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Table 4 Unadjusted and adjusted odds ratios for associations between health information technology capacity and quality of care in federally qualified health centers for select covariates

From: Health information technology capacity at federally qualified health centers: a mechanism for improving quality of care

  

Receipt of discharge summaries

Patient reminders

Timely appointment for specialty care

Unadjusted OR (95% CI)

Adjusted OR (95% CI)

Unadjusted OR (95% CI)

Adjusted OR (95% CI)

Unadjusted OR (95% CI)

Adjusted OR (95% CI)

HIT Capacity

High

1.62

1.43

1.87

1.74

1.49

1.77

(1.34, 1.95)*

(1.01, 2.40)*

(1.55, 2.27)***

(1.23, 2.45)**

(1.23, 1.79)***

(1.24, 2.53)**

 

Medium

1.19

1.28

1.04

0.93

0.74

1.15

(0.97, 1.46)

(0.87, 1.88)

(0.83, 1.31)

(0.61, 1.41)

(0.59, 0.94)*

(0.75, 1.75)

 

Low [ref]

      

Incentive for patient satisfaction

Yes

1.41

1.08

1.86

1.49

1.19

0.97

(1.17, 1.70)***

(0.74, 1.57)

(1.55, 2.24)***

(1.05, 2.14)*

(0.99, 1.44)

(0.66, 1.42)

 

No [ref]

      

HRSA Disparity Coordination

Yes

1.58

1.92

0.91

0.61

0.87

1.11

(1.22, 2.04)***

(1.21, 3.04)*

(0.69, 1.18)

(0.36, 1.01)

(0.66, 1.13)

(0.65, 1.91)

 

No [ref]

      

Overall Measure of QI Support

Yes

1.33

1.02

1.45

1.09

1.66

1.70

 

Some or none [ref]

(1.15, 1.54)***

(0.75, 1.38)

(1.24, 1.69)***

(0.80, 1.50)

(1.42, 1.95)***

(1.23, 2.36)**

Physician vacancies

Yes

1.01

1.21

0.87

0.81

0.73

0.71

(0.85, 1.21)

(0.87, 1.68)

(0.72, 1.05)

(0.59, 1.11)

(0.61, 0.88)**

(0.51, 0.99)*

 

No [ref]

      

Nurse vacancies

Yes

0.62

0.63

1.01

1.10

0.78

0.99

(0.51, 0.76)***

(0.46, 0.87)**

(0.81, 1.25)

(0.79, 1.52)

(0.63, 0.96)*

(0.71, 1.39)

 

No [ref]

      

Hospital Affiliation

All

2.42

1.96

1.53

1.17

1.71

1.42

(2.08, 2.80)***

(1.44, 2.67)***

(1.31, 1.78)***

(0.85, 1.59)

(1.47, 1.99)***

(1.03, 1.95)*

 

Some or none [ref]

      

Usual Source of Care

Usual/Often

1.84

1.37

2.34

1.51

0.99

0.88

(1.44, 2.34)***

(0.82, 2.67)

(1.73, 3.15)***

(0.87, 2.62)

(0.77, 1.28)

(0.53, 1.46)

 

Some/Rarely/None [ref]

      

Percent Medicaid

 

4.73

1.41

3.13

3.10

0.70

0.09

(2.84, 7.86)***

(0.48, 4.12)

(1.88, 5.22)***

(1.02, 9.42)*

(0.42, 1.19)

(0.03, 0.30)***

Percent minority

High (50% or more)

0.52

0.52

1.26

1.20

0.55

0.41

(0.41, 0.65)***

(0.31, 0.88)*

(1.01, 1.59)*

(0.74, 1.95)

(0.44, 0.69)***

(0.25, 0.69)**

 

Medium (5–49%)

0.84

0.79

1.11

0.73

0.72

0.56

 

Low (<5%) [ref]

(0.66, 1.07)

(0.47, 1.34)

(0.87, 1.42)

(0.45, 1.19)

(0.57, 0.91)**

(0.34, 0.94)*

Size

Large

1.20

1.12

1.28

1.04

1.18

1.92

(0.96, 1.50)

(0.71, 1.77)

(1.02, 1.62)*

(0.67, 1.61)

(0.94, 1.49)

(1.22, 3.01)**

 

Medium

1.29

1.26

1.27

1.10

1.07

1.29

(1.09, 1.51)**

(0.90, 1.77)

(1.07, 1.50)**

(0.79, 1.54)

(0.91, 1.27)

(0.90, 1.84)

 

Small [ref]

      

Region

Midwest

0.61

0.54

0.88

1.37

0.98

1.51

(0.47, 0.79)***

(0.33, 0.90)*

(0.69, 1.13)

(0.85, 2.20)

(0.78, 1.24)

(0.91, 2.50)

 

South

0.36

0.28

0.69

0.71

0.52

0.54

(0.29, 0.46)***

(0.17, 0.44)***

(0.56, 0.86)

(0.44, 1.15)

(0.42, 0.64)***

(0.33, 0.89)*

 

West

0.33

0.28

0.89

1.09

0.61

0.89

(0.26, 0.41)***

(0.17, 0.44)***

(0.71, 1.12)

(0.68, 1.75)

(0.49, 0.77)***

(0.55, 1.45)

 

Northeast [ref]

      

Urbanicity

Urban

0.87

0.87

0.89

0.60

1.09

1.65

(0.74, 1.04)

(0.59, 1.27)

(0.75, 1.06)

(0.42, 0.86)**

(0.91, 1.30)

(1.11, 2.46)*

 

Rural [ref]

      
  1. Source: The 2009 National Survey of Federally Qualified Health Centers; HIT-Health Information Technology.
  2. HIT capacity based on health centers’ possession of 16 functionalities of technologies; QI-Quality Improvement.
  3. Odds ratios compare variables versus their reference category in terms of having improvements in the outcome measures.
  4. OR-Odds Ratio; CI- Confidence Interval; ref-ref correspond to the reference group in the association analysis.
  5. Adjusted odds account for the other variables in the table, which account for: QI initiatives, workforce, usual source of care, as well as demographic variables.
  6. * p <.05; ** p <.01; *** p <.001.