HbA1c ≤7.4% (n = 7456) | HbA1c ≤10% (n = 7456) | Blood pressure ≤145/85 mmHg (n = 7456) | Total cholesterol ≤5 mmol/l (n = 7456) | |||||
---|---|---|---|---|---|---|---|---|
Clinical indicator | β | SE(β) | β | SE(β) | β | SE(β) | β | SE(β) |
Characteristic | ||||||||
Intercept | 60.076 | 0.737 | 90.006 | 0.443 | 74.720 | 0.758 | 77.294 | 0.631 |
Area | ||||||||
Density (people per hectare 2001) | –0.035 | 0.160 | –0.275c | 0.076 | 0.007 | 0.166 | –0.091 | 0.123 |
Index of Multiple Deprivation | –0.460b | 0.155 | –0.517c | 0.069 | –0.001 | 0.144 | –0.140 | 0.126 |
Patients | ||||||||
≥65 years of age | 1.599c | 0.172 | 0.884c | 0.081 | –0.552c | 0.166 | 0.377a | 0.158 |
% Member of racial or ethnic minority | –1.529c | 0.187 | –0.586c | 0.090 | –0.427a | 0.198 | –0.508b | 0.158 |
Disease prevalence | ||||||||
Unadjusted prevalence | 0.689b | 0.245 | –0.070 | 0.101 | –0.031 | 0.169 | 0.158 | 0.150 |
Practice | ||||||||
Size of practice population | –0.066 | 0.108 | 0.115a | 0.051 | –0.282a | 0.122 | 0.000 | 0.093 |
List size per FTE GP | 0.148b | 0.052 | –0.002 | 0.048 | –0.039 | 0.082 | –0.041 | 0.047 |
Single-handed practice | –0.047 | 0.394 | –0.544a | 0.251 | 0.205 | 0.416 | –0.007 | 0.313 |
Primary medical services contract | 0.282 | 0.214 | 0.108 | 0.111 | –0.183 | 0.239 | 0.101 | 0.193 |
GPs | ||||||||
≥45 years of age | –0.523c | 0.116 | –0.250c | 0.056 | –0.079 | 0.125 | –0.315b | 0.113 |
% Female GPs | 0.851c | 0.114 | 0.537c | 0.063 | 0.205 | 0.138 | 0.546c | 0.111 |
% GPs qualified in UK | 0.615c | 0.159 | 0.703c | 0.095 | 0.667c | 0.157 | 0.939c | 0.130 |
Exception reporting | ||||||||
HbA1c recorded | –0.128 | 0.132 | 0.093 | 0.067 | ||||
HbA1c ≤7.4% | 4.060c | 0.132 | ||||||
HbA1c ≤10% | 2.051c | 0.074 | ||||||
Blood pressure recorded | 0.668c | 0.160 | ||||||
Blood pressure ≤145/85 mmHg | –0.197 | 0.157 | ||||||
Total cholesterol | –0.474c | 0.121 | ||||||
Total cholesterol ≤5 mmol/l | 3.669c | 0.116 | ||||||
Practice nurses | ||||||||
List size per FTE practice nurse (quintiles) | ||||||||
1st ≤3038.01 | 2.249b | 0.713 | 1.763c | 0.449 | 0.679 | 0.715 | 1.862b | 0.632 |
2nd 3038.02–3901.48 | 2.046b | 0.695 | 1.639c | 0.440 | 0.578 | 0.751 | 1.537a | 0.619 |
3rd 3901.49–4823.44 | 1.505a | 0.718 | 1.420b | 0.438 | 0.362 | 0.751 | 1.335a | 0.655 |
4th 4823.45–6210.68 | 1.193 | 0.726 | 1.499b | 0.460 | 0.598 | 0.759 | 1.754b | 0.670 |
5th ≥6210.69 | 0.776 | 0.695 | 0.915a | 0.425 | –0.015 | 0.786 | 1.122 | 0.648 |
No practice nurse | 0.000 | 0.000 | 0.000 | 0.000 | ||||
Global test for effect of nurse staffing –2 log likelihood (IGLS) | ||||||||
Model without practice nurse variable | 52990.910 | 43200.699 | 54991.270 | 51088.563 | ||||
Model with practice nurse variable | 52955.133 | 43143.883 | 54985.156 | 51069.234 | ||||
Difference in log likelihood (5df) | 35.777 | 56.816 | 6.114 | 19.329 | ||||
P-value | <0.001 | <0.001 | 0.30 | 0.0017 | ||||
Variance | ||||||||
PCT level | 23.490 | 2.382 | 2.022 | 0.274 | 4.006 | 0.609 | 8.426 | 0.862 |
Practice level | 52.617 | 1.271 | 14.768 | 0.751 | 74.060 | 1.641 | 42.346 | 1.073 |
df = degrees of freedom. FTE = full-time equivalent. SE = standard error.
P<0.05;
P<0.01;
P<0.001.