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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

VariableInformational 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
Cohabiting0.24 (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 hospital0.58 (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 PCI0.12 (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 appointment0.26 (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
Comorbidity0.16 (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
VariableInformational 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 aP <  0.001P = 0.008P <  0.001
 STEMI3.57 (0.84)3.88 (0.80)3.02 (1.23)
 NSTEMI3.32 (0.94)3.72 (0.88)2.59 (1.26)
 UAP3.24 (0.92)3.66 (0.90)2.52 (1.30)
 Stable coronary diseases3.24 (0,90)3.62 (0.88)2.26 (1.24)
 Other3.37 (0.85)3.79 (0.81)2.67 (1.19)
Clinical pathway bP < 0.001P < 0.008P < 0.001
 Acute3.56 (0.82)3.85 (0.80)3.00 (1.23)
 Sub-acute3.29 (0.94)3.71 (0.88)2.57 (1.26)
 Planned3.24 (0.89)3.64 (0.88)2.29 (1.25)
First post-discharge meeting with GP cP = 0.055P < 0.001P < 0.001
 Before 4 weeks3.35 (0.93)3.79 (0.84)2.76 (1.25)
 Within 4–8 weeks3.40 (0.86)3.78 (0.83)2.63 (1.24)
 Not visited the GP3.19 (0.91)3.28 (0.89)1.74 (1.10)
VariableInformational 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 level0.022 (0.452)0.023 (0.425)0.006 (0.836)
Duration of hospital stay0.065 (0.023)0.061 (0.035)0.166 (< 0.001)
Sufficient time in consultations with GP0.191 (< 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 component0.206 (< 0.001)0.065 (0.031)0.188 (< 0.001)
 Physical component0.211 (< 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)