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Table 5 Ordered logit regressions of burnout subscales on medical home, staff and practice characteristics

From: Association between medical home characteristics and staff professional experiences in pediatric practices

Odds ratio for subscales

 

Exhaustion

Exhaustion

Cynicism

Cynicism

Professional efficacy

Professional efficacy

 

(1)

(2)

(3)

(4)

(5)

(6)

MHI score

1.06**

 

1.11**

 

1.09**

 
 

(0.009)

 

(0.014)

 

(0.004)

 

Organizational capacity

 

1.63

 

5.89**

 

4.92**

  

(0.265)

 

(0.007)

 

(0.042)

Chronic condition management

 

0.49**

 

0.65

 

1.26

  

(0.049)

 

(0.592)

 

(0.635)

Care coordination

 

0.54

 

0.43

 

0.23

  

(0.402)

 

(0.649)

 

(0.151)

Community outreach

 

1.59

 

1.75

 

1.28

  

(0.055)

 

(0.064)

 

(0.360)

Data management

 

1.08

 

0.20**

 

2.93**

  

(0.786)

 

(0.021)

 

(0.009)

Quality improvement

 

1.37***

 

1.19

 

0.69

  

(0.000)

 

(0.472)

 

(0.088)

Adaptive reserve score

0.95**

0.95**

0.88**

0.88**

1.08**

1.08**

 

(0.000)

(0.000)

(0.000)

(0.000)

(0.000)

(0.000)

Age

 

 31-40 years

1.11

0.94

1.24

0.87

3.27**

6.83**

 

(0.870)

(0.926)

(0.661)

(0.796)

(0.040)

(0.0017)

 4150 years

1.09

1.15

0.62

0.65

5.12**

7.30**

 

(0.921)

(0.871)

(0.385)

(0.481)

(0.048)

(0.024)

 50+ years

0.71

0.88

0.16**

0.16

0.92

1.25

 

(0.662)

(0.870)

(0.040)

(0.102)

(0.879)

(0.714)

Sex

 

 Male

0.68

0.60

3.24**

2.74

1.33

1.18

 

(0.223)

(0.056)

(0.050)

(0.058)

(0.709)

(0.83)

Race

 

 Black

1.68

1.23

0.17**

0.21**

3.11

3.54

 

(0.457)

(0.795)

(0.015)

(0.048)

(0.185)

(0.133)

 Hispanic

0.78

0.88

0.91

0.89

1.86

1.74

 

(0.566)

(0.793)

(0.892)

(0.918)

(0.363)

(0.404)

 Asian/Pacific islander

1.41

1.78

0.94

0.69

0.14**

0.17**

 

(0.718)

(0.499)

(0.960)

(0.670)

(0.006)

(0.007)

 Other race category

1.85

1.32

0.25

0.12

0.40

0.19

 

(0.592)

(0.839)

(0.269)

(0.299)

(0.404)

(0.071)

Clinic position

 

 Administration

1.64

1.36

2.86

2.19

1.66

2.49

 

(0.098)

(0.271)

(0.059)

(0.172)

(0.371)

(0.152)

 Other position category

1.19

1.04

1.23

0.82

3.81

5.12

 

(0.660)

(0.921)

(0.717)

(0.747)

(0.139)

(0.087)

Years worked in practice

 

 6-10

0.62

0.66

1.49

1.47

0.58

0.77

 

(0.527)

(0.616)

(0.527)

(0.605)

(0.358)

(0.708)

 11-15

0.73

0.81

0.93

0.917

0.20**

0.27

 

(0.591)

(0.731)

(0.941)

(0.941)

(0.027)

(0.129)

 16-20

2.02

2.63

4.99

3.58

1.12

1.46

 

(0.343)

(0.143)

(0.0.081)

(0.363)

(0.856)

(0.612)

 20+

1.38

1.79

0.75

1.06

50.52**

83.59**

 

(0.747)

(0.519)

(0.817)

(0.964)

(0.008)

(0.007)

% enrolled in Medicaid/CHIP

0.95**

0.95**

0.96**

0.94**

1.03**

1.07**

 

(0.000)

(0.000)

(0.010)

(0.015)

(0.024)

(0.011)

% enrolled in Medicaid/CHIP w/SHCN

0.99

1.03

0.95**

1.03

0.96**

1.00

 

(0.62)

(0.255)

(0.025)

(0.714)

(0.028)

(0.911)

Practice size

 

 Small (3 or fewer)

0.76

0.28

3.15

2.12

8.20**

1.51

 

(0.652)

(0.163)

(0.209)

(0.660)

(0.002)

(0.695)

 Large (more than 3)

0.48

0.19

1.64

1.86

18.26**

3.77

 

(0.116)

(0.074)

(0.520)

(0.716)

(0.001)

(0.102)

Practice location

 

 Suburban

0.86

1.06

0.37

0.61

1.22

0.67

 

(0.661)

(0.867)

(0.053)

(0.412)

(0.682)

(0.362)

Number of full time employees

1.03

1.03

1.01

1.03

0.95

0.95**

 

(0.140)

(0.273)

(0.822)

(0.690)

(0.077)

(0.040)

Practice region

 

 North

1.70

4.40**

1.81

15.15

4.05**

1.15

 

(0.245)

(0.010)

(0.273)

(0.074)

(0.041)

(0.887)

 South

1.06

1.16

2.27

0.19

4.65**

8.86**

 

(0.909)

(0.868)

(0.193)

(0.277)

(0.043)

(0.029)

Number of observations

145

145

145

145

145

145

  1. Note: ** = significant at the 5% level.
  2. Referent groups are: 20–30 years old, White, non-Hispanic, clinical staff, 0–5 years experience, solo practice, urban, and central Florida.
  3. CHIP stands for Children’s Health Insurance Program, SHCN stands for special health care needs.