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Table 5 Significant odds ratios (95% confidence intervals) for predictors of resource utility among resource users 1

From: The most used and most helpful facilitators for patient-centered medical home implementation

Covariate

Local PACT education

PACT collaborative

Measures

Teamlet huddles

Teamlet meetings

Supervisor (versus not)

0.76 (0.64–0.91)

0.72 (0.6–0.86)

0.79 (0.67–0.92)

0.74 (0.58–0.94)

0.72 (0.57–0.91)

Time worked in VHA (ref. is <0.5 years)

 0.5–1 years

     

 1–2 years

2.64 (1.19–5.87)

2.44 (1.12–5.31)

2.66 (1.28–5.53)

  

 2–5 years

4.18 (1.92–9.12)

3.78 (1.8–7.92)

3.39 (1.7–6.75)

 

2.69 (1.12–6.49)

 5–10 years

4.95 (2.27–10.8)

4.14 (1.97–8.67)

4.06 (2.03–8.08)

 

2.69 (1.12–6.49)

 10–15 years

4.48 (2.05–9.78)

4.22 (1.97–9.03)

2.97 (1.46–6.05)

2.44 (1.05–5.64)

3.1 (1.26–7.61)

 15–20 years

4.85 (2.18–10.8)

4.26 (1.95–9.3)

3.56 (1.72–7.39)

 

2.94 (1.15–7.54)

 >20 years

3.71 (1.67–8.25)

2.94 (1.38–6.3)

2.61 (1.26–5.42)

  

Role in primary care (ref. is provider)

 Administrative

0.44 (0.32–0.59)

0.39 (0.29–0.54)

0.53 (0.39–0.7)

0.62 (0.42–0.91)

0.55 (0.37–0.81)

 Dietician

0.05 (0.01–0.33)

 

0.14 (0.04–0.47)

  

 LPN/LVN/CNA

0.51 (0.39–0.65)

0.58 (0.45–0.75)

0.58 (0.45–0.73)

0.64 (0.46–0.9)

0.53 (0.38–0.74)

 Mental health professional

0.39 (0.2–0.79)

0.44 (0.21–0.92)

   

 Nurse care manager

0.56 (0.44–0.71)

0.69 (0.54–0.88)

0.72 (0.58–0.9)

0.55 (0.39–0.76)

0.55 (0.4–0.77)

 Nurse case manager

0.55 (0.37–0.84)

 

0.63 (0.43–0.93)

  

 Other

0.320.13–0.77)

0.34 (0.15–0.76)

0.3 (0.13–0.68)

  

 Other RN

0.39 (0.26–0.59)

0.57 (0.38–0.86)

0.54 (0.38–0.77)

 

0.45 (0.26–0.78)

 Pharmacist

0.37 (0.24–0.57)

0.35 (0.22–0.54)

0.49 (0.32–0.73)

  

 Social worker

0.28 (0.15–0.53)

0.32 (0.17–0.62)

0.5 (0.28–0.9)

0.19 (0.06–0.64)

0.15 (0.04–0.51)

 Technician

0.47 (0.29–0.75)

0.53 (0.34–0.83)

0.43 (0.27–0.69)

  

PACT team member (ref. is Yes)

 No

     

 Not in teamlet

0.66 (0.47–0.91)

0.7 (0.51–0.98)

   

 Not sure

2.03 (1.11–3.74)

2.64 (1.38–5.05)

3.35 (1.75–6.42)

2.8 (1.4–5.58)

2.27 (1.08–4.76)

Time in primary care (ref. is >80%)

 <20%

0.59 (0.37–0.95)

 

0.44 (0.27–0.72)

  

 20%–40%

     

 41%–60%

0.58 (0.36–0.92)

    

 61%–80%

0.61 (0.4–0.91)

    

Covariate

Information systems

Scheduling tools

QI methods

Disease registries

Online toolkit

 Supervisor (versus not)

0.84 (0.7–1)

 

0.72 (0.58–0.9)

 

0.76 (0.63–0.93)

Time worked in VHA (ref. is <0.5 years)

 0.5–1 years

     

 1–2 years

2.86 (1.28–6.36)

   

2.92 (1.05–8.08)

 2–5 years

4.53 (2.12–9.68)

1.88 (1.04–3.39)

2.97 (1.31–6.75)

3.9 (1.52–9.97)

5.81 (2.18–15.5)

 5–10 years

4.35 (1.99–9.49)

1.86 (1.03–3.35)

2.94 (1.3–6.69)

4.18 (1.63–10.7)

6.55 (2.46–17.5)

 10–15 years

3.9 (1.79–8.5)

1.88 (1.02–3.46)

3.63 (1.6–8.25)

3.67 (1.4–9.58)

6.49 (2.39–17.6)

 15–20 years

4.06 (1.82–9.03)

 

3.1 (1.31–7.32)

3.67 (1.38–9.78)

5.93 (2.18–16.1)

 >20 years

2.51 (1.13–5.58)

   

4.48 (1.65–12.2)

Role in primary care (ref. is provider)

 Administrative

0.42 (0.31–0.58)

0.72 (0.54–0.96)

0.31 (0.21–0.44)

0.61 (0.42–0.89)

0.35 (0.24–0.51)

 Dietician

0.19 (0.04–0.84)

 

0.11 (0.02–0.54)

 

0.05 (0.01–0.41)

 LPN/LVN/CNA

0.54 (0.41–0.71)

0.73 (0.57–0.93)

0.45 (0.33–0.61)

0.48 (0.35–0.65)

0.47 (0.34–0.64)

 Mental health professional

    

0.35 (0.13–0.92)

 Nurse care manager

0.68 (0.53–0.86)

 

0.59 (0.44–0.79)

0.63 (0.48–0.82)

0.55 (0.42–0.73)

 Nurse case manager

0.61 (0.41–0.92)

 

0.49 (0.3–0.8)

 

0.44 (0.27–0.73)

 Other

0.26 (0.1–0.72)

   

0.31 (0.13–0.73)

 Other RN

0.51 (0.34–0.76)

 

0.49 (0.32–0.75)

0.64 (0.41–1)

0.48 (0.31–0.74)

 Pharmacist

0.39 (0.24–0.63)

0.59 (0.37–0.94)

0.41 (0.23–0.7)

0.3 (0.17–0.53)

0.22 (0.12–0.4)

 Social worker

0.5 (0.25–1)

0.44 (0.22–0.9)

0.36 (0.16–0.78)

 

0.2 (0.08–0.47)

 Technician

0.51 (0.31–0.84)

0.57 (0.37–0.88)

0.39 (0.23–0.64)

 

0.46 (0.28–0.77)

PACT team member (ref. is Yes)

 No

    

0.63 (0.4–0.98)

 Not in teamlet

     

 Not sure

3.78 (1.97–7.24)

2.59 (1.4–4.76)

3.03 (1.31–7.03)

2.53 (1.25–5.16)

3.06 (1.3–7.24)

Time in primary care (ref. is >80%)

 <20%

0.59 (0.37–0.95)

 

0.52 (0.32–0.84)

  

 20%–40%

0.54 (0.3–1)

    

 41%–60%

     

 61%–80%

  

0.61 (0.38–0.97)

  
  1. 1Models are adjusted for age, sex, race, and facility complexity. See Additional file 2 for complete tables.