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Table 5 Hierarchical linear regression analysis with predictors associated with perceptions of continuity of care at the two-month follow-up (n = 1267)

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

Variables

Unadjusted regression

Block 1

Block 2

Block 3

coef.

CI (95%)

p

coef

CI (95%)

p

coef

CI (95%)

p

coef

CI (95%)

p

Block 1: Individual factors

 Male Gender

0.390

(0.279, 0.500)

< 0.001

0.364

(0.249, 0.479)

< 0.001

0.344

(0.226, 0.463)

< 0.001

0.318

(0.208, 0.428)

< 0.001

 Age in years

− 0.006

(−0.011, − 0.002)

0.008

− 0.004

(− 0.008, 0.001)

0.094

− 0.003

(− 0.008, 0.002)

0.185

− 0.001

(− 0.005, 0.004)

0.779

 Not living alone

0.201

(0.078, 0.324)

0.001

0.130

(0.005, 0.255)

0.041

0.116

(−0.008, 0.241)

0.068

0.087

(−0.029, 0.202)

0.142

 Education level

  

0.845

  

0.686

  

0.409

  

0.585

  Primary School (ref.)

  Trade school

0.037

(−0.096, 0.170)

0.590

−0.061

(− 0.194, 0.073)

0.375

− 0.072

(− 0.206, 0.062)

0.291

− 0.019

(− 0.143, 0.105)

0.760

  High School

0.080

(−0.106, 0.266)

0.401

0.020

(−0.164, 0.204)

0.833

−0.001

(−0.185, 0.183)

0.992

0.054

(−0.117, 0.225)

0.533

  College/University

0.045

(−0.089, 0.180)

0.507

−0.053

(− 0.187, 0.082)

0.445

−0.103

(− 0.241, 0.035)

0.143

− 0.052

(− 0.180, 0.075)

0.420

Block 2: Health-related factors

 RAND-12 Physical (baseline)

0.010

(0.005, 0.015)

< 0.001

   

−0.004

(− 0.013, 0.005)

0.405

− 0.006

(− 0.015, 0.002)

0.151

 RAND-12 Mental (baseline)

0.010

(0.006, 0.015)

< 0.001

   

0.008

(−0.001, 0.016)

0.093

0.007

(−0.001, 0.015)

0.098

 Coronary heart disease

  

< 0.001

     

< 0.001

  

0.034

  Stabile coronary diseases (ref.)

   UAP

0.059

(−0.086, 0.203)

0.426

   

0.081

(−0.062, 0.224)

0.268

−0.033

(− 0.186, 0.120)

0.672

   NSTEMI

0.142

(0.022, 0.262)

0.021

   

0.142

(0.021, 0.262)

0.021

−0.030

(−0.174, 0.114)

0.679

   STEMI

0.390

(0.254, 0.525)

< 0.001

   

0.338

(0.195, 0.481)

<  0.001

0.143

(−0.029, 0.315)

0.103

   Other

0.217

(0.005, 0.429)

0.044

   

0.210

(− 0.000, 0.419)

0.050

0.164

(−0.040, 0.367)

0.115

Comorbidity DHPS

−0.121

(− 0.217, − 0.025)

0.014

   

−0.046

(− 0.148, 0.055)

0.372

−0.045

(− 0.138, 0.049)

0.349

Smoke

  

0.547

     

0.360

  

0.269

 Never smoke (ref.)

 Smoked before >1mnd

−0.061

(−0.171, 0.049)

0.276

   

−0.058

(− 0.169, 0.053)

0.303

−0.084

(−0.186, 0.018)

0.106

 Smoked

−0.043

(−0.178, 0.093)

0.535

   

−0.100

(−0.245, 0.044)

0.174

−0.049

(− 0.182, 0.083)

0.465

Previous PCI

−0.130

(− 0.238, − 0,022)

0.018

   

−0.075

(− 0.188, 0.037)

0.190

− 0.044

(−.0.149, 0.060)

0.405

Previous Coronary bypass surgery

−0.042

(− 0.188, 0.104)

0.573

   

0.036

(−0.116, 0.189)

0.638

0.048

(−0.092, 0.189)

0.500

Block 3: Healthservice factors

Duration of hospital stay

  

< 0.001

        

0.369

 1 day (ref.)

 2 days

0.209

(0.050, 0.368)

0.010

      

0.150

(0.001, 0.298)

0.049

 3 days

0.277

(0.121, 0.433)

< 0.001

      

0.087

(−0.078, 0.252)

0.303

 4 days

0.277

(0.124, 0.430)

< 0.001

      

0.055

(−0.118, 0.229)

0.531

 More than 4 days

0.262

(0.124, 0.400)

< 0.001

      

0.058

(−0.104, 0.220)

0.482

Benefit from the written patient information from hospital

  

< 0.001

        

< 0.001

 No (ref.)

 Yes

0.454

(0.312, 0.597)

< 0.001

      

0.344

(0.208, 0.481)

< 0.001

 I don’t know

0.190

(0.024, 0.355)

0.024

      

0.100

(−0.057, 0.256)

0.211

 Did not receive

− 0.164

(− 0.332, 0.003)

0.054

      

−0.121

(−0.278, 0.036)

0.131

Discharged to home

−0.185

(−0.291, − 0.080)

< 0.001

      

−0.116

(−0.224, − 0.009)

0.034

First post-discharge meeting with GP

  

< 0.001

        

0.068

 Before 4 weeks (ref.)

 Within 4–8 weeks

−0.014

(−0.124, 0.096)

0.801

      

−0.001

(− 0.102, 0.100)

0.985

 Not visited the GP

−0.446

(−0.591, − 0.301)

< 0.001

      

−0.185

(−0.347, − 0.023)

0.025

Consultation with the regular GP at first appointment

0.401

(0.281, 0.521)

< 0.001

      

0.191

(0.057, 0.326)

0.005

Enough time in consultations with GP

  

< 0.001

        

< 0.001

 To some degree and less (ref.)

 To a large degree

0.476

(0.371, 0.581)

< 0.001

      

0.379

(0.276, 0.482)

< 0.001

 To a very large degree

0.698

(0.569, 0.828)

< 0.001

      

0.558

(0.430, 0.686)

< 0.001

CR participation (planned, ongoing or completed)

0.224

(0.128, 0.320)

< 0.001

      

0.093

(−0.004, 0.190)

0.060

 

Block 1 R2 = 0.043

Adjusted R Squared = 0.039

Block 2 R2 = 0.076

Adjusted R Squared = 0.063

Block 3 R2 = 0.239

Adjusted R Squared = 0.220

  1. Dependent Variable Heart Continuity of Care questionnaire (HCCQ), All analyses in the table are estimated using multiply imputed data for the 1267 observations with complete data for the dependent variable. Abbreviations PCI percutaneous coronary intervention, STEMI ST-segment elevation myocardial infarction, NSTEMI Non–ST-segment elevation myocardial infarction, UAP unstable angina, GP general practitioner, CR cardiac rehabilitation, WHOQL World Health Organization Quality of Life, RAND-12 Health Status Inventory, physical and mental component, Comorbidity DHPS diabetes, hypertension, peripheral artery disease and previous stroke