Table 3 |
|||||
| Factors associated with higher HIT capacity at the FQHCs (n=776) | |||||
| HIT capacity | |||||
| OR | LCL | UCL | p-value | ||
| Receipt of discharge summaries | Usual/Often | 1.46 | 1.26 | 1.70 | <0.0001 |
| Some/Rarely/Never [ref] | |||||
| Patient Reminders | Usual/Often | 1.65 | 1.41 | 1.93 | <0.0001 |
| Some/Rarely/Never [ref] | |||||
| Getting timely appointment -specialty care | Easy/somewhat difficult | 1.33 | 1.14 | 1.56 | 0.0004 |
| Very Difficult [ref] | |||||
| Incentive for patient satisfaction | Yes | 1.47 | 1.22 | 1.76 | <0.0001 |
| No [ref] | |||||
| HRSA Disparity Coordination | Yes | 1.14 | 0.88 | 1.48 | 0.3093 |
| No | |||||
| Overall Measure of QI Support | Yes | 1.46 | 1.26 | 1.69 | <0.0001 |
| Some or none [ref] | |||||
| Physician vacancies | Yes | 0.79 | 0.67 | 0.95 | 0.0099 |
| No [ref] | |||||
| Nurse vacancies | Yes | 0.76 | 0.62 | 0.92 | 0.0058 |
| No [ref] | |||||
| Hospital Affiliation | All | 1.20 | 1.04 | 1.39 | 0.0147 |
| Some or none [ref] | |||||
| Usual Source of Care | Usual/Often | 1.75 | 1.36 | 2.25 | <0.0001 |
| Some/Rarely/None [ref] | |||||
| Percent Medicaid | 1.82 | 1.11 | 2.97 | 0.0171 | |
| Percent minority | High (50% or more) | 1.24 | 0.99 | 1.55 | 0.0624 |
| Medium (5–49%) | 1.42 | 1.12 | 1.80 | 0.0044 | |
| Low (<5%) [ref] | |||||
| Size | Large | 1.17 | 0.94 | 1.46 | 0.1565 |
| Medium | 0.88 | 0.75 | 1.04 | 0.1258 | |
| Small [ref] | |||||
| Region | Midwest | 0.51 | 0.40 | 0.64 | <0.0001 |
| South | 0.78 | 0.63 | 0.96 | 0.0169 | |
| West | 0.60 | 0.49 | 0.75 | <0.0001 | |
| Northeast [ref] | |||||
| Urbanicity | Urban | 1.28 | 1.08 | 1.51 | 0.0043 |
| Rural [ref] | |||||
Source: The 2009 National Survey of Federally Qualified Health Centers.
HIT-Health Information Technology.
HIT based on health centers’ possession of 16 functionalities of technologies.
OR-Odds Ratio; CI- Confidence Interval; ref- Reference category.
Odds ratios reported are for having higher odds of increased HIT capacity in relation to the reference category.
p-value is for the association between HIT capacity and outcome measures of interest.
Frimpong et al. BMC Health Services Research 2013 13:35 doi:10.1186/1472-6963-13-35