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Table 2 Marginal differences of hospital and county-level characteristics on telepsychiatry adoption

From: Telepsychiatry adoption across hospitals in the United States: a cross-sectional study

Characteristics

Average

Marginal Differences

95% CI

P

HOSPITAL CHARACTERISTICS

Hospital Location

 Urban

Ref

   

 Rural Micropolitan

0.1%

−4.0%

4.3%

0.95

 Rural Noncore

0.7%

−4.6%

6.0%

0.79

Provision of Psychiatric Services

 

 None of Inpatient and Outpatient Psychiatric Services

Ref

   

 Inpatient Psychiatric Services Only

1.1%

−5.1%

7.2%

0.73

 Outpatient Psychiatric Services Only

6.5%

3.7%

9.4%

<  0.001

 Both Inpatient and Outpatient Psychiatric Services

16.0%

12.1%

19.9%

<  0.001

Ownership

 

 Non-federal Public

Ref

   

 Private For-Profit

−1.4%

−5.2%

2.4%

0.46

 Private Non-Profit

−6.9%

−11.7%

−2.0%

<  0.01

 Federal Hospitals

48.9%

32.5%

65.3%

<  0.001

System Affiliation

 

 No

Ref

   

 Yes

3.9%

1.2%

6.6%

<  0.01

Hospital Beds Staffed

 

 1–25

Ref

   

 26–100

2.4%

−1.7%

6.4%

0.25

 101–225

2.1%

−2.7%

6.9%

0.39

  > 225

6.2%

0.7%

11.6%

0.03

Ratios of Medicaid Inpatient Days to Total Inpatient Days

 

  ≤ 7.76%

Ref

   

 7.76 -16.67%

1.6%

−2.1%

5.2%

0.40

 16.67 -23.61%

3.1%

−1.4%

7.6%

0.18

  > 23.61%

4.9%

0.3%

9.4%

0.04

Profit Margins

 

 Negative Margins

Ref

   

 Positive Margins

1.0%

−1.8%

3.8%

0.49

 Missing

4.4%

−0.2%

9.0%

0.06

COUNTY LEVEL CHARACTERISTICS

 

County-level Population by Age Groups, Years a

  < 15

Ref

   

  15–24

2.7%

−3.9%

9.4%

0.42

 25–44

7.2%

0.4%

14.0%

0.04

 45–64

1.3%

−8.2%

10.8%

0.79

 65–74

4.1%

−13.4%

21.7%

0.65

  > 75

1.1%

− 12.8%

15.0%

0.88

County-level Population by Race/Ethnicity % b

 

 Non-Hispanic White

Ref

   

 Non-Hispanic Black

−1.4%

−4.5%

1.8%

0.39

 American Indian and Alaska Native

−0.7%

−4.4%

3.1%

0.73

 Hispanic

−1.0%

−2.1%

0.1%

0.08

 Other

−0.4%

−2.5%

1.7%

0.72

County-level Population Uninsured, %

 

  ≤ 7.4%

Ref

   

 7.4–10.6%

1.6%

−1.4%

4.6%

0.29

 10.6–14.5%

3.5%

−0.7%

7.6%

0.10

  > 14.5%

2.0%

−3.9%

7.9%

0.51

Designation as a Mental Health Professional Shortage Area

 

 No

Ref

   

 Part

−5.2%

−11.1%

0.7%

0.08

 Whole

−6.6%

−12.7%

−0.5%

0.03

County-level Total Number of Psychiatrists

 

 None

Ref

   

 1–4

−2.6%

−7.2%

1.9%

0.26

  > 4

−2.7%

−7.6%

2.2%

0.28

Census Region

    

 Northeast

Ref

   

 South

−1.9%

−6.8%

2.9%

0.44

 Midwest

−1.0%

−5.1%

3.2%

0.65

 West

−1.5%

−6.6%

3.7%

0.59

  1. Notes: Marginal differences were calculated using generalized logistic regression models that included all covariates and 95% CIs were calculated from standard errors clustered at the county level. a, b: the percent of population by age groups and race/ethnicity were multiplied by 10 for ease of interpretation