TABLE 4.

Multivariate Determinants of Having a Specific Clinician

Health Care Factors*Health Care and Child/Family Factors
ORP Value95% CIORP Value95% CI
Health care setting
 Private or group practice1.001.00
 Privately insured in CHC/public clinic2.36.031.085.172.32.041.035.25
 CHC/public clinic1.12.600.731.741.20.430.761.88
 Hospital clinic0.77.280.481.240.78.320.481.28
 Urgent care center0.76.460.371.570.74.430.341.58
Health insurance
 Private1.001.00
 Public0.60<.0010.440.830.66.030.450.97
 Public and private1.12.350.821.731.21.340.821.80
 Uninsured0.52.040.280.960.65.190.341.24
Managed care
 No PCP requirement1.001.00
 Required to sign up with PCP0.80.130.601.070.83.200.621.11
 No approval required1.001.00
 Need approval for specialty care1.47.011.081.981.38.041.021.88
Health status
 Not CSHCN1.00
 CSHCN1.54.130.882.70
Child race/ethnicity and parent acculturation
 Non-Hispanic white1.00
 Black0.85.340.601.19
 Hispanic, more acculturated0.98.900.701.37
 Hispanic, less acculturated0.59.020.390.91
 Other1.44.320.702.99
Maternal education
 Less than high school0.78.250.511.19
 High school0.97.830.711.31
 More than high school1.00
Household income
 <$17 5001.00
 $17 500—35 0000.87.470.591.28
 $35 001—60 0000.98.940.631.54
 >$60 0000.84.480.511.37
  • CHC indicates community health center. Dependent variable is having a specific clinician.

  • * Referent categories are West region; regular setting of care is private group practice; exclusively privately insured; not having to sign up with a PCP or practice/clinic; not requiring a referral/approval to see a specialist. Insured children who have missing data for gatekeeping variables are excluded. Model also controls for respondent (mother, father, other).

  • N = 1683. Referent categories are West region; regular setting of care is private group practice; exclusively privately insured; not requiring a referral/approval to see a specialist; not CSHCN; white child race/ethnicity; mother respondent; having more than a high school education; having annual household income >$60 000. Included variables that are not displayed include respondent (mother, father, other) and region of country (West, Northeast, Midwest, South).