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Table 4 Results of the multivariable analysis for each quality indicator

From: Care coordination for severe mental health disorders: an analysis of healthcare provider patient-sharing networks and their association with quality of care in a French region

Quality indicator Characteristica Readmission Contact with the referring physician Three recommended prevention procedures At least 9 deliveries of antipsychotic drugs
RR (95% CI) RR (95% CI) RR (95% CI) RR (95% CI)
Patient characteristics
 Age 1.00 (0.99–1.00) b 1.01 (1.01–1.02) b 1.02 (1.01–1.02) b 1.00 (1.00–1.00) b
 Sex (male vs. female) 1.12 (1.10–1.14) b 0.79 (0.75–0.83) b 0.82 (0.79–0.85) b 0.97 (0.95–1.00) b
 Inclusion in the scheme for low-income groups (vs. non-inclusion) 1.10 (1.03–1.17) b 0.87 (0.83–0.92) b 1.00 (0.97–1.03) 0.84 (0.79–0.89) b
 Precedence of the mental disorder (vs. no precedence) 1.23 (1.13–1.33) b 0.83 (0.75–0.90) b 0.97 (0.93–1.01) 1.08 (1.06–1.10) b
 Inclusion in the long-term illness scheme for somatic disorders (vs. non-inclusion) 1. 01 (0.94–1.08) 1.39 (1.27–1.51) b 1.26 (1.15–1.37) b 1.03 (0.99–1.06)
Network structural characteristics
 Density 0.96 (0.95–0.96) b 1.02 (1.00–1.03) 1.03 (1.01–1.04) b 1.02 (1.00–1.03) b
 Median weighted degree 0.99 (0.97–1.01) 1.00 (0.97–1.04) 1.03 (1.01–1.05) b 1.03 (1.01–1.06) b
Network compositional characteristics
 Type of index hospital (specialization in psychiatry vs. general hospital) 0.58 (0.52–0.66) b 0.98 (0.90–1.07) 1.01 (0.96–1.06) 0.95 (0.89–1.00)
 % of physicians among community-based health professionals 0.96 (0.95–0.97) b 1.03 (1.01–1.05) b 1.01 (1.00–1.03) b 1.01 (1.00–1.02)
 % of hospitals among all healthcare providers 1.05 (1.03–1.07) b 0.92 (0.90–0.94) b 0.98 (0.96–1.00) b 0.99 (0.98–1.00)
 % of private hospitals among hospital providers 1.00 (1.00–1.00)b 1.00 (1.00–1.00) 1.00 (1.00–1.00) b 1.00 (0.99–1.00) b
 Number of psychiatrists in the network per 100,000 inhabitants 0.99 (0.99–1.00) b 0.99 (0.98–0.99) b 1.01 (1.01–1.01) b 0.99 (0.99–1.00) b
 Number of GPs in the network per 100,000 inhabitants 1.01 (1.00–1.02) 0.98 (0.97–0.99) b 0.98 (0.97–0.99) b 0.99 (0.98–1.00) b
Other characteristics at the network level
 Typology of mental care in the vicinity of the index hospital (reference: mostly rural areas which combine healthcare and health and social care) Areas with limited healthcare resources 0.12 (0.08–0.19) b 1.24 (0.51–3.01) 2.95 (1.62–5.36) b 2.87 (1.41–5.82) b
Areas with strong private care supply and an organization adapted to urban practices 0.27 (0.19–0.39) b 0.91 (0.44–1.89) 3.14 (2.05–4.79) b 2.80 (1.64–4.78) b
Areas with strong healthcare resources 0.25 (0.17–0.38) b 1.18 (0.54–2.61) 3.81 (2.23–6.50) b 3.09 (1.68–5.68) b
 Loyalty index (reference: < 60%) > 80% 0.43 (0.31–0.61) b 1.32 (0.64–2.71) 2.17 (1.43–3.28) b 2.55 (1.62–4.02) b
[60–80%] 0.50 (0.36–0.69) b 1.36 (0.69–2.70) 1.87 (1.27–2.76) b 2.40 (1.57–3.67) b
 % of specialized ambulatory care provided in the index hospital 0.99 (0.99–0.99) b 0.99 (0.98–1.00) b 1.00 (1.00–1.00) b 1.00 (1.00–1.01)
 Average number of contacts with any healthcare provider per patient in the network 0.98 (0.98–0.99) b 1.01 (1.00–1.01) b 1.01 (1.00–1.01) b 1.01 (1.00–1.01) b
  1. Note: RR relative risk, CI confidence interval
  2. aSee legend of Table 2 for correlations which explained that some of our explanatory variables of interest were not introduced in the models
  3. bStatistically significant