Table 3.
Multilevel Logistic Results for Survey Questions on Whether Patients Got Primary Care Appointments as soon as Needed.a
| Measure | Urgent care Always = 51.6% |
Routine care Always = 60.7% |
||
|---|---|---|---|---|
| OR | 95% CI | OR | 95% CI | |
| Patient factors | ||||
| Age: Less than 45 | .73 | .68-.78 | .76 | .72-.81 |
| Age: 45-55 | 1.00 | 1.00 | ||
| Age 55-64 | 1.21 | 1.15-1.28 | 1.21 | 1.16-1.26 |
| Age: 65-74 | 1.39 | 1.33-1.46 | 1.39 | 1.33-1.44 |
| Age: 75-84 | 1.57 | 1.48-1.66 | 1.56 | 1.50-1.60 |
| Age: 85 plus | 1.73 | 1.61-1.86 | 1.75 | 1.67-1.84 |
| Female | .99 | .94-1.05 | 1.03 | .99-1.07 |
| Race: African American | 1.00 | 1.00 | ||
| Race: White | .96 | .92-1.01 | 1.03 | 1.00-1.07 |
| Race: Other | .90 | .84-.96 | .88 | .84-.93 |
| Race: Not reported | .85 | .79-.92 | .87 | .82-.93 |
| Hispanic | 1.05 | .99-1.11 | 1.00 | .96-1.05 |
| Language other than English spoken at home | .99 | .92-1.06 | .92 | .87-.97 |
| Education: high school graduate | 1.00 | 1.00 | ||
| Education: some college | .92 | .89-.95 | .94 | .92-.96 |
| Education: college graduate or more | .99 | .96-1.03 | 1.01 | .98-1.04 |
| Education: non-graduate/unknown | 1.02 | .97-1.07 | 1.01 | .97-1.05 |
| General health (very good/excellent) | 1.75 | 1.68-1.81 | 1.61 | 1.57-1.65 |
| Mental health (very good/excellent) | 1.46 | 1.42-1.51 | 1.50 | 1.47-1.54 |
| Elixhauser group: 1 condition | 1.03 | 1.00-1.06 | 1.11 | 1.09-1.14 |
| Elixhauser group: 2 conditions | 1.04 | 1.00-1.08 | 1.12 | 1.09-1.15 |
| Elixhauser group: 3 or more conditions | 1.07 | 1.03-1.12 | 1.15 | 1.11-1.18 |
| Percentage patients with rural residence | 1.04 | 1.01-1.07 | 1.08 | 1.06-1.11 |
| Provider factors | ||||
| Provider visits: 1 | .84 | .81-.86 | 1.15 | 1.12-1.17 |
| Provider visits 2 | 1.00 | 1.00 | ||
| Provider visits: 3 to 4 | 1.03 | .99-1.06 | .95 | .92-.98 |
| Provider visits: 5 or more | 1.21 | 1.15-1.27 | 1.06 | 1.02-1.11 |
| Provider history: Less than 1 year | 1.11 | 1.07-1.15 | 1.05 | 1.03-1.08 |
| Provider history: 1-2 years | 1.00 | |||
| Provider history: 3-5 years | 1.08 | 1.04-1.13 | 1.06 | 1.03-1.09 |
| Provider history: 5 plus years | 1.28 | 1.23-1.33 | 1.23 | 1.20-1.26 |
| Saw usual primary care provider | 1.61 | 1.53-1.70 | 1.44 | 1.40-1.49 |
| Practice factors | ||||
| Primary care new patient wait | .88 | .86-.90 | .90 | .88-.92 |
| Primary care established patient wait | .96 | .94-.99 | .95 | .93-.97 |
| Mental health new patient wait | .96 | .93-.98 | .98 | .96-1.00 |
| Mental health established patient wait | 1.01 | .99-1.04 | 1.00 | .97-1.02 |
| Specialty care new patient wait | 1.00 | .98-1.03 | .99 | .97-1.01 |
| Specialty care established wait | 1.01 | .98-1.03 | 1.00 | .98-1.02 |
| Third next available | .99 | .97-1.02 | 1.01 | .99-1.03 |
| Same day appointments | 1.05 | 1.03-1.08 | 1.03 | 1.00-1.05 |
| Community-based outpatient clinic | .98 | .80-1.05 | 1.01 | .95-1.08 |
| Continuity primary care provider | 1.06 | 1.04-1.09 | 1.07 | 1.05-1.09 |
| Post discharge contact within 2 days | 1.04 | 1.01-1.07 | 1.04 | 1.02-1.07 |
| Emergency department use | 1.04 | 1.01-1.07 | 1.03 | 1.00-1.06 |
| Non-traditional encounters | 1.02 | .99-1.04 | 1.01 | .99-1.04 |
| Support staff ratio | 1.02 | 1.00-1.04 | 1.01 | .99-1.03 |
| Panel size (observed/expected) | .95 | .93-.97 | .97 | .95-.99 |
| Complexity group: Moderate | 1.03 | .95-1.11 | .99 | .92-1.06 |
| Complexity group: Highest | 1.04 | .97-1.11 | 1.03 | .97-1.09 |
| VISN 1 | 1.00 | 1.00 | ||
| VISN 2 | .80 | .70-.91 | .80 | .72-.89 |
| VISN 4 | .89 | .77-1.02 | .93 | .83-1.04 |
| VISN 5 | .69 | .59-.81 | .67 | .59-.76 |
| VISN 6 | .60 | .52-.70 | .57 | .50-.65 |
| VISN 7 | .57 | .50-.66 | .59 | .52-.67 |
| VISN 8 | .59 | .52-.68 | .62 | .56-.70 |
| VISN 9 | .65 | .56-.76 | .65 | .58-.74 |
| VISN 10 | .63 | .55-.71 | .65 | .59-.72 |
| VISN 12 | .69 | .60-.80 | .75 | .67-.85 |
| VISN 15 | .68 | .59-.79 | .79 | .70-.89 |
| VISN 16 | .61 | .53-.70 | .59 | .53-.66 |
| VISN 17 | .55 | .47-.63 | .56 | .50-.63 |
| VISN 18 | .48 | .41-.56 | .47 | .42-.54 |
| VISN 19 | .57 | .50-.65 | .56 | .50-.62 |
| VISN 20 | .52 | .45-.61 | .54 | .48-.62 |
| VISN 21 | .62 | .54-.71 | .61 | .55-.69 |
| VISN 22 | .59 | .50-.69 | .61 | .53-.70 |
| VISN 23 | .88 | .76-1.00 | .82 | .73-.91 |
Abbreviations: OR, odds ratio; VISN, veterans integrated service network.
a Boldface values indicate P < .05.