Table 2 Characteristics associated with adherence to ACOG guidelines among obstetric care clinicians in California: bivariate analyses

All

174

61.71(17.62)

Clinician type

N.S.

 OB/GYNs

97

59.12(17.57)

 Midwives

61

63.92(17.27)

 Family medicine doctors

12

67.95(17.83)

 Nurse practitioners

4

72.12(16.75)

Practice setting

N.S.

 University/Academic

50

59(16.13)

 Community hospital/health center/clinic

41

67.36(20.31)

 Staff model HMO

25

56.76(17.56)

 Private practice

39

61.34(16.34)

 Multi-affiliated/Other

18

62.6(15.14)

Practice location

N.S.

 Urban, large city

87

61.94(17.25)

 Suburb, near large city

58

58.69(19.67)

 Small city or town

28

67.57(12.93)

Years of practice

< 0.01

 < 5.25

43

57.07(14.92)

 ≥ 5.25 to < 12

40

56.54(18.81)

 ≥ 12 to < 22

42

64.28(16.72)

 ≥ 22

45

67.27(17.85)

Percentage of Medi-Cal insured patients

< 0.05

 < 25%

61

63.18(17.62)

 25–50%

37

60.71(16.39)

 51–75%

28

54.81(15.69)

 > 75%

41

66.98(19.11)

Method of clinician reimbursement

< 0.05

 Fee for service

25

66.15(22.21)

 Global maternity fee

91

63.78(16.77)

 Fixed salary

53

56.96(15.9)

Organizational barriers to care

N.S.

 Infrequent

32

63.34(16.81)

 Sometimes

47

64.16(15.37)

 Frequent

93

60.13(18.97)

Financial barriers to care

< 0.05

 Infrequent

57

59.05(16.92)

 Sometimes

56

58.86(18.53)

 Frequent

59

67.33(16.45)

Patient barriers to care

N.S.

 Infrequent

41

61.91(13.91)

 Sometimes

69

62.1(19.65)

 Frequent

62

61.47(17.79)

Duration of visit (min)

< 0.05

 < 20

40

57.98(20.31)

 ≥ 20 to < 30

65

59.06(17.96)

 ≥ 30

69

66.38(14.59)

Extent of collaboration with other providers

< 0.01

 ≤ 2

33

57.46(12.56)

 3

39

60.94(16.64)

 4

41

55.53(14.56)

 ≥ 5

61

68.67(20.22)