Table 2:
Adoption of Patient Engagement Stratifies Among Physician Practices of Different Ownership Types, Weighted (2017/2018)
| Overall | Independent | Larger Physician Group | Federally Qualified Health Center | Hospital or Health Care System | Other | p-value | |
|---|---|---|---|---|---|---|---|
|
| |||||||
| Overall Patient Engagement Composite, mean (SD) | 33.7 (21.4) | 31.9 (18.3) | 39.5 (27.8) | 41.6 (21.3) | 30.7 (21.0) | 33.3 (20.6) | <0.001 |
| Motivational Interviewing Composite, mean (SD) | 43.7 (37.3) | 39.2 (31.8) | 47.1 (39.9) | 59.0 (36.3) | 40.0 (39.0) | 45.8 (37.6) | <0.001 |
| Training: None, % | 55.1 | 63.5 | 50.2 | 36.6 | 57.3 | 54 | <0.001 |
| Training: Yes, clinicians only, % | 22.7 | 23.4 | 24.7 | 21.3 | 22.7 | 16 | |
| Training: Yes, staff only, % | 5.3 | 3.9 | 5.8 | 10.2 | 4.4 | 4 | |
| Training: Yes, both, % | 16.9 | 9.2 | 19.3 | 31.9 | 15.6 | 26 | |
| Area: Smoking cessation, % | 58.7 | 58.7 | 59.6 | 69.4 | 54.8 | 53.2 | 0.01 |
| Area: Weight loss, % | 59.7 | 60.2 | 61.5 | 70.2 | 54.9 | 60.4 | 0.01 |
| Area: Physical activity, % | 57.2 | 57.2 | 60.1 | 67.6 | 52.6 | 58.4 | 0.01 |
| Area: Medication adherence, % | 55 | 56.4 | 57.5 | 65.4 | 49.3 | 56.9 | 0.01 |
| Shared Decision-Making Composite, mean (SD) | 42.1 (24.6) | 43.7 (22.9) | 46.8 (26.3) | 42.4 23.5) | 39.8 (25.6) | 43.1 (23.0) | 0.03 |
| Training | 39.3 (33.8) | 37.5 (32.6) | 45.9 (36.6) | 43.5 (30.3) | 37.1 (35.1) | 46.4 (31) | 0.01 |
| Routine use | 52.3 (29.5) | 52.4 (29.4) | 55.4 (30.4) | 50.3 (26.8) | 52.3 (30) | 52.1 (28.9) | 0.68 |
| Treatment decision follow-up | 47 (29.9) | 47.8 (29.4) | 48.5 (30.5) | 45.3 (25.9) | 46.8 (31.3) | 45.4 (32.7) | 0.90 |
| Decision Aids: Overall | 39 (29.8) | 38.4 (29.1) | 44.2 (32.2) | 40.4 (26.5) | 37.6 (30.9) | 41.8 (26.2) | 0.19 |
| Decision Aid: Diabetes medication | 36.7 (31.4) | 42.6 (31.3) | 39.7 (34.4) | 38 (27.6) | 32.1 (31.3) | 30.4 (27.7) | <0.001 |
| Decision Aid: Hip/knee replacement | 34.5 (31.9) | 37.9 (30.5) | 40.4 (34.8) | 32.5 (29.2) | 31.6 (32.9) | 34.7 (30.2) | 0.01 |
| Decision Aid: Breast cancer screening | 41.6 (34.4) | 45.4 (33) | 47.3 (37.2) | 43.2 (31.9) | 37 (35.4) | 43.1 (28.2) | 0.01 |
| Decision Aid: Prostate cancer screening | 42.4 (34.1) | 46.2 (33.1) | 46.2 (36.5) | 42.4 (32) | 38.7 (34.9) | 46.1 (26.7) | 0.02 |
| Decision Aid: Colorectal cancer screening | 44.9 (34.5) | 48.4 (32.9) | 51.9 (37) | 45.1 (32.4) | 40.9 (35.5) | 44.4 (28.9) | 0.01 |
| Decision Aid: Lung cancer screening | 38.8 (32.9) | 39.7 (31.2) | 44.6 (37.4) | 38.1 (30.4) | 37 (33.9) | 40.5 (32) | 0.20 |
| Shared Medical Appointment Composite, Mean (SD) | 15.3 (28.8) | 12.7 (25.2) | 24.6 (41.0) | 23.3 (31.0) | 12.27 (26.3) | 11.0 (22.5) | <0.001 |
| Any Use, % | 23.9 | 20.0 | 32.0 | 35.9 | 20.4 | 17.8 | 0.001 |
| Cardiovascular disease, % | 5.6 | 4.7 | 15.7 | 7.7 | 3.4 | 2.9 | <0.001 |
| Diabetes, % | 10.8 | 8.3 | 21.8 | 17.6 | 7.7 | 9.2 | <0.001 |
| Advance directives, % | 5.2 | 4.3 | 14.9 | 8.0 | 2.8 | 1.4 | <0.001 |
| Asthma/Chronic obstructive pulmonary disease, % | 5.5 | 4.2 | 14.9 | 9.7 | 2.8 | 2.7 | <0.001 |
Source: National Survey of Healthcare Organizations and Systems (NSHOS). Results are weighted. Binary variables shown as percentages, continuous variables as mean (standard deviation). Shared decision-making items are a continuous measure (range: 0–100) of ordinal responses. P-value represents statistically significant differences across ownership types using Chi-square tests for binary variables and ANOVA tests for continuous variables.