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 4 WiC resident visits, Parma city centre, 2015–2018 (all visits, with the exclusion of eye visits), weekdays attendances

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	OR	Estimate	95% CI		p-value	IRR	Estimate	95% CI		p-value	IRR
Intercept	1.83	1.65	2.01	<.0001		−1.69	−1.86	−1.53	<.0001		−3.65	−3.71	−3.58	<.0001
Patient age 35–49	0.26	0.09	0.44	0.00	1.30	0.09	−0.07	0.26	0.26	1.10	−0.14	−0.20	−0.08	<.0001	0.87
Patient age 50–64	0.55	0.38	0.73	<.0001	1.74	0.12	−0.04	0.28	0.15	1.13	−0.38	−0.45	− 0.32	<.0001	0.68
Patient age 65–84	0.96	0.78	1.13	<.0001	2.60	0.50	0.34	0.67	<.0001	1.65	−0.36	−0.43	−0.29	<.0001	0.70
Patient age > =85	1.67	1.46	1.87	<.0001	5.29	1.07	0.88	1.26	<.0001	2.92	−0.45	−0.55	− 0.35	<.0001	0.64
Female patient	− 0.11	− 0.20	− 0.03	0.01	0.89	− 0.10	− 0.18	− 0.02	0.01	0.91	− 0.02	− 0.06	0.02	0.28	0.98
Foreign patient	−0.12	− 0.40	0.17	0.42	0.89	0.09	−0.18	0.35	0.52	1.09	0.20	0.08	0.32	0.00	1.22
Patient with 3 or more chronic diseases	−0.37	− 0.51	− 0.24	<.0001	0.69	0.48	0.35	0.61	<.0001	1.61	0.85	0.79	0.91	<.0001	2.33
Patient with 2 chronic disease	−0.31	− 0.45	− 0.17	<.0001	0.73	0.30	0.16	0.43	<.0001	1.35	0.61	0.54	0.67	<.0001	1.83
Patient with 1 chronic disease	−0.35	− 0.49	− 0.22	<.0001	0.70	0.06	−0.07	0.18	0.39	1.06	0.39	0.33	0.44	<.0001	1.47
2016	0.59	0.45	0.72	<.0001	1.80	0.64	0.51	0.77	<.0001	1.89	0.12	0.06	0.17	<.0001	1.12
2017	0.43	0.29	0.56	<.0001	1.53	0.61	0.48	0.74	<.0001	1.84	0.25	0.19	0.30	<.0001	1.28
2018	0.01	−0.12	0.15	0.84	1.01	0.40	0.27	0.53	<.0001	1.49	0.41	0.35	0.46	<.0001	1.50
Patient whose GP is first year in CHC	−0.60	−1.23	0.02	0.06	0.55	−0.56	−1.09	− 0.02	0.04	0.57	−0.03	−0.20	0.14	0.74	0.97
Patient whose GP is in CHC	−0.05	− 0.16	0.05	0.33	0.95	−0.11	− 0.21	− 0.01	0.03	0.89	−0.06	− 0.11	− 0.01	0.01	0.94
AICC	98,489.93										106,945.10
BIC	98,813.06										107,106.66
Pearson Chi-Square (value/DF)	1.03										1.31
Vuong statistic	4.89

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