Characteristics Associated With Services Documented in OCHIN EHR Only vs in Medicaid Claims Only, or in Both Data Sets, in Study Population of OCHIN Diabetic Patients With a Medicaid Identification Number (N = 2,103), 2005–2007
Characteristic | ≥1 LDL Screen (n=1,836) AOR (95% CI) | ≥1 Influenza Vaccination (n=1,517) AOR (95% CI) | ≥1 Microalbumin Screen (n=1,517) AOR (95% CI) | ≥1 HbA1cScreen (n=2,025) AOR (95% CI) |
---|---|---|---|---|
AOR=adjusted odds ratio; CI=confidence interval; EHR = electronic health record; FPL = federal poverty level; LDL = low-density lipoprotein cholesterol. Data Sources: OCHIN EHR and Oregon Medicaid claims data. | ||||
Note : Service documented for a given service in at least 1 of the data sets: OCHIN EHR only (Figure 1, A) vs Medicaid claims (Figure 1, B+ab). Patients with no documented services in either EHR or claims database were excluded from analyses. | ||||
a Significant at P <.05. | ||||
Age (as of January 1, 2005), y | ||||
19 to 35 | 1.00 | 1.00 | 1.00 | 1.00 |
36 to 50 | 0.95 (0.63–1.44) | 1.06 (0.68–1.65) | 1.17 (0.76–1.80) | 1.22 (0.81–1.83) |
51 to 64 | 0.97 (0.65–1.44) | 1.12 (0.73–1.73) | 1.24 (0.81–1.89) | 1.18 (0.79–1.75) |
≥65 | 5.54 (3.52–8.73)a | 4.10 (2.52–6.68)a | 12.89 (7.62–21.81)a | 6.61 (4.22–10.34)a |
Sex | ||||
Female | 1.00 | 1.00 | 1.00 | 1.00 |
Male | 1.33 (1.08–1.65)a | 1.21 (0.97–1.52) | 1.38 (1.09–1.73)a | 1.28 (1.03–1.57)a |
Primary language | ||||
English | 1.00 | 1.00 | 1.00 | 1.00 |
Spanish | 3.90 (1.86–8.17)a | 1.66 (0.84–3.27) | 4.24 (1.83–9.81)a | 2.50 (1.32–4.73)a |
Other | 0.91 (0.66–1.26) | 1.38 (0.97–1.95) | 0.53 (0.37–0.76)a | 1.00 (0.73–1.38) |
Unknown | 1.88 (1.00–3.53) | 4.74 (2.22–10.11)a | 1.52 (0.74–3.13) | 1.36 (0.72–2.55) |
Household income, as percent of FPL | ||||
≥100% | 1.00 | 1.00 | 1.00 | 1.00 |
0%–99% | 0.70 (0.53–0.92)a | 0.64 (0.48–0.86)a | 0.71 (0.52–0.97)a | 0.75 (0.57–0.98)a |
Unknown | 0.35 (0.15–0.79)a | 0.24 (0.10–0.57)a | 0.14 (0.04–0.43)a | 0.38 (0.18–0.81)a |
Combined race/ethnicity | ||||
White | 1.00 | 1.00 | 1.00 | 1.00 |
Hispanic | 0.65 (0.32–1.32) | 1.36 (0.72–2.54) | 0.48 (0.22–1.07) | 0.98 (0.54–1.80) |
Other | 0.87 (0.66–1.16) | 0.74 (0.55–1.00) | 1.36 (1.02–1.82)a | 0.83 (0.63–1.11) |
Unknown | 0.79 (0.47–1.34) | 0.64 (0.36–1.15) | 1.02 (0.60–1.74) | 0.52 (0.29–0.94)a |
Health insurance coverage (2005–2007) | ||||
Full coverage | 1.00 | 1.00 | 1.00 | 1.00 |
Not full coverage | 1.69 (1.33–2.14)a | 2.62 (2.04–3.36)a | 1.80 (1.40–2.32)a | 2.22 (1.77–2.80)a |