Table 2.
Adjusted odds ratios and 95% confidence intervals for association of USC type with self-reported health and healthcare access outcomes#
Variable (reference category), weighted n | Non-hospital facility vs. SPP | Hospital-based facility vs. SPP | A specific person in a non-hospital facility vs. SPP | A specific person in a hospital-based facility vs. SPP |
---|---|---|---|---|
AOR (95% CI) | AOR (95% CI) | AOR (95% CI) | AOR (95% CI) | |
| ||||
Health (ref = Good health), n = 31,953,477 | 1.15 (0.80–1.65) | 1.93 (1.32–2.83) ** | 1.12 (0.81–1.55) | 0.95 (0.62–1.47) |
Delay/forgone access to medical care (ref = No.), n = 31,874,313 | 1.14 (0.62–2.12) | 1.15 (0.60–2.21) | 1.11 (0.64–1.92) | 1.29 (0.65–2.56) |
Delay/forgone access to prescription medications (ref = No.), n = 31,865,340 | 1.81 (1.04–3.16) * | 1.54 (0.83–2.84) | 1.68 (0.98–2.88) | 2.28 (1.10–4.73) * |
Difficulty contacting USC... | ||||
...During afterhours for urgent medical needs (ref = No.), n = 18,309,466 | 1.31 (0.85–2.00) | 1.15 (0.75–1.76) | 1.27 (0.86–1.87) | 2.07 (1.24–3.47) ** |
...During regular business hours by phone about a health problem (ref = No.), n = 30,580,570 | 1.66 (1.09–2.54) * | 1.91 (1.17–3.12) * | 1.71 (1.08–2.71) * | 2.08 (1.27–3.40) ** |
USC open at nights/weekends (ref = No.), n = 28,305,377 | 3.81 (2.57–2.57) *** | 4.19 (2.72–6.44) *** | 1.19 (0.83–1.71) | 0.93 (0.54–1.59) |
Travel time to USC > 30 min (ref = No.), n = 31,890,229 | 0.80 (0.46–1.38) | 1.61 (1.00–2.58) * | 0.90 (0.55–1.49) | 1.30 (0.76–2.24) |
< 0.05
< 0.01
< 0.001
USC, usual source of care; SPP, solo practicing physician; AOR, adjusted odds ratio; CI, confidence interval
Regression models adjusted for age, sex, race/ethnicity, family income as a % of federal poverty level, education level, insurance, geographic region, self-reported health status in round 3/1, number of comorbid conditions, cancer site, calendar year, and being in remission
Note: Sample size and regression model estimates are for the US civilian non-institutionalized population of adult cancer survivors currently experiencing cancer and having a usual source of care during 2013–2018