Characteristics of Clinic Organization and Physician Practice That Influence Patients’ Confidence in Coordination Continuitya
| Characteristic | Multivariate Regression Coefficient (95% CI) |
|---|---|
| CI=confidence interval. | |
| Note: the overall adjusted R2=7.8%. | |
| a Results of hierarchical regression modeling showing impact on achievement of optimal coordination continuity. The model controlled for patient age, education, and use of primary care. Only the physician’s regular patients who had seen a specialist in the last 2 years were included (n = 1,682). | |
| b Some 2.4% of the total variance in coordination continuity was explained by between-clinic variance, almost all of which (98%) was explained by the final model. | |
| c Some 6.3% of the total variance in coordination continuity was explained by between-physician variance, of which 79.6% was explained by the final model. | |
| Mean coordination continuity for all patients | 3.30 (2.28 to 3.39) |
| Clinic-level characteristicsb | |
| Clinic structure | |
| Availability of 24/7 telephone access other than provincial nurse help line | 0.16 (0.04 to 0.28) |
| No. of other health care establishments with which the clinic has formal, operational agreements (effect of each additional establishment) | 0.04 (0.04 to 0.07) |
| Presence of occupational and physical therapists | 0.12 (0.03 to 0.21) |
| Physician-level characteristicsc | |
| No. of medical procedures performed on site by the physician (effect of each additional procedure above the mean of 3.8) | 0.02 (0.00 to 0.04) |
| Percentage of time spent in clinic is <50% | — |
| Percentage of time spent in clinic is 50%–70% | 0.09 (−0.02 to 0.23) |
| Percentage of time spent in clinic is 70%–90% | — |