Association of Primary and Specialty Care Integration on Physician Communication and Cancer Screening in Safety-Net Clinics
ORIGINAL RESEARCH — Volume 17 — October 29, 2020
Predicted probabilities of measures of CHC/specialist communication by tertile of CHC/specialist integration. We used 4 items related to CHC/specialist communication as dependent variables to indicate whether the CHC “often” or “always” 1) knew that a specialist visit happened, 2) knew the outcome of a specialty visit, 3) received clear recommendations on follow-up and care management after the specialist visit, and 4) received results or recommendations from the specialist in a timely manner. Each item was dichotomized according to the empirical distribution of responses (reference group combined responses of “never,” “rarely,” and “sometimes”). P values are for comparisons with the lowest tertile. Abbreviation: CHC, community health clinic.
|Item||Lowest Tertile of Integration, Predicted Probability, % (95% CI)||Middle Tertile of Integration, Predicted Probability, % (95% CI) [P Value]a||Highest Tertile of Integration, Predicted Probability, % (95% CI) [P Value]a|
|CHC received results/recommendations from specialist in a timely manner||26.6 (16.9–36.4)||32.9 (22.1–43.8) [.40]||43.7 (31.8–55.7) [.03]|
|CHC received clear recommendations after specialist visit||20.5 (11.7–29.3)||36.1 (25.1–47.2) [.04]||46.7 (35.0–58.3) [<.001]|
|CHC knew outcome of specialist visit||41.7 (30.5–52.9)||49.5 (38.1–60.9) [.34]||64.6 (53.9–75.4) [.007]|
|CHC knew that specialist visit happened||41.8 (30.5–53.1)||54.6 (43.3–65.8) [.13]||66.5 (55.8–77.2) [.004]|
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