Outcome: | Next-year COPD hospital admissions (n = 148,128) | 90-day readmissions (n = 18,372 index hospital admissions) |
---|---|---|
Independent variable: | IRR (95%-CI) | IRR (95%-CI) |
Care indicators | ||
Spirometry performed at GP or contract specialist | 0.93 (0.88–0.97)* | 1.04 (0.91–1.20) |
Continuity within GP care | 0.85 (0.79–0.91)* | 0.87 (0.74–1.04) |
Rehabilitation within 30 days vs. later after COPD hospital admission | 0.82 (0.70–0.95)* | 0.86 (0.70–1.07) |
No hospital admission/rehabilitation vs. rehabilitation after COPD hospital admission | 0.94 (0.82–1.07) | 0.43 (0.37–0.50)* |
Follow-up by GP within 30 days vs. no/later follow-up after COPD hospital admission | 0.92 (0.87–0.98)* | 1.09 (0.97–1.22) |
No hospital admissions vs. no/later follow-up by GP after COPD hospital admission | 0.45 (0.42–0.48)* | N/A |
Care interaction fees | 0.93 (0.86–0.99)* | 1.01 (0.87–1.16) |
Home visits by GP or physiotherapist | 1.00 (1.00-1.01) | 1.01 (1.00-1.02) |
Characteristics of the regular GP | ||
GP specialist | 0.99 (0.94–1.05) | 1.01 (0.87–1.15) |
GP group practice | 0.91 (0.81–1.03) | 1.05 (0.80–1.39) |
List length per 100 patients | 0.99 (0.98-1.00)* | 1.00 (0.98–1.01) |
Contact rate GP and contract specialist, respiratory diagnoses | 1.08 (1.03–1.13)* | 1.08 (0.99–1.19) |
Contact rate GP and physiotherapist, respiratory diagnoses | 1.00 (1.00–1.00) | 1.00 (0.99–1.01) |
Contact rate GP and outpatient hospital, respiratory diagnoses | 1.05 (0.99–1.11) | 1.01 (0.98–1.04) |
Comorbidities | ||
Alcoholism | 1.45 (1.31–1.60)* | 1.20 (0.94–1.52) |
Anemia | 0.95 (0.87–1.05) | 1.16 (0.96–1.40) |
Depression | 1.20 (1.12–1.28)* | 1.00 (0.87–1.15) |
Diabetes | 0.91 (0.85–0.98)* | 0.89 (0.75–1.05) |
Lung cancer | 1.09 (0.97–1.23) | 1.14 (0.90–1.44) |
Mental disorders | 1.02 (0.91–1.14) | 0.96 (0.72–1.27) |
Osteoporosis | 1.14 (1.05–1.22)* | 1.13 (0.96–1.34) |
Underweight | 1.03 (0.97–1.10) | 1.21 (1.03–1.42)* |
Socioeconomics | ||
Gross income (per 100,000 NOK) | 0.96 (0.93–0.99)* | 0.98 (0.94–1.02) |
Education: Secondary vs. primary | 0.89 (0.85–0.93)* | 0.96 (0.86–1.07) |
College/university vs. primary | 0.69 (0.63–0.74)* | 0.94 (0.79–1.13) |
Permanent disability pension | 1.36 (1.29–1.44)* | 1.02 (0.89–1.18) |