Table 3.
Mixed-Effects Logistic Regression, Odds of Receiving a Prescription, and Odds of Receiving a Five-Star Patient Rating
| Variable | Prescription receipt | Receipt of five-star rating | ||
|---|---|---|---|---|
| aOR | 95% CI | aOR | 95% CI | |
| Patient characteristics | ||||
| Female (versus male) | 1.01 | 0.89-1.16 | 0.88 | 0.76-1.01 |
| Age | ||||
| 18–29 | Ref | – | Ref | – |
| 30–39 | 1.13 | 0.99–1.30 | 0.99 | 0.83–1.19 |
| 40–49 | 0.99 | 0.84–1.16 | 0.94 | 0.76–1.16 |
| 50–64 | 0.87 | 0.60–1.27 | 0.45 | 0.34–0.61 |
| 65+ | 0.32 | 0.19–0.55 | 0.44 | 0.15–1.26 |
| Number of telemedicine visits during the study period | ||||
| One | Ref | – | Ref | – |
| Two | 2.37 | 1.95–2.87 | 1.11 | 0.88–1.40 |
| Three or more | 1.95 | 1.57–2.42 | 1.08 | 0.87–1.33 |
| Physician characteristics | ||||
| Specialty | ||||
| Psychiatry (versus urgent care) | 0.84 | 0.62–1.15 | 0.92 | 0.72–1.18 |
| Geographic region | ||||
| Northeast | Ref | – | Ref | – |
| Midwest | 1.31 | 0.88–1.95 | 0.76 | 0.56–1.02 |
| South | 1.51 | 1.06–2.16 | 0.84 | 0.63–1.12 |
| West | 1.31 | 0.97–1.79 | 0.80 | 0.61–1.05 |
| Encounter characteristics | ||||
| Insurance reported (versus not) | 1.35 | 1.08–1.70 | 1.07 | 0.86–1.34 |
| Encounter timing | ||||
| After hours* (versus business hours) | 1.18 | 0.95–1.47 | 1.18 | 1.02–1.36 |
| Prescription received | n/a | n/a | 1.89 | 1.54–2.32 |
| Diagnoses (versus not) | ||||
| Adjustment disorders | 1.17 | 0.77–1.78 | 0.90 | 0.57–1.42 |
| Anxiety disorders | 1.61 | 1.09–2.38 | 0.99 | 0.71–1.40 |
| Depressive disorders | 2.36 | 1.62–3.43 | 1.02 | 0.75–1.39 |
| Bipolar disorder | 2.21 | 1.46–3.34 | 0.90 | 0.57–1.42 |
| PTSD/stress disorders | 1.17 | 0.64–2.15 | 0.78 | 0.48–1.27 |
| ADHD | 0.40 | 0.25–0.64 | 1.05 | 0.65–1.69 |
| Substance use disorders | 0.25 | 0.12–0.56 | 0.30 | 0.15–0.58 |
| Nicotine use disorder | 2.16 | 1.08–4.35 | 0.67 | 0.39–1.16 |
| Alcohol use disorder | 0.42 | 0.27–0.66 | 0.75 | 0.46–1.23 |
| OCD | 1.09 | 0.60–1.97 | 1.00 | 0.53–1.87 |
| Sleep disorders | 0.72 | 0.43–1.19 | 0.83 | 0.46–1.47 |
| Mood NOS disorders | 1.59 | 0.73–3.47 | 1.14 | 0.36–3.59 |
| Schizophrenia/psychotic disorders | 2.79 | 0.98–7.96 | 0.80 | 0.41–1.57 |
| Sexual disorders | 0.16 | 0.07–0.38 | 0.34 | 0.14–0.79 |
| Encounter length (min) | 1.00 | 0.99–1.01 | 1.00 | 1.00–1.01 |
| Two or more mental health diagnoses received (versus not) | 0.74 | 0.48–1.16 | 0.97 | 0.64–1.48 |
*After-hours encounter timing refers to encounters that occur during the weekend or outside of traditional business hours (7 a.m.–5 p.m.) during the week