TABLE 3.
Logistic Regression Model for Odds of Having Any VA-CCN Primary Care
| Variables | Odds Ratio Estimate | Lower 95% | Upper 95% | Significance |
|---|---|---|---|---|
| Intercept | <0.01 | 0 | 0.01 | *** |
| FY2015 | Reference | — | — | — |
| FY2016 | 1.39 | 1.32 | 1.48 | *** |
| FY2017 | 1.79 | 1.67 | 1.92 | *** |
| FY2018 | 1.96 | 1.83 | 2.09 | *** |
| Age group <45 y | Reference | — | — | — |
| Age group 45–54 y | 0.84 | 0.81 | 0.87 | *** |
| Age group 55–64 y | 0.64 | 0.61 | 0.67 | *** |
| Age group >65 y | 0.34 | 0.31 | 0.37 | *** |
| Sex=Male | Reference | — | — | — |
| Sex=Female | 1.19 | 1.11 | 1.28 | *** |
| Race=White | Reference | — | — | — |
| Race=Black/African American | 0.71 | 0.64 | 0.8 | *** |
| Race=Other/Unknown | 1.33 | 1.15 | 1.53 | *** |
| Marital Status=Married | Reference | — | — | — |
| Marital Status=Single separated, divorced, other | 1.02 | 0.98 | 1.07 | |
| Urban residence | Reference | — | — | — |
| Rural residence | 1.38 | 1.19 | 1.62 | *** |
| Highly rural residence | 1.83 | 1.52 | 2.2 | *** |
| Distance to VA Primary Care Facility 0–5 miles | Reference | — | — | — |
| Distance to VA Primary Care Facility 6–10 miles | 0.99 | 0.89 | 1.12 | |
| Distance to VA Primary Care Site 11–20 miles | 0.94 | 0.81 | 1.1 | |
| Distance to VA Primary Care Site 21–40 miles | 1.14 | 0.97 | 1.35 | |
| Distance to VA Primary Care Site 40+ miles | 6.63 | 5.65 | 7.77 | *** |
| No VA copayment required | Reference | — | — | — |
| Some VA copayment required | 0.81 | 0.78 | 0.84 | *** |
| Full VA copayment required | 0.62 | 0.59 | 0.66 | *** |
| Insurance=VA only† | Reference | — | — | — |
| Insurance=VA plus private insurance† | 0.75 | 0.7 | 0.8 | *** |
| Insurance=VA plus Medicare and/or Medicaid† | 2.64 | 2.51 | 2.78 | *** |
| Insurance=VA plus private and Medicare† | 1.74 | 1.62 | 1.87 | *** |
| Nosos score† | 0.8 | 0.78 | 0.82 | *** |
| Any diabetes=yes | 0.95 | 0.92 | 0.99 | ** |
| Any hypertension=yes | 0.97 | 0.94 | 1 | * |
| Any psychiatric/depression=yes | 1.23 | 1.19 | 1.28 | *** |
| Primary Care Visits (VAF or VA-CCN) per FY† | 1.23 | 1.22 | 1.24 | *** |
| New VA enrollee=yes | 0.94 | 0.88 | 1 | — |
†
Time-varying.
FY indicates Fiscal year; VA, Veterans Health Administration; VA-CCN, Veterans Health Administration Community Care Network Facility; VAF, Veterans Health Administration Facility.
*
P<0.05, P<0.1.
**
P<0.01.
***
P<0.001.