Table 1.
Rate Ratios (95% CI) for Comprehensiveness of Service Settings
| British Columbia | Manitoba | Ontario | Nova Scotia | |||||
|---|---|---|---|---|---|---|---|---|
| Unadjusted | Adjusted | Unadjusted | Adjusted | Unadjusted | Adjusted | Unadjusted | Adjusted | |
| Intercept | NA | 3.72 (3.54-3.91) |
NA | 3.26 (2.92-3.63) |
NA | 3.1 (2.9-3.21) |
NA | 2.26 (2.06-2.47) |
| Years since MD (reference = 10-19 years) | ||||||||
| <10 | 0.92 (0.88-0.96) |
0.9 (0.86-0.94) |
0.86 (0.78-0.94) |
0.89 (0.81-0.97) |
0.92 (0.89-0.94) |
0.95 (0.92-0.99) |
0.92 (0.85-0.98) |
0.96 (0.88-1.04) |
| 20-29 (MB: ≥20) | 0.9 (0.86-0.93) |
1.02 (0.98-1.06) |
0.89 (0.79-0.99) |
1.05 (0.95-1.16) |
0.96 (0.93-0.98) |
0.96 (0.93-1.0) |
0.96 (0.89-1.03) |
1.0 (0.93-1.04) |
| ≥30 | 0.63 (0.6-0.67) |
0.95 (0.9-1.01) |
NA | NA | 0.8 (0.77-0.82) |
0.89 (0.85-0.93) |
0.77 (0.72-0.83) |
0.86 (0.77-0.95) |
| Year | ||||||||
| 2017-2018 (vs 1999-2000) | 0.49 (0.47-0.5) |
0.52 (0.49-0.56) |
0.45 (0.42-0.48) |
0.48 (0.42-0.56) |
0.6 (0.59-0.62) |
0.65 (0.62-0.68) |
0.69 (0.67-0.73) |
0.76 (0.96-0.84) |
| Interaction | ||||||||
| Year, <10 | NA | 1.25 (1.15-1.37) |
NA | 1.13 (0.96-1.34) |
NA | 1.13 (1.06-1.2) |
NA | 1.07 (0.94-1.23) |
| Year, 20-29 (MB: ≥20) | NA | 0.95 (0.86-1.03) |
NA | 0.92 (0.76-1.12) |
NA | 1.0 (0.95-1.06) |
NA | 0.94 (0.83-1.08) |
| Year, ≥30 | NA | 0.87 (0.78-0.96) |
NA | NA | NA | 0.99 (0.9-1.05) |
NA | 1.09 (0.94-1.26) |
| Covariates | ||||||||
| Male (vs female) | 1.29 (1.24-1.34) |
1.11 (1.07-1.16) |
1.69 (1.54-1.84) |
1.27 (1.17-1.37) |
1.4 (1.37-1.43) |
1.22 (1.19-1.25) |
1.14 (1.08-1.2) |
0.99 (0.95-1.06) |
| Urban (vs rural) | 0.75 (0.72-0.77) |
0.72 (0.7-0.75) |
0.56 (0.52-0.6) |
0.54 (0.5-0.57) |
0.54 (0.53-0.56) |
0.55 (0.53-0.56) |
0.9 (0.85-0.96) |
1.0 (0.95-1.06) |
| Number of contacts (per 100 contacts) | 1.01 (1.0-1.01) |
1.0 (1.0-1.0) |
1.01 (1.0-1.01) |
1.0 (1.0-1.01) |
1.0 (1.0-1.0) |
1.0 (1.0-1.0) |
1.01 (1.01-1.01) |
1.01 (1.0-1.01) |
| International MD (vs Canadian MD) | 0.86 (0.83-0.9) |
0.9 (0.87-0.94) |
0.91 (0.84-0.98) |
0.79 (0.73-0.84) |
NA | NA | NA | NA |
| Unknown MD (vs Canadian MD) | 0.76 (0.66-0.87) |
0.83 (0.73-0.95) |
1.22 (0.92-1.62) |
1.38 (1.26-1.52) |
NA | NA | NA | NA |
MB = Manitoba; MD = Doctor of Medicine; NA = not applicable.
Note: There were missing data on place of graduation in Nova Scotia and incomplete data in Ontario; therefore, this variable was excluded from modeling in these provinces.