Table 5.

Multiple logistic regression models and associated measures with test or test combination recommendation over others

FOBT + colonoscopy/colonoscopy only compared with otherP
Specialty
 General internal medicine1.0 (1.0–1.0)0.5418
 Family medicine/general practice0.8 (0.6–1.2)
 OB/GYN0.8 (0.5–1.3)
Race
 Non-Hispanic white1.0 (1.0–1.0)0.0267
 Asian0.7 (0.5–1.4)
 Other0.5 (0.3–0.9)
Board certified
 Yes1.0 (1.0–1.0)0.2030
 No0.7 (0.5–1.2)
International graduate
 Yes1.0 (1.0–1.0)0.4895
 No0.9 (0.6–1.3)
Affiliated with medical school
 Yes1.0 (1.0–1.0)0.0118
 No0.6 (0.4–0.9)
How often patients want physician to decide test
 Never/rarely1.0 (1.0–1.0)0.0057
 Sometimes1.2 (0.7–1.9)
 Usually1.9 (1.2–3.1)
Patients' difficulty understanding CRC information is a barrier
 Never1.0 (1.0–1.0)<0.0001
 Rarely0.5 (0.3–1.1)
 Sometimes/usually0.2 (0.1–0.4)
Practice size
 Solo1.0 (1.0–1.0)0.0188
 2–5 MDs1.5 (0.9–2.5)
 6–15 MDs0.8 (0.5–1.3)
 ≥16 MDs0.6 (0.3–1.1)
Practice type
 Single1.0 (1.0–1.0)0.0157
 Multispecialty0.6 (0.4–0.9)
Primary practice arrangement
 Full/part owner1.0 (1.0–1.0)0.0528
 Other0.7 (0.5–1.0)
≥1 NP or PA in practice
 No1.0 (1.0–1.0)0.1609
 Yes0.8 (0.5–1.1)
Reminders to physician
 No1.0 (1.0–1.0)0.0990
 Yes0.8 (0.6–1.1)
Lack of time to discuss screening is a barrier
 Never1.0 (1.0–1.0)0.0164
 Rarely1.2 (0.7–1.9)
 Sometimes/usually0.6 (0.4–1.0)
Shortage of trained providers in geographic area for screening tests other then FOBT is a barrier
 Never1.0 (1.0–1.0)<0.0001
 Rarely0.7 (0.5–1.1)
 Sometimes/usually0.3 (0.2–0.5)
Shortage of trained providers in geographic area for follow-up of positive screening tests with invasive endoscopic procedures is a barrier
 Never1.0 (1.0–1.0)<0.0001
 Rarely0.9 (0.5–1.5)
 Sometimes0.4 (0.3–0.7)
 Usually0.3 (0.2–0.5)
Medical records
 Paper1.0 (1.0–1.0)0.7920
 Partial/in transition to electronic0.9 (0.6–1.4)
 Full electronic0.9 (0.5–1.4)

Abbreviations: NP, nurse practitioner; PA, physician assistant.

aOther combinations as the reference group. “Other” includes FOBT and sigmoidoscopy, FOBT only, sigmoidoscopy only, and “other-specified.”