Variables | All visits | Visits with basic EHR | Visits with no basic EHR |
---|---|---|---|
Dependent/key independent variables | |||
Patient face time in minutes (SD) | 19.27 (11.37) | 20.44 (12.21) | 18.97 (11.12) |
Number of physician’s patient visits per weeka (SD) | 69.25 (44.50) | 67.50 (35.65) | 69.68 (46.45) |
Basic EHR use | 0.207 | 1 | 0 |
Physician age (SD) | 48.97 (10.39) | 47.30 (9.61) | 49.40 (10.54) |
Patient’s characteristics | |||
Patient age (SD) | 47.49 (21.80) | 47.76 (22.13) | 47.42 (21.71) |
Female | 0.594 | 0.596 | 0.594 |
Race/ethnicity: | |||
White, Non-Hispanic | 0.644 | 0.714 | 0.626 |
Black, Non-Hispanic | 0.135 | 0.104 | 0.144 |
Hispanic | 0.093 | 0.085 | 0.095 |
Other race, Non-Hispanic | 0.128 | 0.097 | 0.136 |
Patient’s health status | |||
Major reason for visit: | |||
New problem | 0.409 | 0.421 | 0.405 |
Chronic problem | 0.388 | 0.375 | 0.392 |
Pre/post surgery or preventive care | 0.203 | 0.205 | 0.203 |
Related to injury/poisoning/adverse effect | 0.294 | 0.211 | 0.316 |
Bad disposition (Refer to ED/admit to hospital) | 0.007 | 0.005 | 0.008 |
Wound care | 0.023 | 0.022 | 0.023 |
Number of new medications (SD) | 0.77 (1.06) | 0.85 (1.12) | 0.74 (1.04) |
Number of chronic conditions (SD) | 1.38 (1.45) | 1.42 (1.48) | 1.36 (1.45) |
Visit’s characteristics | |||
Visit to own primary care physician | 0.810 | 0.773 | 0.820 |
Referred visit | 0.024 | 0.029 | 0.023 |
Primary source of payment: | |||
Private insurance | 0.433 | 0.516 | 0.412 |
Medicare | 0.221 | 0.220 | 0.221 |
Medicaid | 0.155 | 0.103 | 0.168 |
Other | 0.192 | 0.161 | 0.199 |
New patient | 0.099 | 0.107 | 0.096 |
Number of visits in last 12 months: | |||
No visit in last 12 months | 0.113 | 0.133 | 0.107 |
1 visit in last 12 months | 0.125 | 0.144 | 0.120 |
2 visit in last 12 months | 0.178 | 0.158 | 0.183 |
3 or more visit in last 12 months | 0.585 | 0.565 | 0.590 |
Weekend visits | 0.017 | 0.022 | 0.016 |
Seen also by non-MD clinician | 0.469 | 0.466 | 0.469 |
Physician characteristics | |||
Ownership: | |||
Physician or physician group | 0.565 | 0.493 | 0.584 |
HMO | 0.020 | 0.069 | 0.008 |
Community health center | 0.275 | 0.184 | 0.299 |
Other type of ownership | 0.139 | 0.254 | 0.110 |
Solo practice | 0.263 | 0.140 | 0.295 |
Type of office setting: | |||
Private practice | 0.654 | 0.683 | 0.646 |
Free standing | 0.038 | 0.060 | 0.032 |
Community health center | 0.285 | 0.198 | 0.307 |
HMO | 0.016 | 0.053 | 0.006 |
Other type of office setting | 0.008 | 0.007 | 0.009 |
Physician’s incentive to change patient face time | |||
Over 50 % of revenue from capitation | 0.039 | 0.059 | 0.034 |
Over 50 % of revenue from managed care contract | 0.286 | 0.389 | 0.259 |
Over 50 % of revenue from case rate | 0.018 | 0.013 | 0.020 |
Other covariates | |||
Metropolitan Statistical Area (MSA) | 0.850 | 0.885 | 0.841 |
Geographic region: | |||
Northeast | 0.177 | 0.159 | 0.182 |
Midwest | 0.262 | 0.236 | 0.269 |
South | 0.325 | 0.304 | 0.330 |
West | 0.236 | 0.302 | 0.219 |
Survey year: | |||
2006 | 0.239 | 0.129 | 0.268 |
2007 | 0.247 | 0.223 | 0.253 |
2008 | 0.247 | 0.277 | 0.239 |
2009 | 0.267 | 0.371 | 0.239 |
N (Patient visits) | 39,229 | 8105 | 31,124 |
N (Physicians)a | 1470 | 293 | 1177 |