Patient-centered medical home care access among adults with chronic conditions: National Estimates from the medical expenditure panel survey

Table 4 Adjusted odds ratios of having access to PCMH care among adults with chronic conditions, 2010–2015^a

Independent Variable	Has a PCMH		OR ^b	95% CI		P
	No	Yes
Predisposing	N	N
Age (Years)	N	N
19 to 40	4299	1124	1.00
41 to 65	8213	2014	0.93	0.82	1.06	0.3
66 and older	3931	822	0.80	0.67	0.95	0.01
Sex
Female	9926	2270	1.00
Male	6517	1690	1.08	0.99	1.18	0.05
Race
Non-white	5485	1349	1.00
White	10,958	2611	1.003	0.88	1.13	0.9
Marital Status
Married	8508	2302	1.00
Never Married	3465	807	0.87	0.75	1.01	0.06
Separated	4470	851	0.78	0.67	0.91	0.001
Education Years
< 12 Years	2980	525	1.00
12 Years	3833	931	1.17	0.99	1.37	0.05
> 12 Years	6956	1920	1.25	1.05	1.48	0.01
Enabling
Health Insurance
Any Private	9708	2714	1.00
Public Only	5319	982	0.71	0.63	0.81	<.0001
Uninsured	1416	264	0.73	0.59	0.91	0.005
Employment Status
Employed	8656	2350	1.00
Not employed	7734	1602	0.83	0.74	0.93	0.001
Family Income Categorical
High	5001	1514	1.00
Middle	4747	1166	0.89	0.77	1.03	0.1
Poor/ Low	6695	1280	0.67	0.57	0.78	<.0001
Census Region
Midwest	3175	898	1.00
Northeast	2538	817	1.11	0.89	1.39	0.3
South	6583	1289	0.64	0.52	0.78	<.0001
West	4147	956	0.76	0.61	0.96	0.02
Healthcare Need
Self-Reported Health
Excellent/Good	1,1957	3187	1.00
Fair/Poor	4157	715	0.65	0.56	0.76	<.0001
Chronic Conditions (Yes vs No)
Hypertension	8350	1857	0.90	0.80	1.01	0.09
Hyperlipidemia	6359	1373	0.88	0.79	0.98	0.02
Mood Disorders	3259	643	0.79	0.69	0.90	0.0006
Diabetes Mellitus	3673	801	0.95	0.83	1.07	0.4
Anxiety Disorders	2976	613	0.81	0.707	0.93	0.002
Upper Respiratory Conditions	5888	1517	1.14	1.01	1.28	0.02
Arthritis	7682	1568	0.78	0.70	0.87	<.0001
Asthma	2071	486	0.93	0.80	1.06	0.3
Coronary Artery Disease	1787	410	0.96	0.82	1.11	0.5

Abbreviations: PCMH indicates Patient-Centered Medical Home; CI, confidence interval
^aSample size (N) is unweighted; Percentage weighted using weights provided with 2010–2015 MEPS
^bAdjusted Odds Ratio

ISSN: 1472-6963