Table 2 DID results for the impact of the family doctor system on health service utilization in patients with hypertension and diabetes
Outcome | 2014 | 2017 | DID | |||
|---|---|---|---|---|---|---|
Contracted | Non-contracted | Contracted | Non-contracted | coef. (95%CI) | p value | |
Hypertension | ||||||
Annual follow-up visits | 7.91 (7.88,7.94) | 7.02 (6.97,7.07) | 8.78 (8.75,8.81) | 6.81 (6.75,6.86) | 0.13 (0.12,0.13) | < 0.001 |
Annual outpatient visits | 29.13 (29.00,29.26) | 21.73 (21.47,21.99) | 31.55 (31.41,31.69) | 21.97 (21.71,22.24) | 0.08 (0.07,0.09) | < 0.001 |
Annual outpatient visits in community health centers | 21.62 (21.53,21.72) | 10.90 (10.71,11.08) | 25.14 (25.02,25.25) | 11.42 (11.22,11.62) | 0.09 (0.08,0.11) | < 0.001 |
Proportion of outpatient visits in community health centers | 77.45 (77.31,77.60) | 50.11 (49.61,50.60) | 82.39 (82.27,82.52) | 50.84 (50.34,51.35) | 0.02 (0.01,0.03) | < 0.001 |
Annual outpatient visits in secondary and tertiary hospitals | 7.42 (7.36,7.49) | 10.70 (10.53,10.87) | 6.27 (6.21,6.32) | 10.36 (10.19,10.53) | -0.14 (-0.16, -0.13) | < 0.001 |
Annual inpatient admissions | 0.21 (0.21,0.22) | 0.24 (0.23,0.25) | 0.39 (0.38,0.39) | 0.44 (0.42,0.46) | -0.02(-0.04,-0.01) | 0.042 |
Diabetes | ||||||
Annual follow-up visits | 5.70 (5.66,5.74) | 5.58 (5.48,5.67) | 5.75 (5.72,5.79) | 5.13 (5.04,5.23) | 0.08 (0.06,0.11) | < 0.001 |
Annual outpatient visits | 33.79 (33.51,34.07) | 25.43 (24.81,26.05) | 35.93 (35.62,36.23) | 25.64 (24.99,26.28) | 0.05(0.03,0.08) | < 0.001 |
Annual outpatient visits in community health centers | 24.90 (24.69,25.12) | 12.17 (11.72,12.63) | 28.45 (28.20,28.70) | 12.92 (12.43,13.41) | 0.07 (0.04,0.11) | < 0.001 |
Proportion of outpatient visits in community health centers | 76.10 (75.82,76.38) | 46.30 (45.22,47.38) | 81.61 (81.37,81.85) | 47.30 (46.21,48.39) | 0.04 (0.02, 0.06) | < 0.001 |
Annual outpatient visits in secondary and tertiary hospitals | 8.78 (8.65,8.91) | 13.08 (12.67,13.50) | 7.29 (7.17,7.42) | 12.43 (12.03,12.84) | -0.13 (-0.16, -0.10) | < 0.001 |
Annual inpatient admissions | 0.28 (0.27,0.28) | 0.35 (0.32,0.38) | 0.48 (0.46,0.49) | 0.57 (0.53,0.62) | -0.09(-0.10, 0.01) | 0.124 |