Table 3:
Multivariable Linear Regression Results: Association of Physician Practice Characteristics and Adoption of Patient Engagement Strategies, Weighted (2017/2018)
| Overall Patient Engagement Strategies | Shared Decision-Making | Motivational Interviewing | Shared Medical Appointments | |
|---|---|---|---|---|
|
| ||||
| Ownership | ||||
| Hospital or Health Care System | Ref. | Ref. | Ref. | Ref. |
| Larger Physician Group | 5.31** (1.85) | 4.01* (1.80) | 2.61 (2.92) | 9.30** (3.12) |
| Federally Qualified Health Center | 6.26*** (1.62) | −0.45 (2.03) | 13.16*** (3.26) | 6.06* (2.58) |
| Independent | 3.58** (1.32) | 4.93** (1.80) | 2.36 (2.59) | 3.46 (2.11) |
| Other | 1.77 (3.34) | 1.77 (3.65) | 5.82 (6.88) | −2.28 (3.73) |
| Organizational Capabilities | ||||
| Basic Health Information Technology | 1.81** (0.56) | 2.76*** (0.79) | 2.74** (1.06) | −0.07 (0.83) |
| Advanced Health Information Technology | 1.30* (0.57) | 1.11 (0.72) | 2.58* (1.08) | 0.21 (0.88) |
| Screening Activity | 4.86*** (0.64) | 4.47*** (0.81) | 5.82*** (1.18) | 4.29*** (0.95) |
| Internal Dissemination Strategies | 2.71*** (0.65) | 3.11*** (0.89) | 2.34 (1.33) | 2.67** (0.94) |
| Patient Responsiveness | 0.77 (0.56) | 2.35*** (0.69) | 1.11 (1.03) | −1.15 (0.82) |
| Chronic Care Management Processes | 3.81*** (0.61) | 4.19*** (0.87) | 5.45*** (1.25) | 1.77 (0.96) |
| Payment Reform Participation | 0.32 (0.51) | 1.53* (0.65) | 0.31 (1.00) | −0.87 (0.79) |
| Medicaid Revenue | ||||
| None (0%) | −0.28 (1.52) | 4.97* (2.02) | −1.31 (3.02) | −4.50* (2.05) |
| Low (1–29%) | Ref. | Ref. | Ref. | Ref. |
| High (30% or above) | −0.27 (1.31) | −2.51 (1.71) | 0.86 (2.56) | 0.84 (2.08) |
| Physician Practice Size | ||||
| 0–3 physicians | −2.64 (1.65) | 3.35 (2.05) | −3.94 (3.14) | −7.34** (2.75) |
| 4–7 physicians | −5.98*** (1.47) | 1.93 (1.63) | −9.87*** (2.75) | −9.99*** (2.48) |
| 8–12 physicians | −2.90 (1.89) | 2.75 (2.08) | −4.30 (3.47) | −21.0504 |
| 13–19 physicians | −6.74** (2.08) | −1.47 (2.37) | −12.87** (4.22) | −5.89 (4.06) |
| 20+ physicians | Ref. | Ref. | Ref. | Ref. |
| Region | ||||
| South | Ref. | Ref. | Ref. | Ref. |
| West | 4.36** (1.41) | −0.10 (1.90) | 4.11 (2.72) | 9.06*** (2.41) |
| Northeast | 0.22 (1.36) | −0.71 (1.72) | 1.60 (2.71) | −0.23 (2.11) |
| Midwest | −0.66 (1.44) | 1.15 (1.76) | −4.77 (2.73) | 1.63 (2.01) |
| Intercept | 34.77*** (1.54) | 38.93*** (1.84) | 47.69*** (3.00) | 17.70*** (2.48) |
|
| ||||
| R-squared | 0.31 | 0.26 | 0.20 | 0.12 |
|
| ||||
| Observations | 2190 | |||
Source: National Survey of Healthcare Organizations and Systems (NSHOS). Results are weighted. Standard errors are in parenthesis. All continuous measures are standardized with a mean of 0 and a variance of 1 to improve the legibility of regression coefficients.
*
p<0.05
**
p<0.01
***
p<0.001