Reorganising dermatology care: predictors of the substitution of secondary care with primary care

van den Bogaart, Esther H. A.; Kroese, Mariëlle E. A. L.; Spreeuwenberg, Marieke D.; Martens, Herm; Steijlen, Peter M.; Ruwaard, Dirk

doi:10.1186/s12913-020-05368-2

BMC Health Services Research

Table 3 Logistic regression analysis of referral to outpatient hospital care among dermatology patients in Primary Care Plus (N = 2812)

From: Reorganising dermatology care: predictors of the substitution of secondary care with primary care

Predictors	Univariable model			Final model
Predictors	Unadjusted OR (95% CI)	AME	p-value	Adjusted OR (95% CI)	AME	p-value
Age†	1.12 (1.07–1.17)	0.02	≤0.001***	…^a
Gender - male	1.06 (0.88–1.28)	0.01	0.510	…
Number of consultations	0.79 (0.62–1.00)	− 0.04	0.054	…^a
Specialist
Specialist 1	0.55 (0.45–0.66)	−0.10	≤0.001***	…^b
Specialist 2	1.40 (1.14–1.72)	0.06	≤0.001***	1.88 (1.48–2.39)	0.09	≤0.001***
Specialist 3	1.64 (1.26–2.15)	0.09	≤0.001***	1.97 (1.44–2.69)	0.09	≤0.001***
Other specialists	1.36 (1.02–1.83)	0.05	0.038*	1.80 (1.29–2.52)	0.08	≤0.001***
Diagnosis
Naevi	1.18 (0.91–1.52)	0.03	0.215	1.30 (0.88–1.92)	0.04	0.195
Premalignant dermatosis	0.89 (0.64–1.23)	−0.02	0.477	…^b
Benign tumours	0.70 (0.49–1.01)	− 0.05	0.058*	0.83 (0.51–1.33)	−0.03	0.433
Other eczema	0.28 (0.16–0.47)	−0.14	≤0.001***	0.36 (0.19–0.66)	−0.11	≤0.001***
Acneiform dermatoses	0.58 (0.36–0.91)	−0.08	0.018*	0.66 (0.38–1.14)	−0.05	0.136
Inflammatory dermatoses	1.78 (1.26–2.53)	0.11	≤0.001***	2.12 (1.33–3.38)	0.14	0.002**
Dermatoses due to microorganisms	0.28 (0.15–0.53)	−0.14	≤0.001***	0.32 (0.16–0.66)	−0.11	0.002**
Malignant dermatoses	14.00 (9.54–20.53)	0.57	≤0.001***	12.98 (7.96–21.17)	0.55	≤0.001***
Pigment disorders	0.70 (0.39–1.24)	−0.05	0.223	0.77 (0.40–1.49)	−0.03	0.441
Hair and nail disorders	0.20 (0.09–0.49)	−0.16	≤0.001***	0.23 (0.09–0.59)	−0.13	0.002**
Other diagnosis	0.60 (0.47–0.76)	−0.07	≤0.001***	0.71 (0.49–1.05)	−0.04	0.086
Unknown diagnosis	2.23 (1.65–3.03)	0.15	≤0.001***	2.24 (1.45–3.45)	0.15	≤0.001***

Note: OR Odds ratio, Cl Confidence interval, AME Average marginal effects
* P ≤ 0.15; ** P < 0.01; *** P < 0.001†Age was rescaled such that one unit is equal to 10 years
^aVariable not significant in final model
^bReference category for the adjusted OR analysis

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