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Table 3 Associations of characteristics of primary medical services with population health measures. Analyses were adjusted for Townsend deprivation score, proportion in social class IV and V, and proportion in households with head born in New Commonwealth.

From: Availability and structure of primary medical care services and population health and health care indicators in England

  All-cause mortality 15–64 years (SMR) Acute MI mortality (SMR) Avoidable mortality (SMR)
  Coefficienta (95% CI) P value Coefficienta (95% CI) P value Coefficienta (95% CI) P value
Supply of services       
GP supply (wte per 10,000 weighed population) -5.2 (-8.3 to -2.0) 0.002 -10.3 (-19.3 to -1.25) 0.026 -5.3 (-9.7 to -0.8) 0.022
Characteristics of registered patients       
Rural patients (%) -0.36(-0.56 to -0.16) 0.001 -1.17(-1.71 to -0.62) <0.001 -0.60(-0.86 to -0.33) <0.001
Patients ≥ 75 years (%) -1.72(-2.94 to -0.49) 0.006 -3.03 (-6.52 to 0.46) 0.088 -2.63 (-4.31 to -0.95) 0.003
Structure of Services       
Mean partnership size (partners) -4.2 (-6.7 to -1.7) 0.001 -12.2 (-19.1 to -5.2) 0.001 -3.9 (-7.5 to -0.3) 0.032
Single handed practices (10% increase) 1.5 (0.2 to 2.9) 0.027 5.0(1.3 to 8.8) 0.010 1.0 (-0.9 to 2.9) 0.304
GPs aged ≥ 61 years (10% increase) 3.7 (-1.9 to 9.3) 0.197 12.0(-3.6 to 27.6) 0.129 6.4 (-1.3 to 14.2) 0.102
Practices with a female GP (10% increase) -1.1 (-2.4 to 0.2) 0.109 -2.1 (-5.8 to 1.5) 0.250 -0.4 (-2.2 to 1.4) 0.681
Type of Services       
Diabetes services (10% increase) 0.1(-3.2 to 3.4) 0.938 -5.6(-14.7 to 3.6) 0.230 -1.3(-5.9 to 3.2) 0.564
Child health surveillance services (10% increase) -1.5 (-4.2 to 1.1) 0.260 -6.3 (-13.6 to 1.1) 0.093 -0.4 (-4.1 to 3.3) 0.831
Contraceptive services (10% increase) -2.9(-7.2 to 1.4) 0.181 -6.6 (-18.5 to 5.4) 0.277 -7.1 (-12.9 to -1.3) 0.017
  1. acoefficients represent the mean difference in outcome variable per unit increase in the explanatory variable CI, confidence interval; GP, general practitioner; SMR, standardised mortality ratio; wte, whole time equivalent