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The correlation between the health plan managed care index and the office managed care index was.38 (p =.000).
Factor scores were transformed to create a 0 100 office managed care index, where higher scores indicated more managed offices.
Because the office variables were correlated strongly, we created an office managed care index using principle component analysis.
For patients with depressive symptoms, the office managed care index was not associated with patient-rated care from mental health specialists in all regression models.
In contrast, pain patients in more managed primary care offices had lower ratings of the quality of care from physician and non-physician specialists (coefficient of office managed care index: -.004; p =.004).
For patients with pain and depressive symptoms, the plan managed care index, the benefit indices, and the mental health carve out variable were not associated with patient-rated quality of specialty care in all regression models.
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