Dependent variable: Hospitalization for ACSC
|
---|
|
Unadjusted model
|
Adjusted models1
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|
Model (1)
|
Model (2)
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OR3
| |
95% CI4
|
OR3
| |
95% CI4
|
OR3
| |
95% CI4
|
---|
| |
Lower
|
Upper
| | |
Lower
|
Upper
| | |
Lower
|
Upper
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Patient characteristics
| | | | | | | | | | | | |
Medicaid managed care
|
1.86
|
***
|
1.82
|
1.90
|
1.30
|
***
|
1.21
|
1.40
|
3.56
|
***
|
2.36
|
5.37
|
Male
|
2.68
|
***
|
2.62
|
2.74
|
1.06
|
**
|
1.02
|
1.11
|
1.06
|
**
|
1.02
|
1.11
|
Black
|
1.24
|
***
|
1.21
|
1.27
|
1.16
|
***
|
1.07
|
1.26
|
1.25
|
***
|
1.15
|
1.36
|
White
|
0.98
| |
0.96
|
1.00
|
0.80
|
***
|
0.70
|
0.91
|
0.88
|
+
|
0.77
|
1.01
|
Age, 25-40 years2
|
3.31
|
***
|
3.15
|
3.48
|
2.70
|
***
|
2.39
|
3.04
|
2.70
|
***
|
2.39
|
3.04
|
Age, 41-64 years2
|
22.92
|
***
|
21.87
|
24.02
|
11.48
|
***
|
10.22
|
12.91
|
11.43
|
***
|
10.17
|
12.85
|
No. of Comorbidities
|
1.27
|
***
|
1.27
|
1.27
|
1.16
|
***
|
1.15
|
1.17
|
1.16
|
***
|
1.15
|
1.17
|
County characteristics
| | | | | | | | | | | | |
Rural
|
1.06
|
+
|
0.99
|
1.13
|
1.11
| |
0.89
|
1.39
|
1.16
| |
0.92
|
1.45
|
MMC penetration
|
0.998
|
***
|
0.998
|
0.999
|
1.00
| |
1.00
|
1.00
|
1.00
| |
1.00
|
1.00
|
No. of Medicaid HMO
|
1.02
|
***
|
1.01
|
1.02
|
0.99
| |
0.97
|
1.01
|
1.00
| |
0.98
|
1.03
|
HHI of MMC
|
0.85
|
***
|
0.82
|
0.89
|
0.81
|
+
|
0.64
|
1.01
|
0.92
| |
0.70
|
1.19
|
Primary Care
|
1.00
| |
0.97
|
1.03
|
0.85
|
***
|
0.78
|
0.93
|
0.88
|
**
|
0.81
|
0.96
|
Hospital Beds
|
1.06
|
***
|
1.03
|
1.09
|
1.00
| |
0.91
|
1.10
|
1.00
| |
0.89
|
1.13
|
CHC
|
1.01
| |
0.96
|
1.07
|
1.01
| |
0.84
|
1.22
|
1.01
| |
0.82
|
1.24
|
Household Income
|
0.999
|
***
|
0.999
|
0.999
|
1.00
| |
1.00
|
1.00
|
1.00
| |
1.00
|
1.00
|
Poverty
|
1.02
|
***
|
1.01
|
1.02
|
1.02
| |
0.99
|
1.05
|
1.02
|
+
|
1.00
|
1.05
|
Unemployment rate
|
0.95
|
***
|
0.94
|
0.96
|
0.98
| |
0.94
|
1.02
|
0.99
| |
0.95
|
1.03
|
Medicaid Admissions
|
0.999
|
**
|
0.999
|
0.999
|
1.00
| |
1.00
|
1.00
|
1.00
| |
1.00
|
1.00
|
Interaction w/ MMC
| | | | | | | | | | | | |
× Black
| | | | | | | | |
0.78
|
***
|
0.69
|
0.88
|
× White
| | | | | | | | |
0.71
|
***
|
0.65
|
0.77
|
× Rural
| | | | | | | | |
0.53
|
*
|
0.29
|
0.97
|
× MMC penetration
| | | | | | | | |
1.00
| |
0.99
|
1.00
|
× No. of Medicaid HMO
| | | | | | | | |
0.96
|
***
|
0.93
|
0.98
|
× HHI of MMC
| | | | | | | | |
0.49
|
***
|
0.34
|
0.71
|
× Primary Care
| | | | | | | | |
0.91
| |
0.79
|
1.06
|
× Hospital Beds
| | | | | | | | |
0.98
| |
0.81
|
1.19
|
× CHC
| | | | | | | | |
1.04
| |
0.77
|
1.40
|
- N = 254,321; OR = odds ratio; CI = confidence interval.
-
1Multivariate logistic regression, adjusting for the other factors shown in the table. The standard error is clustered at the county level.
-
218-24 age group was used as the base level.
-
3+ p < .10, * p < .05, ** p < .01, *** p < .001.
-
4The level of significance of 0.05 (5%) is chosen.