Logistic Regression Analysis of the Effects of Physicians Attending Title VII–Funded Training Programs and Work in Community Health Centers (2001–2003)
| Characteristic | All PhysiciansaOR (95% CI) | PCPs OnlyaOR (95% CI) | Family Physicians OnlyaOR (95% CI) | All PhysiciansbOR (95% CI) | PCPs OnlybOR (95% CI) | Family Physicians OnlybOR (95% CI) |
|---|---|---|---|---|---|---|
| CI=confidence interval; CMS = Centers for Medicare and Medicaid Services; HRSA = Health Resources and Services Administration; NHSC = National Health Service Corp; OR = odds ratio; PCPs = primary care physicians (family physicians, general practitioners, general internists, and general pediatricians). | ||||||
| Note: Includes all US physicians who reported their major professional activity as “direct patient care” and who completed residency in 1970 or later. Osteopathic physicians excluded because of insufficient osteopathic residency data in AMA Masterfile. International and Canadian medical school graduates excluded because they could not have attended Title VII–funded medical school. General practitioners excluded because they generally do not undergo full residency training. | ||||||
| a Referent group: attended non–Title VI-funded medical school and residency program. | ||||||
| b Referent group: male, attended public medical school, completed residency training after 1999, NHSC nonparticipant, attended non–Title VII-funded medical school or residency program. | ||||||
| c Statistically significant (P<.001). | ||||||
| d Statistically significant (P<.02). | ||||||
| e Statistically significant (P<.01). | ||||||
| Data source: 2004 AMA Physician Masterfile; HRSA Title VII Training Program grantee database; HRSA Bureau of Health Professions NHSC participant base; and CMS outpatient claims file, 2001, 2002, 2003. | ||||||
| Attended Title VII–funded training program | ||||||
| Predoctoral grant | 1.25c (1.19–1.32) | 1.15c (1.08–1.24) | 1.12d (1.02–1.22) | 1.03 (0.97–1.08) | 0.94 (0.87–1.01) | 0.86e (0.78–0.95) |
| Academic unit grant | 1.28c (1.22–1.35) | 1.28c (1.20–1.37) | 1.15c (1.08–1.22) | 1.11c (1.06–1.17) | 1.12 (1.04–1.20)e | 1.07 (0.98–1.18) |
| Residency grant | 1.16c (1.11–1.20) | 1.29c (1.22–1.37) | 1.43c (1.33–1.55) | 1.08c (1.04– 1.13) | 1.23c (1.16–1.31) | 1.41c (1.30–1.52) |
| NHSC participant | – | – | – | 6.99c (6.51–7.50) | 6.16c (5.68–6.69) | 5.87c (5.29–6.52) |
| Attended private medical school | – | – | – | 1.04 (1.00–1.09) | 1.04 (0.97–1.11) | 1.17c (1.07–1.27) |
| Female | – | – | – | 1.30c (1.25–1.36) | 1.20c (1.13–1. 28) | 1.44c (1.33–1.56) |
| Year completed residency | ||||||
| 1995–1999 | – | – | – | 1.20c (1.12–1.28) | 1.12e (1.03–1.23) | 1.01 (0.91–1.13) |
| 1990–1994 | – | – | – | 0.87c (0.81–0.93) | 0.88e (0.80–0.97) | 0.78c (0.69–0.89) |
| 1985–1989 | – | – | – | 0.60c (0.55–0.65) | 0.56c (0.51–0.63) | 0.46c (0.40–0.53) |
| 1980–1984 | – | – | – | 0.56c (0.51–0.61) | 0.45c (0.40–0.51) | 0.36c (0.31–0.43) |
| 1975–1979 | – | – | – | 0.60c (0.54–0.66) | 0.48c (0.41–0.56) | 0.41c (0.33–0.50) |
| 1970–1974 | 0.49c (0.43–0.55) | 0.47c (0.38–0.58) | 0.28c (0.20–0.39) | |||