Table 3.

Multiple Logistic Regression Analysis of the Odds of Bypassing Local Primary Care

CharacteristicOdds Ratio (95% CI)P Value
CI = confidence interval; Ref = reference group; CAH = Critical Access Hospital; PCP = primary care physician.
Age-group
    18–34 yearsRef
    35–49 years1.21 (0.67–2.18).53
    50–64 years0.47 (0.26–0.84).01
    ≥65 years0.62 (0.37–1.03).06
Race
    NonwhiteRef
    White1.43 (0.72–2.84).31
Sex
    MaleRef
    Female1.32 (0.93–1.89).12
Marital status
    Single, divorced, separated, or widowedRef
    Married1.40 (1.01–1.96).047
Health insurance status
    UninsuredRef
    Insured0.86 (0.52–1.43).57
Time to closest hospital0.86 (0.57–1.29).45
Self-reported general health1.18 (0.95–1.45).13
Inpatient care in the past 12 months
    NoRef
    Yes2.69 (1.73–4.18)<.001
Satisfaction with local CAH0.61 (0.51–0.74)<.001
Education
    Less than high schoolRef
    High school0.84 (0.54–1.30).43
    Some college0.37 (0.21–0.65).001
    College or more0.70 (0.43–1.12).13
No. of licensed beds of closest CAH0.95 (0.93–0.98)<.001
PCP density
    ≤3,500 residents per PCPRef
    3,501–4,500 residents per PCP1.24 (0.79–1.92).35
    >4,500 residents per PCP1.58 (1.02–2.46).04
Constant3.37 (–).08