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 5 WiC resident visits, Parma city centre, 2015–2018 (all visits, with the exclusion of eye visits), week-end 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	IRR	Estimate	95% CI		p-value	IRR	Estimate	95% CI		p-value	IRR
Intercept	2.03	1.72	2.33	<.0001		−1.94	−2.22	−1.66	<.0001		−4.08	−4.16	−3.99	<.0001
Patient age 35–49	0.06	−0.25	0.36	0.71	1.06	−0.07	− 0.35	0.21	0.62	0.93	−0.12	− 0.20	− 0.04	0.00	0.89
Patient age 50–64	0.35	0.05	0.65	0.02	1.41	−0.06	− 0.34	0.22	0.67	0.94	−0.38	−0.46	− 0.29	<.0001	0.69
Patient age 65–84	0.53	0.21	0.86	0.00	1.70	−0.19	− 0.50	0.11	0.21	0.82	−0.68	−0.77	− 0.59	<.0001	0.50
Patient age > =85	1.43	1.00	1.87	<.0001	4.20	0.20	−0.23	0.62	0.36	1.22	−1.15	− 1.31	− 1.00	<.0001	0.32
Female patient	−0.05	− 0.23	0.12	0.55	0.95	0.04	−0.12	0.20	0.64	1.04	0.08	0.03	0.13	0.00	1.09
Foreign patient	0.19	−0.25	0.64	0.40	1.21	0.34	− 0.08	0.76	0.11	1.40	0.17	0.02	0.32	0.02	1.19
Patient with 3 or more chronic diseases	0.00	−0.27	0.27	0.99	1.00	0.78	0.52	1.04	<.0001	2.18	0.79	0.71	0.88	<.0001	2.21
Patient with 2 chronic disease	0.07	−0.20	0.34	0.60	1.07	0.68	0.43	0.94	<.0001	1.98	0.63	0.55	0.71	<.0001	1.88
Patient with 1 chronic disease	−0.02	− 0.27	0.23	0.89	0.98	0.36	0.13	0.59	0.00	1.43	0.38	0.31	0.45	<.0001	1.47
2016	0.09	−0.14	0.33	0.45	1.09	0.09	−0.14	0.31	0.45	1.09	0.00	−0.07	0.07	0.98	1.00
2017	−0.28	− 0.53	− 0.03	0.03	0.76	− 0.15	− 0.38	0.08	0.20	0.86	0.10	0.02	0.17	0.01	1.10
2018	−0.18	− 0.41	0.06	0.15	0.84	0.00	−0.22	0.22	1.00	1.00	0.16	0.09	0.23	<.0001	1.17
Patient whose GP is first year in CHC	−0.05	−0.64	0.54	0.87	0.95	0.17	−0.38	0.73	0.54	1.19	0.23	0.03	0.43	0.06	1.26
Patient whose GP is in CHC	−0.01	− 0.24	0.21	0.90	0.99	−0.05	−0.26	0.16	0.65	0.95	−0.04	−0.10	0.03	0.29	0.97
AICC	62,144.99										64,050.41
BIC	62,468.11										64,211.97
Pearson Chi-Square (value/DF)	1.02										1.03
Vuong statistic	12.62

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