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Table 3 Associations between patient, area and GP level covariates and hospital admissions and mortality in PCT 1

From: Do the UK government's new Quality and Outcomes Framework (QOF) scores adequately measure primary care performance? A cross-sectional survey of routine healthcare data

 

Emergency admission

 

Asthma

Cancer

COPD

CHD

 

(N = 386)

(N = 566)

(N = 542)

(N = 819)

Patient-level; OR (95% CI)

    

Female

1.42 (1.17–1.75)

0.68 (0.57–0.80)

0.90 (0.76–1.07)

0.56 (0.48–0.64)

5-year age group

1.01 (0.99–1.03)

1.38 (1.34–1.41)

1.45 (1.42–1.49)

1.41 (1.38–1.44)

Area-level; OR (95% CI)

    

Income domain*

1.23 (1.14–1.32)

1.07 (1.00–1.14)

1.38 (1.29–1.48)

1.15 (1.08–1.22)

GP-level; OR (95% CI)

    

Additional Services*

1.04 (1.01–1.08)

1.00 (0.97–1.03)

1.02 (0.98–1.05)

1.03 (1.01–1.07)

Clinical*

1.05 (0.96–1.14)

0.99 (0.92–1.05)

0.99 (0.92–1.07)

0.97 (0.91–1.03)

Organisational*

0.95 (0.89–1.03)

1.02 (0.95–1.09)

0.98 (0.91–1.05)

0.98 (0.92–1.03)

Variance (95% CI)

    

Area-level

0.00 (0.00–0.03)

0.00 (0.00–0.02)

0.11 (0.00–0.19)

0.04 (0.01–0.11)

GP-level

0.01 (0.00–0.05)

0.01 (0.00–0.07)

0.02 (0.00–0.08)

0.01 (0.00–0.05)

 

Emergency admission

Mortality

 

Diabetes

Stroke

Other

All causes

 

(N = 164)

(N = 360)

(N = 18,784)

(N = 3,201)

Patient-level; OR (95% CI)

    

Female

0.81 (0.60–1.12)

0.91 (0.74–1.12)

1.10 (1.06–1.13)

0.69 (0.64–0.75)

5-year age group

1.13 (1.09–1.17)

1.55 (1.49–1.61)

1.14 (1.13–1.14)

1.68 (1.65–1.70)

Area-level; OR (95% CI)

    

Income domain*

1.21 (1.08–1.36)

1.10 (1.01–1.19)

1.14 (1.12–1.16)

1.10 (1.06–1.14)

GP-level; OR (95% CI)

    

Additional Services*

1.03 (0.98–1.10)

1.05 (1.01–1.11)

1.03 (1.01–1.04)

1.01 (0.99–1.03)

Clinical*

0.94 (0.83–1.05)

1.00 (0.92–1.10)

0.99 (0.96–1.03)

0.97 (0.92–1.01)

Organisational*

1.03 (0.92–1.16)

0.96 (0.89–1.04)

0.98 (0.95–1.02)

1.02 (0.98–1.07)

Variance (95% CI)

    

Area-level

0.01 (0.00–0.21)

0.00 (0.00–0.02)

0.01 (0.00–0.01)

0.05 (0.03–0.07)

GP-level

0.02 (0.00–0.16)

0.01 (0.00–0.04)

0.04 (0.03–0.06)

0.03 (0.01–0.06)

  1. N = the number of admissions/deaths (out of 359,863); *Results per quartile increase in score