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Table 3 Priority status for care within the network by socio-demographic and clinical characteristics, Belgium, Mental Health Network Reform 2013: results of the logistic regressions (n = 2490)

From: Assessment of the priority target group of mental health service networks within a nation-wide reform of adult psychiatry in Belgium

Covariates

Model 1(2)

Model 2(2)

Model 3(2)

 

OR

95 % CI

OR

95 % CI

OR

95 % CI

Sex (Ref. male)

      

 Female

0.74***

(0.68–0.81)

0.97

(0.79–1.19)

0.92

(0.74–1.14)

Age

0.99***

(0.98–0.99)

0.99**

(0.98–1.00)

0.98***

(0.98–0.99)

Nationality (Ref. Foreign)

      

 Belgian

0.61**

(0.45–0.83)

0.76

(0.51–1.12)

0.74

(0.49–1.13)

Education Group (Ref. > Upper secondary school)

      

 Low (<=Lower secondary school)

0.91

(0.76–1.09)

1.24*

(1.01–1.52)

1.35**

(1.09–1.68)

Social integration Score (SIX) (Ref. > =4–6)

      

  < 1

0.53***

(0.47–0.59)

0.63**

(0.47–0.83)

0.62**

(0.44–0.85)

 2–3

1.57***

(1.39–1.77)

1.25

(0.97–1.62)

1.26*

(0.96–1.65)

Diagnosis (Ref. Drug-related disorders)

      

 Mental disability

0.60*

(0.39–0.93)

0.68

(0.38–1.19)

0.56

(0.30–1.04)

 Schizophrenia and psychotic disorders

1.54***

(1.28–1.85)

1.86***

(1.38–2.50)

1.58**

(1.15–2.17)

 Anxiety disorders

0.61*

(0.41–0.90)

0.64

(0.38–1.08)

0.84

(0.48–1.46)

 Mood disorders

0.94

(0.76–1.16)

1.07

(0.77–1.49)

1.02

(0.73–1.45)

 Personality disorders

1.53**

(1.16–2.00)

1.67*

(1.13–2.46)

1.65*

(1.08–2.50)

 Other

1.41*

(1.07–1.86)

1.68**

(1.14–2.48)

1.51

(1.00–2.27)

HoNOS Score (Ref. = <4/48)

      

 5–11

1.89***

(1.52–2.36)

1.05

(0.81–1.36)

1.02

(0.76–1.36)

 12–17

2.31***

(1.83–2.92)

1.26

(0.96–1.66)

1.30

(0.96–1.77)

  > 17

3.15***

(2.48–4.01)

1.67***

(1.27–2.21)

1.73***

(1.28–2.35)

Type of service (Ref. Psychiatric wards and hospitals)

      

 Sheltered accommodation services

1.17

(0.84–1.63)

  

1.28

(0.86–1.90)

 Primary care and community mental health services

0.79*

(0.62–1.00)

  

0.75*

(0.56–1.00)

 Rehabilitation and social care services

0.25***

(0.20–0.32)

  

1.05

(0.65–1.70)

 Crisis resolution and assertive outreach teams

3.40***

(2.34–4.95)

  

2.85***

(1.90–4.28)

Network orientation (Ref. Hospital-centred care)

      

 Primary care centred

0.79

(0.59–1.05)

  

0.88

(0.53–1.45)

 Social care centred

0.80*

(0.65–0.98)

  

0.71*

(0.54–0.93)

Number of services in the network (Ref. Medium)(1)

      

 Small

1.11

(0.91–1.35)

    

 Large

1.53***

(1.24–1.88)

    
  1. (1)We did not include network size in Model 3 because of its high association with network orientation (Cramer’s V: 0.599 and 0.869; p < 0.0001)
  2. (2)Model 1 presents bivariate association; Model 2 includes all clinical and socio-demographic variables; Model 3 adds services and network features to Model 2
  3. *p < 0.05; **p < 0.01; ***p < 0.001
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BMC Health Services Research

ISSN: 1472-6963

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