Table 3.
Multinomial regression results of patient characteristics and perceived change in overall quality of care with Care Information Exchange use.
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Univariatea | Multivariablea | ||||||||||
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Worse care quality vs about the same | Better care quality vs about the same | Worse care quality vs about the same | Better care quality vs about the same | ||||||||
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Odds ratio (95% CI) | P value | Odds ratio (95% CI) | P value | Odds ratio (95% CI) | P value | Odds ratio (95% CI) | P value | ||||
| Sex | ||||||||||||
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Female | Reference | Reference | Reference | Reference | Reference | Reference | Reference | Reference | |||
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Male | 0.47 (0.13-1.74) | .26 | 1.26 (0.84-1.88) | .26 | N/Ab | N/A | N/A | N/A | |||
| Age (years) | ||||||||||||
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≥65 | Reference | Reference | Reference | Reference | Reference | Reference | Reference | Reference | |||
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≤64 | 1.35 (0.41-4.42) | .63 | 1.28 (0.84-1.94) | .26 | N/A | N/A | N/A | N/A | |||
| Ethnicity | ||||||||||||
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White | Reference | Reference | Reference | Reference | Reference | Reference | Reference | Reference | |||
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Ethnic minority | 1.88 (0.49-7.18) | .36 | 2.27 (1.37-3.78) | .002 | 2.44 (0.61-9.80) | .21 | 2.27 (1.26-3.73) | .005 | |||
| Native language | ||||||||||||
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English | Reference | Reference | Reference | Reference | Reference | Reference | Reference | Reference | |||
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Non-English | 2.56 (0.66-9.91) | .18 | 1.81 (1.02-3.21) | .04 | —c | — | — | — | |||
| Education | ||||||||||||
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Secondary or below | Reference | Reference | Reference | Reference | Reference | Reference | Reference | Reference | |||
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Undergraduate or professional | 4.60 (0.55-38.23) | .16 | 0.85 (0.53-1.38) | .51 | — | — | — | — | |||
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Postgraduate or higher | 4.00 (0.44-36.76) | .22 | 0.73 (0.42-1.25) | .25 | — | — | — | — | |||
| Digital literacy | ||||||||||||
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Lower digital health literacy | Reference | Reference | Reference | Reference | Reference | Reference | Reference | Reference | |||
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Higher digital health literacy | 1.57 (0.20-12.63) | .67 | 2.51 (1.15-5.45) | .02 | 1.51 (0.18-12.42) | .70 | 2.40 (1.07-5.42) | .03 | |||
| Health status | ||||||||||||
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Neither good nor poor | Reference | Reference | Reference | Reference | Reference | Reference | Reference | Reference | |||
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Poor | 0.72 (0.20-2.60) | .62 | 1.29 (0.77-2.16) | .34 | N/A | N/A | N/A | N/A | |||
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Good | 0.52 (0.14-2.02) | .35 | 1.22 (0.73-2.03) | .45 | N/A | N/A | N/A | N/A | |||
| Motivation to be involved in own care | ||||||||||||
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Not very much or a moderate amount | Reference | Reference | Reference | Reference | Reference | Reference | Reference | Reference | |||
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A lot or very much | 1.92 (0.24-15.19) | .54 | 1.67 (0.86-3.24) | .13 | — | — | — | — | |||
| Frequency of Care Information Exchange use | ||||||||||||
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Once a month or less | Reference | Reference | Reference | Reference | Reference | Reference | Reference | Reference | |||
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Once a week or more | 1.05 (0.32-3.45) | .94 | 2.40 (1.59-3.63) | <.001 | 0.92 (0.24-3.60) | .90 | 2.31 (1.49-3.58) | <.001 | |||
aGoodness-of-fit: χ28=14.5; P=.07.
bN/A: not applicable; variable not entered into the multivariable analyses due to nonsignificance (P>.25) in univariate analyses.
cVariable excluded from the final multivariable model using a backward elimination approach.