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Table 4 Associations of characteristics of primary medical services with health care indicators. 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

 

Hospital admissions Acute (per 100,000)

Hospital admissions Chronic (per 100,000)

Conceptions <18 years (per 1000)

 

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)

-15.3 (-21.6 to -9.0)

<0.001

-12.0 (-18.0 to -6.1)

<0.001

-6.2 (-8.5 to -4.0)

<0.001

Characteristics of registered patients

      

Rural patients (%)

-1.09 (-1.48 to -0.70)

<0.001

-0.62 (-1.01 to -0.23)

0.002

-0.30 (-0.45 to -0.14)

<0.001

Patients ≥ 75 years (%)

-3.98 (-6.55 to -1.42)

0.003

-1.91 (-4.34 to 0.52)

0.121

-1.05 (-2.03 to -0.07)

0.036

Structure of Services

      

Mean partnership size (partners)

-10.9 (-16.1 to -5.8)

<0.001

-8.8 (-13.6 to -4.0)

<0.001

-2.6 (-4.7 to -0.6)

0.011

Single handed practices (10% increase)

5.5 (2.8 to 8.3)

<0.001

4.3 (1.7 to 6.9)

0.001

1.1 (0.1 to 2.2)

0.037

GPs aged ≥ 61 years (10% increase)

19.2 (7.9 to 30.5)

0.001

15.5 (5.1 to 26.0)

0.004

3.9(-0.5 to 8.3)

0.081

Practices with a female GP (10% increase)

-5.0 (-7.6 to -2.4)

<0.001

-4.2 (-6.6 to -1.8)

0.001

-1.2 (-2.2 to -0.2)

0.018

Type of Services

      

Diabetes services (10% increase)

-2.3 (-9.3 to 4.6)

0.507

-4.5 (-10.8 to 1.9)

0.164

-1.3 (-3.9 to 1.3)

0.330

Child health surveillance services (10% increase)

-4.6 (-10.1 to 1.0)

0.107

-3.0 (-1.8 to 2.1)

0.250

0.9 (-1.2 to 3.0)

0.377

Contraceptive services (10% increase)

-13.2 (-21.9 to -4.5)

0.003

-8.7 (-16.9 to -0.6)

0.037

-0.7 (4.1 to 2.7)

0.672

  1. acoefficients represent the mean difference in outcome variable per unit increase in the explanatory variable bstandardised for age and sex CI, confidence interval; GP, general practitioner