Satisfaction With Care for Propensity-Matched Patients in SMAs Relative to Those in Usual Care Visits
| Visit Experience Item | Adjusted OR (95% CI) | P Value |
|---|---|---|
| Enhanced access to care | ||
| Ability to get desired appointment | 1.49 (1.21–1.92) | <.001 |
| Convenience of office hours | 1.22 (1.02–1.45) | .03 |
| Promptness in returning calls | 1.06 (0.91–1.81) | .44 |
| Wait for laboratory tests | 1.49 (1.21–1.92) | .03 |
| Coordination of care | ||
| Speed of registration | 0.94 (0.73–1.22) | .66 |
| Wait for clinician in examination room | 1.13 (0.91–1.40) | .28 |
| Clinician information from specialist physicians | 0.86 (0.73–1.01) | .07 |
| Clinician had information to diagnose/treat | 0.85 (0.70–1.04) | .11 |
| Personal physician communication | ||
| Clinician explanation of problem/condition | 0.60 (0.50–0.73) | <.001 |
| Information clinician gave about medication | 0.64 (0.54–0.77) | <.001 |
| Time clinician spent with patient | 0.52 (0.50–1.60) | <.001 |
| Concern expressed by clinician | 0.58 (0.50–0.70) | <.001 |
| Team-based care | ||
| Friendliness/courtesy of nurse/assistant | 1.27 (0.97–1.65) | .08 |
| Concern nurse/assistant showed for problem | 1.13 (0.96–1.34) | .15 |
| Whole-person orientation of care | ||
| Sensitivity to patients’ needs | 1.34 (1.08–1.65) | .01 |
| Concern for patients’ privacy | 1.14 (0.97–1.35) | .12 |
| Patient’s confidence in clinician | 1.13 (0.91–1.38) | .27 |
| Overall impressions | ||
| Overall satisfaction with care provided in visit | 1.26 (1.05–1.52) | .01 |
| Recommend clinician | 0.93 (0.75–1.16) | .54 |
OR=odds ratio; SMA=shared medical appointment.
Note: Odds of rating the item as “very good.” Results are propensity score matched to account for differences in variables that are related to SMA participation. See Methods for details.