Table 4 Results of the multivariable analysis for each quality indicator
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 | |