Satisfaction with patient-doctor relationships in inflammatory bowel diseases: Examining patient-initiated change of specialist

Table 2 Bivariable logistic regression analyses of relevant clinical and demographic factors potentially associated with a change in treating specialist

	Associated with change in treating specialist within 12 mo of survey completion		Associated with change in specialist for a "negative" reason at any time
Variable	OR [95% CI]	P value	OR [95% CI]	P value
Age under 30	1.13 [0.52, 2.47]5	0.015	0.60 [0.25, 1.46]	0.33
Female gender	1.15 [0.59, 2.24]	0.73	1.57 [0.71, 3.49]	0.31
Crohn’s as inflammatory bowel diseases diagnosis	2.03 [1.03, 4.03]5	0.045	0.79 [0.35, 1.78]	0.68
Recent inpatient admission3	1.70 [0.86, 3.35]5	0.135	0.82 [0.37, 1.82]	0.69
Previous bowel resection surgery1	3.23 [7.81, 1.41]5	0.0055	0.61 [0.27, 1.38]	0.28
Moderate/severe disease activity4	2.09 [1.06, 4.12]5	0.045	0.96 [0.43, 2.15]	0.93
Polypharmacy2	1.09 [0.51, 2.36]	0.85	1.50 [0.57, 3.97]	0.49
Living alone	1.06 [0.54, 2.07]	1.0	1.59 [0.71, 3.57]	0.31
Low socioeconomic status	1.62 [0.75, 3.48]	0.26	1.33 [0.53, 3.36]	0.66
Limited employment status	1.09 [0.52, 2.28]	0.85	0.65 [0.29, 1.49]	0.37
Poor inflammatory bowel diseases knowledge	0.39 [0.18, 0.88]5	0.035	2.04 [0.90, 4.55]5	0.125
Poor medication adherence	1.22 [0.62, 2.40]	0.60	2.22 [0.99, 4.95]5	0.065
Poor HRQoL	1.20 [0.57, 2.49]	0.71	0.91 [0.37, 2.24]	1.0
Possible psychological disorder (HADS > 7)	1.13 [0.58, 2.20]	0.74	0.75 [0.34, 1.68]	0.55
Dissatisfaction with medical care	0.95 [0.47, 1.90]	1.0	2.39 [1.05, 5.42]5	0.045

¹At any time in the past;

²taking ≥ 6 prescription medications currently;

³in observation period between January 1, 2007-April 31, 2008;

⁴as determined by physician global assessment at time of survey;

⁵items included in multivariate model (see Tables 3 and 4). OR: Odd ratio; 95% CI: 95% confidence interval; HADS: Hospital anxiety and depression scale; HRQoL: Health-related quality of life.