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Table 6 Summary of caller and call characteristics impact on concordance by category of advice (adjusted hazard ratios of multivariate cox regression)

From: Concordance between 8-1-1 HealthLink BC Emergency iDoctor-in-assistance (HEiDi) virtual physician advice and subsequent health service utilization for callers to a nurse-managed provincial health information telephone service

Variable

Go to ED Now

(nevents = 2025)

Seek FP Care Now

(nevents = 625)

Schedule FP Appointment

(nevents = 3091)

Self-Manage

(nevents = 2471)

Nurse disposition: Yellow (ref)

Nurse disposition: Red-MD

1.10 (1.01—1.20)

1.09 (0.92—1.30)

1.078 (0.98—1.16)

0.89 (0.82—0.97)

Age: 21–40 years (ref)

Age: 0–1 years

0.86 (0.70—1.07)

1.17 (0.77—1.76)

1.19 (1.02—1.39)

1.09 (0.92—1.28)

Age: 2–5 years

0.97 (0.79—1.20)

1.24 (0.83—1.83)

0.89 (0.74—1.08)

1.48 (1.21—1.80)

Age: 6–20 years

0.96 (0.80—1.15)

0.83 (0.59—1.16)

0.95 (0.82—1.10)

1.49 (1.25—1.77)

Age: 41–65 years

0.90 (0.80—1.02)

1.13 (0.92—1.40)

1.09 (0.99—1.20)

0.89 (0.80—0.98)

Age: > 65 years

1.04 (0.91—1.19)

1.48 (1.16—1.88)

1.30 (1.17—1.45)

0.73 (0.64—0.83)

Sex: Female (ref)

Sex: Male

1.04 (0.94—1.14)

0.91 (0.76—1.08)

0.95 (0.88—1.03)

0.93 (0.85—1.01)

Economic dependency: 1 (least deprived) (ref)

Economic dependency: 2

1.25 (1.10—1.42)

1.35 (1.06—1.70)

1.05 (0.94—1.16)

0.89 (0.80 -1.00)

Economic dependency: 3

1.07 (0.93—1.23)

1.08 (0.84—1.40)

1.09 (0.98—1.22)

0.93 (0.83—1.05)

Economic dependency: 4

0.92 (0.80—1.06)

1.32 (1.03—1.69)

0.99 (0.89—1.11)

0.96 (0.85—1.09)

Economic dependency: 5 (most deprived)

0.89 (0.77—1.03)

1.08 (0.83—1.41)

1.09 (0.97—1.22)

0.93 (0.81—1.07)

Health Authority: Vancouver Coastal (ref)

Health Authority: Fraser

1.16 (1.03—1.30)

1.11 (0.89—1.39)

1.05 (0.96—1.15)

0.98 (0.89—1.09)

Health Authority: Interior

0.86 (0.73—1.00)

0.87 (0.65—1.16)

0.79 (0.70—0.89)

1.25 (1.08—1.44)

Health Authority: Vancouver Island

1.39 (1.21—1.59)

1.12 (0.88—1.43)

0.81 (0.72—0.91)

1.16 (1.02—1.33)

Health Authority: Northern

0.46 (0.35—0.61)

1.49 (1.02—2.18)

0.71 (0.59—0.85)

1.30 (1.04—1.63)

Rurality: Urban (ref)

Rurality: Rural

0.53 (0.46—0.61)

1.28 (1.01—1.62)

1.23 (1.11—1.37)

0.98 (0.87—1.12)

Health concern: Cardiovascular (ref)

Health concern: Dental/Mouth

0.90 (0.55—1.46)

0.68 (0.26—1.79)

0.89 (0.64—1.25)

1.53 (0.96—2.43)

Health concern: Dermatology

0.88 (0.68—1.14)

1.30 (0.82—2.05)

1.14 (0.93—1.39)

1.05 (0.82—1.35)

Health concern: First Aid

0.96 (0.70—1.31)

0.99 (0.54—1.80)

0.93 (0.71—1.22)

1.43 (1.07—1.92)

Health concern: Gastroenterology

0.94 (0.80—1.14)

0.93 (0.59—1.47)

0.96 (0.80—1.16)

0.87 (0.68—1.10)

Health concern: Gynecology

0.74 (0.56—0.98)

0.95 (0.55—1.63)

0.97 (0.78—1.21)

1.02 (0.73—1.42)

Health concern: Immunology

0.85 (0.62—1.17)

0.96 (0.49—1.88)

1.10 (0.84—1.44)

0.85 (0.64—1.12)

Health concern: Musculoskeletal

0.92 (0.75—1.13)

1.02 (0.66—1.58)

1.01 (0.84—1.22)

1.20 (0.94—1.53)

Health concern: Neurology

0.98 (0.80—1.20)

1.32 (0.84—2.06)

0.912 (0.75—1.12)

1.13 (0.88—1.46)

Health concern: Obstetrics/Postpartum

0.62 (0.46—0.83)

1.58 (0.91—2.75)

1.56 (1.23—1.97)

0.40 (0.30—0.53)

Health concern: Ophthalmology

1.05 (0.80—1.37)

0.70 (0.38—1.29)

1.03 (0.78—1.36)

1.31 (0.95—1.81)

Health concern: Other

0.78 (0.51—1.20)

1.28 (0.45—3.69)

1.09 (0.81—1.46)

0.96 (0.68—1.35

Health concern: Otolaryngology

1.05 (0.76—1.46)

1.27 (0.77—2.09)

1.19 (0.96—1.48)

0.91 (0.68—1.22)

Health concern: Pediatrics

0.90 (0.65—1.24)

1.43 (0.76—2.72)

0.92 (0.68—1.25)

0.74 (0.54—1.02)

Health concern: Pharmaceutical (Medication)

0.89 (0.28—2.81)

0.59 (0.14—2.51)

1.60 (1.03—2.46)

0.81 (0.50—1.31)

Health concern: Psychology (Mental Health)

0.71 (0.38—1.31)

1.20 (0.46—3.18)

0.88 (0.59—1.32)

0.53 (0.30—0.93)

Health concern: Respiratory

0.86 (0.70—1.07)

0.94 (0.58—1.51)

0.96 (0.78—1.18)

0.75 (0.59—0.96)

Health concern: Urology

1.02 (0.79—1.32)

1.38 (0.82—2.30)

1.17 (0.92—1.48)

0.77 (0.56—1.06)

Health concern: Wellness

0.78 (0.32—1.91)

0.812 (0.28—2.37)

1.60 (0.95—2.68)

1.49 (0.83—2.69)

Attached: Yes (ref)

Attached: No

1.01 (0.89—1.15)

0.92 (0.73—1.16)

0.76 (0.68—0.85)

1.22 (1.08—1.37)

Weekend: No (ref)

Weekend: Yes

1.05 (0.96—1.15),

0.93 (0.78—1.10),

0.93 (0.86—1.00)

0.97 (0.89—1.06)

Time of call: Day (ref)

Time of call: Evening

1.20 (1.09—1.31)

0.82 (0.65—1.04)

1.04 (0.97—1.12)

0.85 (0.79—0.93)

Time of call: Off-hours

1.02 (0.82—1.28)

1.13 (0.82—1.56)

1.01 (0.81—1.25)

1.19 (0.96—1.48)

  1. 1“Self-Manage” hazard ratios are inversely calculated, i.e., so that higher HRs for all dispositions indicate callers being more likely to be concordant
  2. *Significant at alpha < 0.05
  3. **Significant at alpha < 0.01
  4. ***Significant at alpha < 0.001