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Table 3 Primary care utilisation among patients with chronic conditions in general practice or hospital follow-up

From: Patient characteristics and healthcare utilisation among Danish patients with chronic conditions: a nationwide cohort study in general practice and hospitals

  

AF

CHF

CLD

COPD

IBD

Outcome

Follow-up group

Crude ratesa

IRR

Adj IRR (95% CI)b

Crude ratesa

IRR

Adj IRR (95% CI)b

Crude ratesa

IRR

Adj IRR (95% CI)b

Crude ratesa

IRR

Adj IRR (95% CI)b

Crude ratesa

IRR

Adj IRR (95% CI)b

General practice

 Daytime

  Face-to-face consultations

Hospital

9.84

1.01

1.03 (1.01–1.04)

8.71

1.00

1.04 (1.01–1.06)

6.33

1.00

.99 (.94–1.04)

7.73

.95

.94 (.92–.97)

4.64

.88

.95 (.93–.97)

GP

9.91

8.78

6.36

8.10

5.29

  Home consultations

Hospital

.13

.50

.63 (.53–.74)

.12

.37

.66 (.55–.80)

.09

.56

.59 (.41–.84)

.30

1.28

1.51 (1.32–1.73)

.02

.30

.75 (.51–1.11)

GP

.25

.30

.16

.24

.06

  Telephone contacts

Hospital

5.00

.92

.98 (.96–1.00)

5.28

.82

.96 (.93–.99)

5.15

.87

.88 (.84–.93)

8.38

1.20

1.20 (1.17–1.23)

2.86

.80

.92 (.90–.95)

GP

5.43

6.39

5.95

7.00

3.58

  Mail contacts

Hospital

2.93

.83

1.00 (.97–1.04)

2.98

.71

1.00 (.95–1.05)

2.55

.82

.89 (.81–.98)

3.56

1.09

1.10 (1.05–1.16)

1.69

.83

.94 (.90–.98)

GP

3.43

3.99

3.14

3.27

2.01

  All

Hospital

17.91

.94

1.00 (.99–1.02)

17.10

.87

1.00 (.98–1.02)

14.12

.91

.92 (.89–.96)

20.00

1.07

1.07 (1.05–1.09)

9.21

.84

.94 (.92–.95)

GP

19.02

19.47

15.60

18.61

10.94

 Out-of-hoursc

  Telephone contacts

Hospital

.43

.79

.89 (.83–.95)

.47

.66

.90 (.81–1.00)

.58

.75

.84 (.69–1.01)

1.00

1.33

1.41 (1.24–1.61)

.33

.77

.87 (.81–.94)

GP

.52

.66

.77

.77

.42

  Home consultations

Hospital

.19

.61

.76 (.69–.82)

.24

.51

.81 (.72–.91)

.27

.73

.75 (.61–.92)

.78

1.60

1.80 (1.60–2.03)

.07

.55

.82 (.70–.96)

GP

.30

.41

.36

.50

.12

  Face-to-face consultations

Hospital

.18

1.15

1.13 (1.06–1.21)

.18

1.19

1.06 (.96–1.16)

.19

1.05

1.11 (.94–1.31)

.23

1.02

1.03 (.93–1.14)

.21

.91

.90 (.84–.98)

GP

.16

.15

.18

.23

.23

  All

Hospital

.80

.77

.88 (.84–.93)

1.89

.66

.91 (.84–1.00)

1.04

.78

.86 (.73–1.00)

2.02

1.38

1.47 (1.33–1.62)

.61

.78

.88 (.82–.93)

GP

.97

1.23

1.31

1.50

.77

 Municipal home nursed

  Acute visits

Hospital

.55

.61

.72 (.59–.87)

.64

.47

.71 (.60–.83)

.61

.61

.67 (.47–.96)

1.23

1.19

1.39 (1.16–1.66)

.10

.28

.48 (.30–.77)

GP

.87

1.26

.93

1.07

.31

  Scheduled visits

Hospital

28.31

.64

.68 (.59–.79)

27.80

.50

.79 (.66–.95)

30.19

.72

.79 (.63–1.01)

52.16

1.09

1.31 (1.16–1.47)

3.97

.33

.65 (.46–.92)

GP

42.06

57.48

41.90

49.06

12.33

  1. aCounts of the outcome per patient per year.
  2. b Adjusted by gender, age, place of residence, Charlson co-morbidity and highest obtained educational level. The GP follow-up group is the reference group.
  3. c GP out-of-hours utilisation analyses do not include patients from the Capital Region of Denmark because this region has a non-GP based out-of-hours service
  4. dMunicipal home nurse utilisation analyses do not include patients who were nursing home residents.
  5. Abbreviations: AF atrial fibrillation, CHF congestive heart failure, CLD chronic liver disease, COPD chronic obstructive pulmonary disease, IBD inflammatory bowel disease, IRR incidence rate ratio, Adj. adjusted, 95% CI 95% confidence interval, Hospital; patients in hospital outpatient follow-up, GP patients in general practice follow-up
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BMC Health Services Research

ISSN: 1472-6963

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