Reorganizing territorial healthcare to avoid inappropriate ED visits: does the spread of Community Health Centres make Walk-in-Clinics redundant?

Ugolini, Cristina; Leucci, Anna Caterina; Nobilio, Lucia; Bertè, Gianfranco

doi:10.1186/s12913-020-05648-x

Table 3 ED inappropriate visits, five cities, 2015–2018

From: Reorganizing territorial healthcare to avoid inappropriate ED visits: does the spread of Community Health Centres make Walk-in-Clinics redundant?

	Zero inflated Poisson Model										Standard Poisson
	Zero inflated part					Poisson part					Standard Poisson
	Estimate	95% CI		p-value	IRR	Estimate	95% CI		p-value	IRR	Estimate	95% CI		p-value	IRR
Intercept	1.73	1.61	1.85	<.0001		−1.87	−1.98	−1.77	<.0001		−3.77	−3.80	−3.74	<.0001
Patient age 35–49	0.08	−0.04	0.20	0.20	1.08	0.00	−0.10	0.11	0.96	1.00	− 0.06	−0.09	− 0.03	<.0001	0.94
Patient age 50–64	0.22	0.10	0.34	0.00	1.24	− 0.04	−0.14	0.06	0.45	0.96	−0.23	− 0.26	− 0.20	<.0001	0.80
Patient age 65–84	0.40	0.28	0.52	<.0001	1.50	0.17	0.07	0.28	0.00	1.19	−0.17	− 0.21	− 0.14	<.0001	0.84
Patient age > =85	0.85	0.71	0.99	<.0001	2.34	0.26	0.13	0.39	0.00	1.30	−0.48	− 0.53	− 0.44	<.0001	0.62
Female patient	−0.12	− 0.17	− 0.06	<.0001	0.89	0.02	−0.03	0.07	0.38	1.02	0.12	0.10	0.14	<.0001	1.12
Foreign patient	−0.15	−0.32	0.01	0.07	0.86	0.24	0.10	0.39	0.00	1.27	0.37	0.32	0.42	<.0001	1.44
Patient with 3 or more chronic diseases	−0.21	−0.30	− 0.12	<.0001	0.81	0.63	0.55	0.71	<.0001	1.88	0.81	0.78	0.84	<.0001	2.25
Patient with 2 chronic disease	−0.16	− 0.26	− 0.07	0.00	0.85	0.38	0.30	0.47	<.0001	1.47	0.52	0.49	0.55	<.0001	1.69
Patient with 1 chronic disease	−0.15	− 0.24	− 0.06	0.00	0.86	0.23	0.15	0.31	<.0001	1.26	0.35	0.33	0.38	<.0001	1.43
2016	0.05	−0.03	0.13	0.19	1.05	0.06	−0.01	0.14	0.08	1.07	0.02	0.00	0.05	0.07	1.02
2017	0.08	0.01	0.16	0.03	1.09	0.11	0.04	0.18	0.00	1.11	0.04	0.01	0.06	0.00	1.04
2018	−0.02	− 0.10	0.06	0.59	0.98	0.06	−0.01	0.13	0.11	1.06	0.08	0.06	0.11	<.0001	1.09
Patient whose GP is first year in CHC	0.35	0.00	0.71	0.05	1.42	0.01	−0.33	0.34	0.96	1.01	−0.32	− 0.43	− 0.22	<.0001	0.73
Patient whose GP is in CHC	0.42	0.30	0.55	<.0001	1.53	−0.01	− 0.13	0.12	0.01	0.99	−0.40	−0.43	− 0.36	<.0001	0.67
Patient with a local WiC	0.28	0.07	0.49	0.01	1.32	−1.03	−1.22	−0.84	<.0001	0.36	−1.28	−1.32	−1.24	<.0001	0.28
AICC	466,453.14										480,644.32
BIC	466,853.17										480,844.34
Pearson Chi-Square (value/DF)	1.05										1.07
Vuong statistic	5.41

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