Table 7 |
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|
National estimates of mental health or stress reduction counseling during general and family medicine patient visits (in millions).* |
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|
Counseling Provided |
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|
|
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|
Yes |
No |
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|
|
|
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|
Patient or Visit Characteristic |
No. |
% |
No. |
% |
OR† |
95% CI |
||
|
|
||||||||
|
Age, yr |
||||||||
|
≤24 |
3.1 |
15.7 |
63.1 |
19.6 |
1.88 |
1.21 |
- |
2.92 |
|
25–44 |
6.9 |
35.4 |
76.3 |
23.7 |
3.16 |
2.26 |
- |
4.43 |
|
45–64 |
6.9 |
35.1 |
107.2 |
33.3 |
1.95 |
1.38 |
- |
2.75 |
|
≥65 |
2.7 |
13.8 |
75.2 |
23.4 |
1‡ |
... |
||
|
Sex |
||||||||
|
Female |
12.4 |
63.4 |
187.3 |
58.2 |
1‡ |
... |
||
|
Male |
7.1 |
36.6 |
134.5 |
41.8 |
0.81 |
0.64 |
- |
1.04 |
|
Race |
||||||||
|
White |
16.8 |
85.9 |
279.4 |
86.8 |
1‡ |
... |
||
|
Black |
2.0 |
10.0 |
31.3 |
9.7 |
0.98 |
0.59 |
- |
1.62 |
|
Other |
0.8 |
4.1 |
11.1 |
3.4 |
1.23 |
0.65 |
- |
2.33 |
|
Ethnicity |
||||||||
|
Non-Hispanic |
17.9 |
91.5 |
289.7 |
90.0 |
1‡ |
... |
||
|
Hispanic |
1.7 |
8.5 |
32.1 |
10.0 |
0.83 |
0.46 |
- |
1.52 |
|
Geographic region |
||||||||
|
Northeast |
4.4 |
22.3 |
47.8 |
14.9 |
1.61 |
0.83 |
- |
3.13 |
|
Midwest |
4.8 |
24.6 |
89.4 |
27.8 |
0.91 |
0.46 |
- |
1.78 |
|
South |
6.3 |
32.2 |
114.3 |
35.5 |
0.98 |
0.55 |
- |
1.74 |
|
West |
4.1 |
20.9 |
70.4 |
21.9 |
1‡ |
... |
||
|
Residence in MSA |
||||||||
|
Yes |
16.2 |
82.8 |
261.7 |
81.3 |
1‡ |
... |
||
|
No |
3.4 |
17.2 |
60.2 |
18.7 |
0.95 |
0.64 |
- |
1.39 |
|
Episode of care |
||||||||
|
Initial visit |
5.0 |
25.7 |
126.5 |
39.3 |
1‡ |
... |
||
|
Follow-up visit |
10.7 |
54.8 |
135.5 |
42.1 |
2.11 |
1.33 |
- |
3.34 |
|
Unknown |
3.8 |
19.5 |
59.9 |
18.6 |
2.68 |
1.73 |
- |
4.16 |
|
Major reason for visit |
||||||||
|
Acute problem |
7.6 |
39.1 |
149.0 |
46.3 |
1‡ |
... |
||
|
Chronic problem |
9.1 |
46.3 |
116.2 |
36.1 |
1.17 |
0.76 |
- |
1.78 |
|
Preventive care |
2.5 |
12.8 |
46.5 |
14.4 |
0.53 |
0.31 |
- |
0.92 |
|
Other/unknown |
0.3 |
1.8 |
10.2 |
3.2 |
0.51 |
0.16 |
- |
1.62 |
|
Provider type |
||||||||
|
Allopathic physician |
16.2 |
83.1 |
260.4 |
80.9 |
1‡ |
... |
||
|
Osteopathic physician |
3.3 |
16.9 |
61.6 |
19.1 |
0.77 |
0.43 |
- |
1.36 |
|
|
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|
*Derived from the 2003 and 2004 National Ambulatory Medical Care Survey using population estimates based on patient visit weights. CI denotes confidence interval; MSA, metropolitan statistical area; OR, odds ratio. †ORs are for provision of mental health or stress reduction counseling, and are adjusted for the other patient or visit characteristics in the table. ‡Reference category for OR. |
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|
Licciardone Osteopathic Medicine and Primary Care 2007 1:2 doi:10.1186/1750-4732-1-2 |
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