7;22(5):522–531. doi: 10.1089/jpm.2018.0389

Table 3.

Adjusted Odds Ratios and 95% Confidence Intervals for the Relationships between Covariates and Rating of Overall Care Quality and between Covariates and Each Composite Quality Domain

  Rating of overall care quality Coordination Symptom management Shared decision making Respect Spiritual and emotional support
Demographic factors (NR = 477; NW = 1,123,887)AOR [95% CI] (NR = 456; NW = 1,075,769)AOR [95% CI] (NR = 369; NW = 902,374)AOR [95% CI] (NR = 460; NW = 1,081,297)AOR [95% CI] (NR = 466; NW = 1,099,239)AOR [95% CI] (NR = 393; NW = 954,954)AOR [95% CI]
Age
 65–84 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.]
 85+ 1.88* [1.17–3.02] 1.80 [0.99–3.27] 1.22 [0.71–2.08] 1.59 [0.93–2.73] 1.44 [0.90–2.32] 0.59* [0.37–0.95]
Gender
 Male 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.]
 Female 0.74 [0.43–1.29] 1.38 [0.60–3.15] 1.15 [0.61–2.17] 1.32 [0.70–2.51] 0.80 [0.46–1.40] 1.00 [0.52–1.92]
White race
 No 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.]
 Yes 1.2 [0.65–2.22] 0.49 [0.22–1.10] 0.96 [0.47–1.97] 1.05 [0.59–1.89] 0.94 [0.50–1.76] 0.69 [0.36–1.30]
Census region
 Northeast 1.00 [Ref.] Not in model 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.]
 Midwest 1.15 [0.56–2.33] — 1.93 [0.80–4.65] 1.57 [0.77–3.20] 1.25 [0.60–2.58] 2.66* [1.21–5.86]
 South 0.83 [0.40–1.71] — 1.49 [0.59–3.72] 1.48 [0.74–2.97] 0.83 [0.40–1.70] 1.13 [0.49–2.61]
 West 0.85 [0.45–1.60] — 1.19 [0.52–2.72] 2.30 [0.94–5.61] 0.75 [0.38–1.50] 1.93 [0.89–4.21]
Medicaid
 No 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.]
 Yes 1.09 [0.56–2.13] 1.16 [0.52–2.61] 0.66 [0.34–1.26] 0.57 [0.27–1.18] 0.81 [0.38–1.73] 0.64 [0.31–1.31]
Marital status at death
 Not married 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.]
 Married 1.72 [0.82–3.61] 1.67 [0.51–5.45] 2.13 [0.68–6.61] 2.63* [1.06–6.55] 2.15 [0.88–5.26] 1.55 [0.63–3.82]
  Rating of overall care quality Coordination Symptom management Shared decision making Respect Spiritual and emotional support
Care and proxy factors (NR = 477; NW = 1,123,887)AOR [95% CI] (NR = 456; NW = 1,075,769)AOR [95% CI] (NR = 369; NW = 902,374)AOR [95% CI] (NR = 460; NW = 1,081,297)AOR [95% CI] (NR = 466; NW = 1,099,239)AOR [95% CI] (NR = 393; NW = 954,954)AOR [95% CI]
Dementia reported
 No 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.]
 Yes 0.82 [0.46–1.47] 1.73 [0.75–4.00] 1.05 [0.56–1.98] 0.65 [0.36–1.20] 1.42 [0.81–2.50] 0.87 [0.48–1.57]
Cancer reported
 No 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.]
 Yes 1.02 [0.60–1.73] 1.27 [0.65–2.48] 0.52* [0.30–0.91] 0.47* [0.24–0.94] 0.87 [0.54–1.42] 0.73 [0.42–1.26]
Hospice enrollment
 No 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.]
 Yes 1.49 [0.94–2.36] 0.66 [0.25–1.71] 1.26 [0.70–2.29] 1.82 [0.95–3.50] 0.92 [0.53–1.61] 1.96* [1.08–3.54]
Place of death
 Home 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.]
 Hospital 0.71 [0.40–1.27] 0.39 [0.14–1.10] 0.97 [0.43–2.16] 0.80 [0.39–1.63] 0.69 [0.38–1.25] 0.86 [0.47–1.58]
 Other 0.55* [0.34–0.88] 0.31* [0.11–0.90] 1.24 [0.62–2.46] 0.31* [0.14–0.68] 0.54 [0.29–1.00] 0.82 [0.42–1.59]
Proxy relationship
 Spouse 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.]
 Child 0.92 [0.42–2.04] 0.85 [0.32–2.25] 1.06 [0.33–3.36] 3.89* [1.62–9.33] 1.64 [0.59–4.58] 1.76 [0.69–4.46]
 Other 0.76 [0.30–1.94] 1.41 [0.37–5.35] 1.34 [0.33–5.48] 3.67* [1.13–11.86] 1.48 [0.44–4.99] 1.20 [0.39–3.64]
Proxy gender
 Male 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.] 1.00 [Ref.]
 Female 0.68 [0.41–1.13] 1.30 [0.61–2.78] 0.66 [0.34–1.29] 1.00 [0.50–2.03] 1.21 [0.69–2.15] 0.98 [0.53–1.82]
*

OR significant at p < 0.05.

AOR, adjusted odds ratio; NR, raw N; NW = weighted N.