Comparison of patient-reported access scores across primary care organizational models with patient, provider, and organizational factors: Higher patient-reported access scores reflect greater access. All the variables listed under each category were considered for regression analyses. Only those that were statistically significant (P = .05) were retained and are shown.
| FACTOR | PATIENT-REPORTED ACCESS SCORE (NORMALIZED) | ORGANIZATIONAL MODEL ONLY | REGRESSION MODEL 2* | REGRESSION MODEL 3† | REGRESSION MODEL 4‡ |
|---|---|---|---|---|---|
| Established capitation model | 83 | Reference | Reference | Reference | Reference |
| Community health centre | 76 | −6.70 (−9.30 to −4.20) | −6.00 (−8.60 to −3.50) | −4.70 (−7.40 to −2.00) | −5.20 (−7.90 to −2.40) |
| Fee for service | 74 | −9.40 (−11.9 to −6.80) | −9.10 (−11.6 to −6.60) | −7.80 (−10.5 to −5.10) | −7.50 (−10.3 to −4.60) |
| Reformed capitation model | 75 | −7.30 (−9.80 to −4.80) | −7.20 (−9.70 to −4.70) | −6.80 (−9.40 to −4.30) | −6.90 (−9.50 to −4.30) |
| Patient factors | |||||
| • Age | 0.09 (0.06 to 0.13) | 0.09 (0.06 to 0.13) | 0.09 (0.06 to 0.12) | ||
| • Female sex | 1.40 (0.50 to 2.40) | 1.40 (0.47 to 2.30) | 1.45 (0.54 to 2.40) | ||
| • Self-reported health good, very good, or excellent | 1.60 (0.40 to 2.70) | 1.60 (0.43 to 2.76) | 1.60 (0.04 to 2.71) | ||
| • Mental health problems in past 30 days | −0.12 (−0.18 to −0.06) | −0.12 (−0.18 to −0.06) | −0.12 (−0.02 to −0.06) | ||
| • Not working | 1.50 (0.48 to 2.60) | 1.40 (0.32 to 2.41) | 1.50 (0.46 to 2.55) | ||
| Provider factors | |||||
| • Mean years since graduation | 0.17 (0.05 to 0.28) | 0.14 (0.03 to 0.25) | |||
| Practice organizational factors | |||||
| • No. of patients per provider | −0.87 (−1.80 to 0.08) | ||||
| • Has on-call hours | −2.44 (−5.10 to 0.19) | ||||
| β | 0.82 | 0.75 | 0.66 | 0.73 |
↵* Regression model 2: Control variables considered for adjustment included patient demographic characteristics, economic information, health status measures, practice rurality, and practice distance from health services such as hospitals. All variables from Table 1 were included but only those with P < .10 were retained in the equation.
↵† Regression model 3: All variables included in regression model 2 were forced in, and additional control variables considered for adjustment were all from the provider profile.
↵‡ Regression model 4: All variables included in regression model 2 were forced in, and additional control variables for adjustment were practice organizational factors.