Table 2.
Results of multilevel multinomial logistic regression targeting hospitals. Significant variables are presented as italics.
| Target | Hospitals with no adoption schedule in fiscal year 2011 (n=4278) | Hospitals with a specified adoption schedule in fiscal year 2011 (n=1051) | |||
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Adoption, ORa (95% CIb) | Specified adoption schedule, OR (95% CI) | Adoption, OR (95% CI) | No adoption schedule, OR (95% CI) |
| Intercept | 0.06 (0.03-0.14) | 0.19 (0.13-0.31) | 0.96 (0.42-2.19) | 0.57 (0.16-1.86) | |
| Advocating internal medicine | 0.76 (0.46-1.29) | 0.85 (0.63-1.12) | 0.94 (0.51-1.78) | 1.41 (0.60-3.83) | |
| Advocating surgery | 1.11 (0.76-1.58) | 0.97 (0.81-1.17) | 1.03 (0.68-1.58) | 0.51 (0.28-0.90) | |
| Designed as an emergency hospital | 1.38 (0.999-1.94) | 1.20 (0.99-1.45) | 1.06 (0.74-1.56) | 1.36 (0.77-2.47) | |
| Number of outpatients | |||||
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Quantile 1 | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) |
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Quantile 2 | 0.77 (0.47-1.23) | 1.18 (0.94-1.49) | 1.83 (1.21-2.83) | 0.98 (0.53-1.72) |
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Quantile 3 | 1.04 (0.63-1.66) | 1.68 (1.31-2.14) | 2.84 (1.82-4.40) | 0.43 (0.20-0.88) |
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Quantile 4 | 1.67 (1.005-2.84) | 2.40 (1.80-3.21) | 2.79 (1.60-5.14) | 0.58 (0.21-1.44) |
| Number of doctorsc | |||||
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Quantile 1 | 1.00 (reference) | 1.00 (reference) | N/Ad | N/A |
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Quantile 2 | 1.58 (0.99-2.55) | 1.13 (0.90-1.40) | N/A | N/A |
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Quantile 3 | 1.86 (1.13-3.08) | 1.54 (1.23-1.95) | N/A | N/A |
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Quantile 4 | 4.20 (2.39-7.31) | 2.02 (1.52-2.64) | N/A | N/A |
| Presence of interns | 2.08 (1.34-3.16) | 1.45 (1.07-1.95) | 1.87 (1.28-2.86) | 0.88 (0.38-2.02) | |
| Implementation of home medical care | 0.96 (0.72-1.25) | 1.18 (1.01-1.39) | 0.93 (0.69-1.26) | 0.70 (0.44-1.13) | |
| Private establisher | 0.73 (0.51-1.08) | 0.85 (0.67-1.07) | 0.73 (0.50-1.08) | 0.74 (0.37-1.50) | |
| Number of beds | |||||
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<200 | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) |
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200-399 | 1.19 (0.82-1.71) | 1.12 (0.88-1.42) | 1.18 (0.80-1.76) | 0.94 (0.48-1.75) |
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≥400 | 1.38 (0.72-2.58) | 1.34 (0.83-2.17) | 2.10 (1.12-3.86) | 0.81 (0.24-2.37) |
| Population density per km2 | |||||
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Quantile 1 | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) |
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Quantile 2 | 0.84 (0.56-1.23) | 1.13 (0.91-1.41) | 0.78 (0.49-1.25) | 0.71 (0.35-1.56) |
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Quantile 3 | 1.02 (0.68-1.57) | 1.25 (0.98-1.58) | 0.75 (0.47-1.21) | 0.79 (0.37-1.80) |
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Quantile 4 | 0.80 (0.50-1.27) | 0.97 (0.76-1.25) | 0.44 (0.25-0.78) | 1.09 (0.49-2.54) |
| Working doctors per 1000 population | 1.08 (0.87-1.35) | 1.07 (0.94-1.21) | 1.05 (0.87-1.28) | 0.84 (0.56-1.18) | |
| Proportion of interns to all working doctors | 0.94 (0.88-1.002) | 0.98 (0.95-1.02) | 0.99 (0.92-1.07) | 1.03 (0.90-1.16) | |
aOR: odds ratio.
bCI: credible interval.
cThe factor “number of doctors” was removed from the model targeting hospitals with a specified electronic medical record adoption schedule, as it had a high generalized variance inflation factor of >2.5
dN/A: not applicable.