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.
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 |