Skip to main content

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