Table 5 Annual use of primary care and hospital care services by chronic patients according to adjusted morbidity groups (AMG) risk level, sex and age group
Primary care users Mean (SD) | Total 8226 (100%) | 95% CI | High risk 376 (8.8%) | Medium risk 1251 (29.2%) | Low risk 2657 (62%) | p | Female sex 2626 (61.3%) | Male sex 1658 (38.7%) | p | < 15 years 303 (3.7) | 15–65 years 4643 (56.4) | > 65 years 3280 (39.9) | p |
Annual total | 13.9 (15) | 13.5–14.2 | 34.3 (27.9) | 21.9 (17.2) | 10.1 (10.1) | < 0.01 | 14.3 (14.4) | 13.1 (16) | < 0.01 | 9.8 (8.3) | 9.9 (11) | 19.5 (18.2) | < 0.01 |
Contact type | |||||||||||||
Health contact | 11.9 (13.1) | 11.6–12.2 | 29.2 (25.8) | 18.8 (14.9) | 8.6 (8.7) | < 0.01 | 12.3 (12.5) | 11.2 (4.1) | < 0.01 | 9.3 (7.9) | 8.5 (9.2) | 16.9 (16.2) | < 0.01 |
Administrative contact | 1.0 (3.5) | 0.9–1.1 | 3.3 (6.8) | 1.9 (4.9) | 0.6 (2.5) | < 0.01 | 1.01(3.4) | 1.1 (3.9) | < 0.01 | 0.2 (1) | 0.7 (1.1) | 1.1 (1.6) | < 0.01 |
Laboratory contact | 0.9 (1.4) | 0.8–0.9 | 1.8 (2.4) | 1.2 (1.5) | 0.7 (1.5) | < 0.01 | 0.9 (1.4) | 0.8 (1.3) | < 0.01 | 0.2 (0.6) | 0.7 (1.1) | 1.1 (1.6) | < 0.01 |
Form of contact | |||||||||||||
In-person | 12.7 (12.7) | 12.4–13.0 | 26.7 (22) | 19.5 (14.8) | 9.7 (9.5) | < 0.01 | 13 (12.2) | 12.2 (13.6) | < 0.01 | 9.6 (7.9) | 9.8 (10.5) | 17.1 (14.6) | < 0.01 |
Telephone | 0.4 (2.4) | 0.3–0.5 | 2.4 (7.9) | 0.91 (2.9) | 0.2 (0.8) | < 0.01 | 0.5 (2.7) | 0.4 (1.9) | < 0.01 | 0.2 (0.9) | 0.2 (1.2) | 0.8 (3.5) | < 0.01 |
Home visit | 0.7 (4.1) | 0.6–0.8 | 5.1 (12.3) | 1.5 (5) | 0.2 (1.7) | < 0.01 | 0.8 (3.7) | 0.6 (4.7) | < 0.01 | 0 (0.1) | 0.1 (0.9) | 1.7 (6.2) | < 0.01 |
Professional contacted | |||||||||||||
Physician | 7.2 (7.1) | 7.1–7.4 | 15.9 (11.9) | 11.1 (8.2) | 5.5 (5.2) | < 0.01 | 7.7 (7.4) | 6.5 (6.7) | < 0.01 | 0.2 (0.6) | 5.9 (5.9) | 9.7 (8.1) | < 0.01 |
Pediatrician | 0.3 (1.8) | 0.2–0.3 | 0.03 (0.6) | 0.2 (2) | 0.3 (1.7) | < 0.01 | 0.2 (1.7) | 0.3 (1.8) | < 0.01 | 6.4 (6) | 0.03(0.9) | 0.01 (0.3) | < 0.01 |
Nurse | 3.8 (7.5) | 3.6–3.9 | 12.9 (18.6) | 6.6 (8.4) | 2.3 (4.6) | < 0.01 | 3.7 (6.3) | 3.9 (9.3) | 0.07 | 0.03 (0.5) | 0.3 (1.9) | 0.5 (2.5) | < 0.01 |
Physical therapist | 0.3 (2.1) | 0.2–0.4 | 0 (0) | 0.6 (2.8) | 0.3 (2) | < 0.01 | 0.4 (2.3) | 0.2 (1.8) | 0.01 | 0 (0.1) | 0.2 (1) | 0.01 (0.1) | < 0.01 |
Midwife | 0.1 (0.8) | 0.09–0.1 | 0.01 (0.1) | 0.05 (0.4) | 0.2 (0.9) | < 0.01 | 0.2 (1) | 0 (0.1) | < 0.01 | 0.4 (0.9) | 0.1 (0.5) | 0.03 (0.3) | < 0.01 |
Dentist | 0.07 (0.4) | 0.06–0.08 | 0 (0) | 0.1 (0.5) | 0.1 (0.4) | < 0.01 | 0.1 (0.4) | 0.1 (0.5) | 0.2 | 0 (0) | 0.03 (0.3) | 0.2 (1) | < 0.01 |
Social worker | 0.08 (0.7) | 0.07–1.0 | 0.3 (1.5) | 0.2 (1) | 0.04 (0.4) | < 0.01 | 0.1 (0.7) | 0.8 (0.7) | 0.3 | 0 (0) | 0.03 (0.3) | 0.2 (1) | < 0.01 |
Hospital care users Mean (SD) | Total 4284 (100%) | 95% CI | High risk 376 (8.8%) | Medium risk 1251 (29.2%) | Low risk 2657 (62%) | p | Female gender 2626 (61.3%) | Male gender 1658 (38.7%) | < 15 Years 114 (2.7%) | 15–65 Years 2236 (52.2%) | > 65 Years 1934 (45%) | p | |
Annual total | 4.8 (6.2) | 4.6–5.0 | 10 (11.9) | 5.9 (5.9) | 3.5 (4.8) | < 0.01 | 4.6 (5) | 5.2 (7.7) | < 0.01 | 0.7 (1.2) | 2 (4.4) | 5.7 (6.8) | < 0.01 |
Contact type | |||||||||||||
External consultations | 3.7 (4.2) | 3.6–3.8 | 6.6 (6.7) | 4.6 (4.7) | 2.8 (3) | < 0.01 | 3.6 (3.9) | 3.9 (4.8) | < 0.01 | 1.1 (1.3) | 3.3 (3.9) | 4.3 (4.6) | < 0.01 |
Emergencies | 0.7 (1.2) | 0.6–0.8 | 1.4 (1.8) | 0.8 (1.4) | 0.5 (0.9) | < 0.01 | 0.7 (1.2) | 0.7 (1.2) | 0.6 | 0.5 (0.8) | 0.6 (1) | 0.8 (1.4) | < 0.01 |
Income | 0.2 (0.4) | 0.1–0.3 | 0.5 (0.9) | 0.2 (0.5) | 0.1 (0.3) | < 0.01 | 0.1 (0.4) | 0.2 (0.5) | 0.7 | 0.2 (0.5) | 0.1 (0.3) | 0.2 (0.6) | < 0.01 |
Day hospital care | 0.3 (2.8) | 0.2–0.4 | 1.4 (5.7) | 0.2 (1.5) | 0.1 (2.5) | < 0.01 | 0.2 (1.5) | 0.4 (4) | 0.2 | 0.1 (0.4) | 0.3 (3) | 0.3 (2.5) | < 0.01 |