Article Figures & Data
Tables
Characteristic Urban Family Physicians (n=382) Rural Family Physicians (n=272) Obstetrician-Gynecologists (n=337) HMO = health maintenance organization. Note: The n values indicate the number of respondents for that characteristic. * P ≤ .001. † Tribal organization, government, military, and other. Sex,* n 381 267 337 Female, % 35.2 26.2 49.9 Age, n 380 266 337 Mean (range), years Distribution 48.3 (29–78) 48.3 (31–82) 48.3 (31–76) <40 years, % 21.3 23.3 21.9 40–49 years, % 32.9 29.7 30.5 50–59 years, % 35.0 35.0 36.2 ≥ 60 years, % 10.8 12.0 11.4 Race, n 358 230 290 African American, % 1.4 0.9 1.7 Asian, % 7.8 1.7 8.3 Hispanic, % 2.5 1.7 2.1 White, % 86.0 90.9 85.5 Other, % 2.2 4.8 2.4 Type of practice, n 378 240 300 Solo, % 17.2 19.6 21.3 Single-specialty group, % 48.7 47.5 45.0 Multispecialty group, % 30.4 28.8 31.7 Other, % 3.7 4.2 2.0 Employer,* n 374 240 298 For profit—self-employed or partner, % 47.1 59.6 65.4 For profit—not partner, % 12.0 11.7 6.4 Private nonprofit clinic, % 17.4 12.1 10.7 Private nonprofit HMO, % 14.4 0.4 7.7 Other,† % 9.1 16.3 9.7 Measure Urban Family Physicians (n=382) Rural Family Physicians (n=272) Obstetrician-Gynecologists (n=337) Note: The n values indicate the number of respondents for that measure. Percentages may not sum to 100 because of rounding. * P ≤ .001. Personally provide obstetrics,* n (% yes) 365 (27.4) 260 (46.2) 334 (79.3) Provide advanced obstetric services Provide instrumented deliveries,* n (% yes) 99 (67.7) 102 (70.6) 242 (99.2) Provide cesarean deliveries (primary surgeon),* n (% yes) 97 (4.1) 102 (36.3) 242 (98.8) Obstetric patients delivered in 2003,* n (mean n) 94 (23.1) 98 (24.9) 232 (123.6) Obstetric patients insured by Medicaid in 2003,* n (% insured) 85 (53.5) 91 (71.4) 201 (39.5) Obstetric call arrangement,* n 96 101 242 Own call, % 37.5 45.5 7.9 Share within practice, % 42.7 33.7 62.4 Share outside practice, % 10.4 6.9 18.2 Other, % 9.4 13.9 11.6 Measure Urban Family Physicians (n=265) Rural Family Physicians (n=140) Obstetrician-Gynecologists (n=69) Note: The n values indicate the number of respondents for that measure. * P ≤ .05. † P ≤ .01. ‡ P ≤ .001. Previously practiced obstetrics, n (% yes)* 257 (71.1) 139 (79.1) 69 (82.6) Would consider restarting obstetrics, n (% yes) 181 (23.2) 99 (23.2) 46 (19.6) Reasons for stopping obstetrics, n 181 110 57 Litigation environment First reason listed, %* 22.1 36.4 36.8 Listed at all, %† 55.2 72.7 68.4 Personal First reason listed, %* 27.6 15.5 19.3 Listed at all, %† 66.9 46.4 52.6 Practice environment First reason listed, %* 7.7 10.9 0.0 Listed at all, %‡ 39.2 54.5 8.8 Age related First reason listed, %‡ 0.0 1.8 8.8 Listed at al, %† 8.8 6.4 22.8 Professional focus change First reason listed, % 5.0 0.9 3.5 Listed at all, %* 22.1 10.9 28.1 - Table 4.
Practice Pattern by Physician Group According to Whether Physicians Practice Obstetrics (Yes) or Not (No)
Urban Family Physicians Rural Family Physicians Obstetrician-Gynecologists Measure Yes (n=100) No (n=265) P Value Yes (n=120) No (n=140) P Value Yes (n=242) No (n=69) P Value Total professional hours per week No. responding 100 261 104 126 238 58 Mean no. of hours 47.8 49.5 .27 55.4 50.2 .005 58.3 43.5 .000 Patient care hours spent per week No. responding 100 261 104 126 238 58 Direct patient care hours, mean % 82.8 85.5 .23 88.6 87.6 .47 87.0 79.3 .009 Indirect patient care hours, mean % 18.0 14.6 .14 11.6 12.5 .51 12.8 20.9 .006 Direct patient care hours spent per week No. responding 99 258 104 127 231 56 Ambulatory clinics, mean % 85.5 89.9 .06 78.8 81.2 .37 65.7 76.9 .000 Hospital inpatient settings, mean % 9.3 4.1 .000 13.1 7.4 .000 21.9 11.2 .000 Other settings, mean % 5.2 6.1 .69 8.1 11.4 .17 12.4 12.0 .84 Weekly outpatient visits No. responding 100 259 103 126 233 57 Mean no. 77.7 84.2 .11 83.6 81.9 .66 74.9 47.6 .000 Provide inpatient care No. responding 99 250 101 122 233 57 Yes, % 84.8 45.2 .000 96.0 70.5 .000 100.0 70.2 .000 Among those providing inpatient care No. responding 84 113 97 86 233 40 Mean no. of weekly inpatient visits 4.2 5.1 .15 8.3 7.7 .52 10.5 6.4 .001 Take call No. responding 92 242 96 120 228 54 Yes, % 97.8 79.8 .000 97.9 84.2 .000 99.6 68.5 .000 Among those taking call Monthly on-call hours No. responding 90 193 94 101 227 37 Mean no. of hours 96.8 109.2 .39 122.2 141.3 .36 119.5 201.6 .03 Monthly on-call patients No. responding 84 148 89 90 221 36 Mean no. of patients 10.7 26.5 .04 16.3 22.1 .18 19.3 6.9 .000
Additional Files
Supplemental Appendix
Supplemental Appendix. Practice Patterns and Professional Liability Issues in Washington State
Files in this Data Supplement:
- Supplemental data: Appendix - PDF file, 5 pages, 160 KB
