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Table 2 Multi-level logistic regression analysis of adherence to statin prescription guidelines in the county of Scania, Sweden

From: Understanding the effects of a decentralized budget on physicians' compliance with guidelines for statin prescription – a multilevel methodological approach

 

Model A

Model B

Model C

 
 

Public

Private

Public

Private

Public

Private

 

Fixed effects

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

OR (95% CI)

 

Time

1.05 (1.04–1.05)

1.06 (1.05–1.07)

1.05 (1.04–1.05)

1.06 (1.05–1.07)

1.05 (1.04–1.05)

1.05 (1.04–1.07)

 

Time^2

 

1.00 (1.00–1.00)

 

1.00 (1.00–1.00)

 

1.00 (1.00–1.00)

 

Sex (women vs men)

  

0.93 (0.87–0.98)

0.92 (0.84–1.01)

0.93 (0.88–0.99)

0.92 (0.85–0.99)

 

Age (one year increase)

  

1.000 (1.000–1.000)

1.00 (1.00–1.00)

1.00 (1.00–1.00)

1.00 (1.00–1.00)

 

Information campaign (Yes vs No)

    

1.11 (0.90–1.39)

1.46 (0.73–2.34)

 

   % opposed ORs

    

46%

42%

 

Specialist physician vs GP

    

1.41 (1.18–2.01)

0.97 (0.66–1.31)

 

   % opposed ORs

    

38%

49%

 

HCC with own budget administration (yes vs No)

    

0.82 (0.68–1.06)

  

   % opposed ORs

    

43%

  

North-West health care district

  

1.37 (1.01–1.93)

1.66 (1.09–2.50)

 

   % opposed ORs

    

39%

39%

 

North-East health care district

  

1.39 (0.84–2.04)

1.78 (1.04–3.89)

 

   % opposed ORs

  

39%

38%

 

South-West health care district

  

Reference

Reference

 

South-East health care district

  

2.03 (1.08–3.92)

1.46 (0.84–1.99)

 

   % opposed ORs

  

27%

42%

 

Central health care district

  

0.85 (0.47–1.15)

1.53 (1.10–2.73)

 

   % opposed ORs

  

45%

41%

 

Random effects

Variance (95% CI)

Variance (95% CI)

Variance (95% CI)

Variance (95% CI)

Variance (95% CI)

Variance (95% CI)

PCV

HCA (intercept)

0.08 (0.01 – 0.38)

 

0.15 (0.04 – 0.42)

 

0.04 (0.00–0.17)

 

50%

   MORHCA

1.31 (1.11 – 1.80)

 

1.44 (1.22 – 1.87)

 

1.21 (1.04 – 1.49)

  

HCC (intercept)

0.67 (0.51 – 0.89)

1.70 (1.28 – 2.32)

0.62 (0.46 – 0.84)

1.80 (1.34 – 2.44)

0.62 (0.47 – 0.82)

1.71 (1.26 – 2.34)

8% (Pu)

   MORHCC

2,18 (1.98 – 2.46)

3.47 (2.94 – 4.28)

2,12 (1.92 – 2.39)

3.60 (3.01 – 4.43)

2.12 (1.92 – 2.37)

3.48 (2.92 – 4.31)

0% (Pr)

OHC and HCA (intercept)

0.75

 

0.77

 

0.66

 

12%

   MORHCA-HCC

2.28

 

2.31

 

2.17

  

Time (slope)

0.000 (0.000 – 0.001)

0.001 (0.001 – 0.002)

0.000 (0.000 – 0.001)

0.001 (0.001 – 0.002)

0.000 (0.000 – 0.001)

0.001 (0.001 – 0.002)

 

Sex (slope)

 

0.063 (0.043 – 0.093)

0.149 (0.103 – 0.214)

0.063 (0.043 – 0.094)

0.147 (0.102 – 0.214)

 

Deviance information criteria (DIC)

136 649.6

87 811.1

136 114.6

87 421.9

136 113.9

87 422.4

 
  1. HCC = outpatient health care centre. MOR = median odds ratio. OR = odds ratio.
  2. 95% CI = 95% credible interval. SE = standard error.
  3. PCV = proportional change in variance (PCV) in model C using model A as reference