| |
Physicians |
Parents |
| Difficulty with Subspecialty Referral |
16% |
24% |
| Predictors |
OR* |
p |
OR* |
p |
| Physician Characteristics |
| Gender |
0.75 |
NS |
|
| Years in Practice |
0.99 |
NS |
| University based Residency |
1.12 |
NS |
| Practice Characteristics |
| Hospital-based practice |
1.09 |
NS |
| Community Hospital |
2.36a |
0.04 |
| No academic appointment |
0.62 |
0.08 |
| DSCC Certified Medical Home |
1.17 |
NS |
| IMHP Participant |
0.76 |
NS |
| Patient Population Characteristics |
| Percent CSHCN (OR per 10% CSHCN) |
1.22a |
0.02 |
| Overrepresented NHBc |
1.16 |
NS |
| Overrepresented Hispanicc |
2.08a |
0.03 |
| Majority private insuranced |
0.55a |
0.03 |
| Majority public insuranced |
1.65 |
NS |
| CSHCN Characteristics |
| Age of child |
|
0.99 |
NS |
| Gender of child |
1.23 |
NS |
| Race/Ethnicity |
|
NS |
| NHW |
1 |
|
| NHB |
1.45 |
NS |
| Hispanic |
1.94 |
0.07 |
| Other |
1 |
NS |
| Family Characteristics |
|
|
| Household education beyond high school |
0.62 |
NS |
| Primary language in home not English |
1.58 |
NS |
| Cash Assistance Program |
1.45 |
NS |
| SSI supported |
1.97 |
NS |
| Healthcare Characteristics |
|
|
| Has primary care provider |
0.6 |
NS |
| Has medical home |
0.40a |
<0.05 |
| Type of insurance |
|
|
| Private insurance |
1 |
NS |
| Public Insurance/No insurance |
1.85b |
0.06 |
| Combined public/private insurance |
1.45 |
NS |
| Other insurance |
1.64 |
NS |
| >1 ER visits in last year |
1.1 |
NS |
| >3 missed school days in last year |
0.68 |
NS |
