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Table 4 Independent predictors of 3-year Quality and Outcomes Framework indicators for overall exceptions

From: Incentivised chronic disease management and the inverse equity hypothesis: findings from a longitudinal analysis of Scottish primary care practice-level data

Predictor

 

Total exceptions

 

Univariate (odds ratios)

Best fit (odds ratios)

Estimated (95% CI), P value

Overall P value

Estimated (95% CI), P value

Overall P value

Year

2010/2011*

2011/2012

2012/2013

-

0.995 (0.991–1.000), P = 0.062

1.024 (1.019–1.029), P < 0.001

P < 0.001

-

0.997 (0.993–1.002), P = 0.293

1.028 (1.023–1.033), P < 0.001

P < 0.001

Practice population:

% in top 15%

most deprived

None*

<5%

5–15%

15–25%

25–50%

>50%

-

1.042 (1.019–1.065), P < 0.001

1.178 (1.119–1.239), P < 0.001

1.268 (1.202–1.338), P < 0.001

1.359 (1.282–1.440), P < 0.001

1.418 (1.325–1.517), P < 0.001

P < 0.001

-

1.035 (1.012–1.059), P = 0.002

1.128 (1.068–1.192), P < 0.001

1.188 (1.119–1.261), P < 0.001

1.278 (1.197–1.365), P < 0.001

1.325 (1.227–1.429), P < 0.001

P < 0.001

Practice population:

mean age

<40*

40–41

≥42

-

0.908 (0.843–0.979), P = 0.012

0.785 (0.727–0.847), P < 0.001

P < 0.001

removed during backward stepwise regression

 

Practice population:

list size

<5000*

5–10,000

≥10,000

-

1.137 (1.066–1.213), P < 0.001

1.121 (1.003–1.254), P = 0.045

P < 0.001

-

1.091 (1.021–1.165), P = 0.010

1.081 (0.970–1.206), P = 0.160

P = 0.030

Practice population:

patients per GP

<1000*

1000–1500

≥1500

-

1.092 (1.018–1.171), P = 0.014

1.186 (1.092–1.288), P < 0.001

P < 0.001

removed during backward stepwise regression

 

Practice GPs:

number of GPs

1*

2–3

4–6

≥7

-

0.921 (0.802–1.057), P = 0.240

0.956 (0.833–1.097), P = 0.520

1.008 (0.876–1.159), P = 0.911

P = 0.150

removed during backward stepwise regression

 

Practice GPs:

mean age

≤44*

45–49

≥50

-

0.984 (0.915–1.059), P = 0.672

1.025 (0.946–1.111), P = 0.549

P = 0.594

removed during backward stepwise regression

 

Practice:

urban/rural

Large urban*

Other urban

Small town

Rural

-

0.856 (0.796–0.921), P < 0.001

0.870 (0.792–0.955), P = 0.003

0.659 (0.609–0.713), P < 0.001

P < 0.001

-

0.900 (0.835–0.970), P = 0.006

0.971 (0.881–1.070), P = 0.548

0.799 (0.727–0.878), P < 0.001

P < 0.001

Indicator:

% not achieved

<5%*

5–10%

>10%

-

0.923 (0.918–0.928), P < 0.001

0.853 (0.846–0.859), P < 0.001

P < 0.001

-

0.922 (0.917–0.927), P < 0.001

0.852 (0.846–0.858), P < 0.001

P < 0.001

Indicator:

threshold increasing

No*

Yes

-

1.204 (0.645–2.248), P = 0.560

P = 0.560

removed during backward stepwise regression

 
  1. * Reference group for odds ratio
  2. CI confidence interval, GP general practitioner