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Table 4 Associations between patient, area and GP level covariates and hospital admissions and mortality in PCT 2

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 = 35)

(N = 250)

(N = 197)

(N = 318)

Patient-level; OR (95% CI)

    

Female

1.96 (0.99–4.17)

0.74 (0.57–0.94)

0.92 (0.70–1.23)

0.54 (0.43–0.68)

5-year age group

0.92 (0.85–1.00)

1.38 (1.33–1.44)

1.43 (1.37–1.50)

1.38 (1.34–1.43)

Area-level; OR (95% CI)

    

Income domain*

1.27 (1.00–1.58)

1.14 (1.03–1.25)

1.42 (1.28–1.57)

1.16 (1.07–1.26)

GP-level; OR (95% CI)

    

Additional Services*

0.99 (0.96–1.04)

1.03 (1.01–1.05)

1.00 (0.98–1.03)

1.00 (0.98–1.01)

Clinical*

0.87 (0.71–1.06)

0.86 (0.79–0.93)

0.94 (0.86–1.02)

1.00 (0.93–1.09)

Organisational*

0.96 (0.90–1.04)

1.00 (0.97–1.04)

1.05 (1.01–1.09)

1.01 (0.98–1.04)

Variance (95% CI)

    

Area-level

0.04 (0.00–0.58)

0.00 (0.00–0.12)

0.01 (0.00–0.06)

0.01 (0.00–0.04)

GP-level

0.02 (0.00–0.87)

0.01 (0.00–0.17)

0.01 (0.00–0.13)

0.01 (0.00–0.06)

 

Emergency admission

Mortality

 

Diabetes

Stroke

Other

All causes

 

(N = 58)

(N = 160)

(N = 6,847)

(N = 1,423)

Patient-level; OR (95% CI)

    

Female

0.72 (0.42–1.22)

0.85 (0.62–1.16)

1.10 (1.05–1.16)

0.71 (0.64–0.80)

5-year age group

1.15 (1.09–1.23)

1.62 (1.52–1.72)

1.12 (1.11–1.12)

1.69 (1.66–1.73)

Area-level; OR (95% CI)

    

Income domain*

1.15 (0.95–1.38)

1.17 (1.03–1.31)

1.13 (1.10–1.16)

1.11 (1.06–1.17)

GP-level; OR (95% CI)

    

Additional Services*

0.99 (0.96–1.02)

1.02 (1.00–1.05)

1.01 (1.00–1.01)

1.01 (0.99–1.02)

Clinical*

1.11 (0.92–1.37)

0.95 (0.86–1.07)

0.94 (0.92–0.97)

0.98 (0.92–1.05)

Organisational*

0.98 (0.92–1.06)

0.99 (0.95–1.04)

1.00 (1.00–1.01)

0.99 (0.97–1.01)

Variance (95% CI)

    

Area-level

0.02 (0.00–0.11)

0.01 (0.00–0.08)

0.01 (0.00–0.02)

0.02 (0.00–0.06)

GP-level

0.02 (0.00–0.44)

0.02 (0.00–0.19)

0.01 (0.00–0.02)

0.04 (0.01–0.13)

  1. N = the number of admissions/deaths (out of 156,758); *Results per quartile increase in score