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Table 4 Group statistics and correlations between Heart Continuity of Care Questionnaire (HCCQ) domains and individual factors, health-related factors and health service factors

From: Continuity of care and its associations with self-reported health, clinical characteristics and follow-up services after percutaneous coronary intervention

Variable

Informational continuity

Mean difference

(95% CI)

P-value

Relational continuity

Mean difference

95% CI

P-value

Management continuity

Mean difference

95% CI

P-value

Gender (male)

0.45 (0.32, 0.57)

P <  0.001

0.30 (0.17,0.43)

P <  0.001

0.28 (0.11,0.45)

P = 0.001

Cohabiting

0.24 (0.10, 0.38)

P = 0.001

0.20 (0.06, 0.33)

P = 0.005

0.11 (−0.08, 0.30)

P = 0.250

Written patient information from hospital

0.58 (0.44, 0.72)

P <  0.001

0.57 (0.44, 0.71)

P <  0.001

0.71 (0.53, 0.89)

P <  0.001

Transferred to another hospital after PCI

0.12 (0.01, 0.24)

P = 0.033

0.16 (0.05, 0.27)

P = 0.004

0.35 (0.19, 0.52)

P <  0.001

Consultation with the regular GP at first appointment

0.26 (0.11, 0.42)

P = 0.001

0.42 (0.27, 0.58)

P <  0.001

0.36 (0.16, 0.56)

P = 0.001

CR participation (planned, ongoing or completed)

0.15 (0.05, 0.25)

P = 0.004

0.24 (0.14, 0.34)

P <  0.001

0.42 (0.28, 0.57)

P <  0.001

Comorbidity

0.16 (0.05,0.26)

P = 0.002

0.06 (−0.04,0.16)

P = 0.279

0.13 (− 0.02,0.28)

P = 0.091

Complication at hospital

−0.06 (− 0.45, 0.32)

P = 0.738

0.06 (− 0.32, 0.44)

P = 0.740

0.27 (− 0.28, 0.82)

P = 0.326

Variable

Informational continuity

P-value between groups

Mean (SD)

Relational continuity

P-value between groups

Mean (SD)

Management continuity

P-value between groups

Mean (SD)

Coronary heart disease a

P <  0.001

P = 0.008

P <  0.001

 STEMI

3.57 (0.84)

3.88 (0.80)

3.02 (1.23)

 NSTEMI

3.32 (0.94)

3.72 (0.88)

2.59 (1.26)

 UAP

3.24 (0.92)

3.66 (0.90)

2.52 (1.30)

 Stable coronary diseases

3.24 (0,90)

3.62 (0.88)

2.26 (1.24)

 Other

3.37 (0.85)

3.79 (0.81)

2.67 (1.19)

Clinical pathway b

P < 0.001

P < 0.008

P < 0.001

 Acute

3.56 (0.82)

3.85 (0.80)

3.00 (1.23)

 Sub-acute

3.29 (0.94)

3.71 (0.88)

2.57 (1.26)

 Planned

3.24 (0.89)

3.64 (0.88)

2.29 (1.25)

First post-discharge meeting with GP c

P = 0.055

P < 0.001

P < 0.001

 Before 4 weeks

3.35 (0.93)

3.79 (0.84)

2.76 (1.25)

 Within 4–8 weeks

3.40 (0.86)

3.78 (0.83)

2.63 (1.24)

 Not visited the GP

3.19 (0.91)

3.28 (0.89)

1.74 (1.10)

Variable

Informational continuity

Correlation

(P-value)

Relational continuity

Correlation

(P-value)

Management continuity

Correlation

(P-value)

Age

−0.063 (0.025)

−0.038 (0.184)

−0.090 (0.002)

Education level

0.022 (0.452)

0.023 (0.425)

0.006 (0.836)

Duration of hospital stay

0.065 (0.023)

0.061 (0.035)

0.166 (< 0.001)

Sufficient time in consultations with GP

0.191 (< 0.001)

0.364 (< 0.001)

0.273 (< 0.001)

MIDAS (two-month follow-up)

−0.255 (< 0.001)

− 0.217 (< 0.001)

− 0.073 (0.012)

WHOQL-BREF (two-month follow-up)

0.234 (< 0.001)

0.203 (< 0.001)

0.114 (< 0.001)

RAND-12 (two-month follow-up)

 Mental component

0.206 (< 0.001)

0.065 (0.031)

0.188 (< 0.001)

 Physical component

0.211 (< 0.001)

0.191 (< 0.001)

0.095 (0.002)

  1. Abbreviations PCI percutaneous coronary intervention, GP general practitioner, CR cardiac rehabilitation, STEMI ST-segment elevation myocardial infarction, NSTEMI Non–ST-segment elevation myocardial infarction, UAP unstable angina, MIDAS Myocardial Infarction Dimensional Assessment Scale, WHOQL World Health Organization Quality of Life, RAND-12 Health Status Inventory; physical and mental component
  2. Hypotheses about possible relationships between patient characteristics and domain scores on the HCCQ
  3. aSTEMI patients scored significantly better than NSTEMI, UAP and stabile coronary diseases on informational and management continuity of care (P = 0.008–0.001)
  4. bAcute clinical pathway scored significantly better than planned on the three continuity of care domains (P < 0.005) and acute clinical pathway scored significantly better than acute and sub-acute on management continuity of care (P < 0.002)
  5. cPatients who had not visited their GP scored significantly worse than those who saw their GP before 4 weeks or within 4–8 weeks (P < 0.001)