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Table 3 Factors associated with the frequency of consultations with GPs using Poisson and logistic regressions

From: Consultation frequency and general practitioners’ and practices’ characteristics

 

N

Univariate

M11

M22

M33

IRR

95% CI

IRR

95% CI

IRR

95% CI

OR

95% CI

Patients’ characteristics

1105

        

Sex

 Male

479

1

 

1

 

1

 

1

 

 Female

625

0.95

0.90–1.01

0.94

0.88–1.01

0.89

0.83–0.96

0.90

0.57–1.42

Age

1104

1.17

1.12–1.22

0.87

0.82–0.93

0.87

0.82–0.93

0.88

0.58–1.35

Educational level

 Obligatory schooling only

191

1

 

1

 

1

 

1

 

 Upper-secondary

568

0.93

0.86–1.00

0.94

0.86–1.03

1.06

0.97–1.16

0.98

0.57–1.71

 Tertiary level

296

0.7

0.64–0.77

0.81

0.73–0.90

0.81

0.72–0.90

0.78

0.39–1.58

Self-perceived health status

  (0 to 100)

1100

0.67

0.64–0.70

0.8

0.75–0.84

0.78

0.73–0.82

0.62

0.45–0.85

Physical exercise

 No

300

1

 

1

 

1

 

1

 

 Yes

797

0.77

0.73–0.82

0.87

0.81–0.94

0.91

0.85–0.99

0.93

0.56–1.55

Psychological distress

 Normal

760

1

 

1

 

1

 

1

 

 Mild

198

1.11

1.04–1.20

1.11

1.02–1.21

1.13

1.04–1.24

1.41

0.81–2.48

 Moderate to severe

80

1.72

1.57–1.88

1.66

1.49–1.86

1.41

1.25–1.59

2.68

1.29–5.57

Sleeping problems

 No

1001

1

 

1

 

1

 

1

 

 Yes

75

1.22

1.10–1.34

1.08

0.96–1.23

1.17

1.04–1.33

0.70

0.29–1.68

Chronic disease

 No

483

1

 

1

 

1

 

1

 

 Yes

582

1.39

1.32–1.48

1.27

1.18–1.37

1.19

1.10–1.28

1.66

0.98–2.80

Treatment with medication

 No

282

1

 

1

 

1

 

1

 

 Yes

792

1.71

1.59–1.84

1.24

1.12–1.37

1.31

1.18–1.46

1.42

0.65–3.10

Taking anticoagulants

 No

905

1

 

1

 

1

 

1

 

 Yes

197

1.65

1.54–1.75

1.58

1.45–1.71

1.64

1.51–1.78

3.64

2.18–6.06

Compliant

 Yes always

732

1

 

1

 

1

 

1

 

 Other

308

0.81

0.76–0.86

0.91

0.84–0.98

0.94

0.86–1.01

0.78

0.46–1.34

BMI

 Normal range (18.5–24.99)

422

1

 

1

 

1

 

1

 

 Underweight (< 18.5)

25

1.35

1.14–1.59

1.26

1.03–1.53

0.9

0.71–1.14

2.34

0.65–8.48

 Overweight and obese (> 25)

530

1.14

1.07–1.21

0.99

0.92–1.06

1.0

0.93–1.07

1.21

1.29–5.57

GP and practice characteristics

152

        

Linguistic region

 French

56

1

 

1

 

1

 

1

 

 German

83

1.25

1.07–1.45

1.14

0.97–1.35

1.10

0.94–1.28

1.81

1.00–3.29

 Italian

13

1.5

1.16–1.95

1.42

1.06–1.90

1.41

1.09–1.83

3.15

1.42–6.97

Hours worked per week

 < 40 h

46

1

 

1

 

1

 

1

 

 40–49 h

39

1.14

0.94–1.37

1.15

0.95–1.40

1.18

0.99–1.40

1.62

0.86–3.05

 ≥ 50 h

58

1.21

1.02–1.43

1.21

1.01–1.46

1.25

1.06–1.48

2.03

1.13–3.67

Practice opening hours

 ≤ 8 h/day

75

1

 

1

 

1

 

1

 

 > 8 h/day

62

0.86

0.74–0.99

0.88

0.76–1.02

0.85

0.75–0.98

0.97

0.92–1.02

Shared medical records

 No

53

1

 

1

 

1

 

1

 

 Yes, only within the practice

76

0.75

0.64–0.87

0.79

0.67–0.92

0.8

0.69–0.93

0.55

0.34–0.90

 Yes, also with external healthcare professionals

16

0.9

0.71–1.15

1.02

0.79–1.31

1

0.80–1.26

0.98

0.51–1.89

 Practice variance

   

0.131

0.099

1.09 10–33

  1. This table only displays variables that were significant in the multivariate models
  2. CI = confidence interval; IRR = incidence rate ratio
  3. 1M1 = final multivariate model 1, including all patients
  4. 2M2 = final multivariate model 2, only includes patients with fewer than 45 visits per year
  5. 3M3 = Multivariate logistic model using a threshold of 12 visits in the past 12 months to define frequent users (estimated parameter is odds ratio, OR)