Patient, Clinician, and Practice Characteristics by Care Model
| Practice Model | Association With CDMa | |||||
|---|---|---|---|---|---|---|
| Characteristic | CHC | FFS | FHN | HSO | β | PValue |
| CDM = chronic disease management; CFPC = The College of Family Physicians of Canada; CHC = community health center; FSS = fee for service; FHN = family health network; HSO=health service organization. | ||||||
| aResult of unadjusted regression analysis between CDM score and each variable separately. | ||||||
| bIncludes all charts in sample meeting criteria for diabetes, coronary artery disease, congestive hearth failure, and hypertension. | ||||||
| cThe relationship between CDM and age is best represented by the following second-order equation: age β = 0.027+age2. β = 0.00019. | ||||||
| dIncludes registered practical nurses, nurses, and nursing assistants. | ||||||
| Patients included in CDM score | 120 | 115 | 138 | 141 | – | – |
| Diabetes, n | 82 | 69 | 80 | 82 | – | – |
| Coronary artery disease, n | 50 | 57 | 72 | 84 | – | – |
| Congestive heart failure, n | 8 | 15 | 15 | 19 | – | – |
| Hypertension, n | 201 | 221 | 257 | 236 | – | – |
| Chronic diseases, average, nb | 1.8 | 1.8 | 1.9 | 2.0 | 0.043 | .019 |
| Age, yc | 59.6 | 62.6 | 63.8 | 65.1 | 0.0022 | .016 |
| Sex, male, % | 39 | 49 | 49 | 50 | 0.057 | .027 |
| Practice profile n (% response) | 35 (69) | 35 (23) | 35 (37) | 32 (49) | ||
| Solo practices, % | 0 | 26 | 37 | 38 | 0.0041 | .87 |
| Practice size >4 family physicians, % | 17 | 14 | 40 | 3 | −0.044 | .188 |
| Practice full-time equivalent, n | ||||||
| Family physicians | 3.0 | 2.4 | 3.6 | 1.7 | −0.0039 | .50 |
| Nurse-practitioners | 2.5 | 0.1 | 0.3 | 0.2 | 0.035 | .001 |
| Nursesd | 2.7 | 0.6 | 1.9 | 1.0 | 0.012 | .19 |
| Presence of nurse-practitioner, % | 100 | 8.6 | 31.4 | 18.8 | 0.097 | <.001 |
| No. of patients per family physician, ×1,000 | 1.3 | 1.8 | 1.5 | 2.0 | −0.032 | .033 |
| Booking time for routine visit, min | 25 | 13 | 14 | 14 | 0.0063 | .004 |
| Setting | ||||||
| Hospital within 10 km | 71 | 85 | 94 | 84 | −0.031 | .35 |
| Rurality index | 14.2 | 12.6 | 16.2 | 8.0 | −0.0010 | .16 |
| Length of practice operation, y | 18.3 | 16.4 | 24.4 | 26.7 | 0.00029 | .80 |
| Information technologies, % | ||||||
| Electronic patient records | 29 | 14 | 57 | 44 | −0.021 | .44 |
| Electronic reminder system | 26 | 14 | 46 | 28 | 0.036 | .19 |
| Clinician profile, n | 182 | 58 | 81 | 42 | ||
| Years since graduation, n | 19 | 22 | 23 | 29 | 0.0021 | .15 |
| Female clinician, % | 58 | 45 | 41 | 26 | −0.023 | .47 |
| Foreign-trained clinician, % | 9 | 17 | 3 | 14 | −0.0065 | .90 |
| Clinicians with CFPC degree, % | 79 | 85 | 78 | 68 | −0.0017 | .96 |