Table 2. Association of Patient Preferences for Participation in Medical Decisions With Care Satisfaction Across the 3 Service Quality Measures.
| Variable | OR (95% CI)a | ||
|---|---|---|---|
| Dissatisfaction with overall care received (N = 13 902) | Dissatisfaction with physician care (N = 13 902) | Lack of confidence and trust in the physicians providing treatment (N = 13 902) | |
| Centered age | 0.99 (0.99-1.00) | 1.00 (0.99-1.00) | 0.99 (0.98-1.00) |
| Centered age squared | 1.00 (1.00-1.00) | 1.00 (1.00-1.00) | 1.00 (1.00-1.00) |
| Female sex | 1.08 (0.95-1.22) | 1.05 (0.91-1.22) | 1.03 (0.87-1.22) |
| African American race | 0.82 (0.71-0.95) | 0.80 (0.68-0.95) | 0.89 (0.72-1.09) |
| Educational attainment | |||
| Any high school or less | 1 [Reference] | 1 [Reference] | 1 [Reference] |
| High school graduate | 1.10 (0.91-1.33) | 1.01 (0.80-1.26) | 0.85 (0.67-1.08) |
| Some college or junior college | 1.28 (1.06-1.56) | 1.08 (0.86-1.35) | 0.91 (0.71-1.16) |
| College graduate | 1.45 (1.16-1.81) | 1.44 (1.10-1.87) | 0.87 (0.63-1.20) |
| Any graduate-level educational attainment | 1.39 (1.07-1.80) | 1.48 (1.11-1.97) | 0.98 (0.69-1.40) |
| Insurance type | |||
| Private | 1 [Reference] | 1 [Reference] | 1 [Reference] |
| Medicare | 1.24 (1.04-1.49) | 1.13 (0.92-1.40) | 1.32 (1.02-1.69) |
| Medicaid | 1.20 (0.99-1.44) | 0.87 (0.69-1.10) | 1.18 (0.91-1.54) |
| No insurance | 0.76 (0.51-1.15) | 0.71 (0.43-1.16) | 1.01 (0.61-1.67) |
| General self-assessed health status | |||
| Excellent | 1 [Reference] | 1 [Reference] | 1 [Reference] |
| Very good | 0.90 (0.66-1.21) | 0.88 (0.61-1.25) | 0.90 (0.60-1.36) |
| Good | 1.05 (0.81-1.36) | 0.94 (0.69-1.28) | 0.94 (0.66-1.34) |
| Fair | 1.28 (0.99-1.65) | 1.15 (0.84-1.56) | 1.19 (0.85-1.68) |
| Poor | 1.56 (1.20-2.03) | 1.48 (1.08-2.03) | 1.36 (0.94-1.95) |
| Charlson Comorbidity Index score | 1.01 (0.97-1.04) | 1.03 (0.99-1.08) | 1.01 (0.96-1.06) |
| 10 Most frequent principal diagnoses | |||
| All other | 1 [Reference] | 1 [Reference] | 1 [Reference] |
| Complications associated with procedures (eg, catheters) | 1.11 (0.85-1.45) | 0.87 (0.62-1.23) | 0.83 (0.57-1.22) |
| Diabetes | 0.95 (0.70-1.28) | 0.95 (0.65-1.38) | 0.98 (0.66-1.45) |
| Asthma | 0.64 (0.44-0.93) | 0.71 (0.46-1.11) | 0.46 (0.26-0.80) |
| Acute kidney failure | 0.80 (0.56-1.13) | 0.86 (0.58-1.27) | 0.76 (0.47-1.23) |
| Sickle cell anemia | 1.50 (1.12-2.01) | 1.73 (1.21-2.49) | 1.28 (0.87-1.89) |
| Pneumonia, organism unspecified | 0.78 (0.53-1.15) | 1.01 (0.67-1.51) | 1.03 (0.64-1.64) |
| Cellulitis and abscess | 1.32 (0.95-1.83) | 1.17 (0.78-1.76) | 0.92 (0.55-1.54) |
| Pancreatitis and pancreatic pseudocyst | 0.72 (0.47-1.11) | 0.83 (0.51-1.34) | 0.65 (0.35-1.21) |
| Disorders of fluids, electrolytes, and acid-base balance | 1.28 (0.88-1.86) | 1.09 (0.68-1.73) | 1.06 (0.63-1.78) |
| Gastrointestinal hemorrhage | 0.93 (0.61-1.42) | 0.61 (0.34-1.10) | 0.81 (0.44-1.48) |
| Transfer from another health care facility or service | 0.96 (0.78-1.17) | 1.13 (0.90-1.42) | 1.00 (0.76-1.31) |
| Admission on a weekend | 0.87 (0.76-1.01) | 1.06 (0.90-1.25) | 1.15 (0.96-1.37) |
| Patient preference for medical decision-making: “I prefer to leave decisions about my medical care up to my doctor” | |||
| Definitely agree | 1 [Reference] | 1 [Reference] | 1 [Reference] |
| Somewhat agree | 1.27 (1.08-1.50) | 1.25 (1.03-1.50) | 1.08 (0.87-1.34) |
| Somewhat disagree | 1.44 (1.19-1.74) | 1.62 (1.31-2.01) | 1.57 (1.24-2.00) |
| Definitely disagree | 1.86 (1.54-2.24) | 1.78 (1.42-2.22) | 2.05 (1.62-2.59) |
Abbreviation: OR, odds ratio.
a
Odds ratios and 95% CIs were adjusted for all independent variables in multivariable logistic regression models.