Table 4.
List size and characteristics of GPs, list populations and practice municipalities associated with a high rate1 of multidisciplinary meetings (MDMs) in Norwegian general practice.
| Univariate analyses | Model 1 | Model 2 | Model 3 | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N | OR | 95%CI | p-value | OR | 95%CI | p-value | OR | 95%CI | p-value | OR | 95%CI | p-value | |
| List size | |||||||||||||
| ≥ 1600 | 476 | Ref | Ref | Ref | Ref | ||||||||
| 1200 - 1599 | 1162 | 2.3 | 1.7-3.3 | < 0.001 | 2.6 | 1.8-3.7 | < 0.001 | 2.3 | 1.6-3.3 | < 0.001 | 2.3 | 1.6-3.3 | < 0.001 |
| 800 - 1199 | 1143 | 4.1 | 3.0-5.7 | < 0.001 | 4.9 | 3.4-6.9 | < 0.001 | 3.6 | 2.5-5.1 | < 0.001 | 2.9 | 2.0-4.2 | < 0.001 |
| < 800 | 398 | 7.8 | 5.4-11.3 | < 0.001 | 10.7 | 7.2-15.8 | < 0.001 | 7.1 | 4.7-10.7 | < 0.001 | 4.9 | 3.2-7.5 | < 0.001 |
| GP age | |||||||||||||
| ≥ 55 years | 1014 | Ref | Ref | Ref | Ref | ||||||||
| 45-54 years | 1235 | 1.2 | 0.9-1.4 | 0.17 | 1.2 | 1.0-1.6 | 0.071 | 1.3 | 1.1-1.6 | 0.020 | 1.3 | 1.0-1.6 | 0.058 |
| < 45 years | 930 | 2.1 | 1.7-2.6 | < 0.001 | 1.9 | 1.5-2.5 | < 0.001 | 1.9 | 1.5-2.4 | < 0.001 | 1.6 | 1.2-2.1 | < 0.001 |
| GP gender | |||||||||||||
| Female | 932 | Ref | Ref | Ref | Ref | ||||||||
| Male | 2247 | 1.3 | 1.1-1.6 | 0.004 | 2.0 | 1.6-2.4 | < 0.001 | 1.2 | 0.9-1.7 | 0.21 | 1.3 | 1.0-1.9 | 0.076 |
| MDM proportion with patients ≥ 67 | |||||||||||||
| Low 2 | 2225 | Ref | Ref | Ref | Ref | ||||||||
| High 3 | 954 | 3.3 | 2.8-3.9 | < 0.001 | 3.8 | 3.2-4.6 | < 0.001 | 4.4 | 3.6-5.3 | < 0.001 | 4.1 | 3.3-5.0 | < 0.001 |
|
Proportion of consultations with a psychological diagnosis* |
|||||||||||||
| Low (< 8%) | 1060 | Ref | Ref | Ref | Ref | ||||||||
| Medium (8-11%) | 1060 | 1.1 | 0.9-1.4 | 0.33 | 1.3 | 1.0-1.6 | 0.05 | 1.2 | 1.0-1.6 | 0.11 | 1.4 | 1.1-1.8 | 0.010 |
| High (> 11%) | 1059 | 2.4 | 2.0-2.9 | < 0.001 | 2.8 | 2.2-3.4 | < 0.001 | 2.7 | 2.1-3.4 | < 0.001 | 3.4 | 2.6-4.4 | < 0.001 |
| Proportion ≥ 67 years* | |||||||||||||
| Low (< 9%) | 1060 | Ref | Ref | Ref | |||||||||
| Medium (9-15%) | 1060 | 1.0 | 0.9-1.3 | 0.76 | 1.0 | 0.8-1.3 | 0.94 | 0.9 | 0.7-1.2 | 0.35 | |||
| High (> 15%) | 1059 | 1.2 | 1.0-1.5 | 0.056 | 1.0 | 0.8-1.4 | 0.80 | 0.9 | 0.6-1.2 | 0.39 | |||
| Proportion male patients* | |||||||||||||
| Low (< 48%) | 1060 | Ref | Ref | Ref | |||||||||
| Medium (48-54%) | 1060 | 1.5 | 1.2-1.9 | < 0.001 | 1.6 | 1.2-2.3 | 0.002 | 1.3 | 1.0-1.9 | 0.076 | |||
| High (> 54%) | 1059 | 1.6 | 1.3-2.0 | < 0.001 | 1.9 | 1.4-2.7 | < 0.001 | 1.6 | 1.2-2.3 | 0.005 | |||
| Proportion with education ≤ 9 years4 * | |||||||||||||
| Low (< 12%) | 1060 | Ref | Ref | Ref | |||||||||
| Medium (12-17%) | 1060 | 1.0 | 0.9-1.3 | 0.71 | 0.7 | 0.5-0.8 | 0.001 | 0.6 | 0.4-0.8 | < 0.001 | |||
| High (> 17%) | 1059 | 1.7 | 1.4-2.1 | < 0.001 | 0.7 | 0.5-1.1 | 0.089 | 0.6 | 0.4-0.9 | 0.012 | |||
| Mean annual income among patients4 | |||||||||||||
| < 210,000 n.kr | 799 | Ref | Ref | Ref | |||||||||
| 210000 - 250000 | 1283 | 0.7 | 0.6-0.8 | < 0.001 | 0.8 | 0.6-1.0 | 0.046 | 0.9 | 0.7-1.2 | 0.40 | |||
| > 250000 | 1097 | 0.3 | 0.3-0.4 | < 0.001 | 0.5 | 0.3-0.6 | < 0.001 | 0.7 | 0.5-0.9 | 0.008 | |||
| Proportion disability pensioners5 * | |||||||||||||
| Low (< 8%) | 1060 | Ref | Ref | Ref | |||||||||
| Medium (8-11%) | 1060 | 1.5 | 1.3-1.9 | < 0.001 | 1.7 | 1.3-2.2 | < 0.001 | 1.6 | 1.3-2.1 | < 0.001 | |||
| High (> 12%) | 1059 | 1.9 | 1.6-2.4 | < 0.001 | 1.7 | 1.2-2.6 | 0.001 | 1.6 | 1.2-2.2 | 0.005 | |||
| Proportion with social assistance6 * | |||||||||||||
| Low (< 3%) | 1060 | Ref | Ref | Ref | |||||||||
| Medium (3-5%) | 1060 | 1.4 | 1.1-1.8 | 0.002 | 1.1 | 0.9-1.4 | 0.37 | 1.2 | 0.9-1.6 | 0.14 | |||
| High (> 5%) | 1059 | 3.0 | 2.5-3.7 | < 0.001 | 1.9 | 1.5-2.4 | < 0.001 | 2.2 | 1.7-2.8 | < 0.001 | |||
| Inhabitants in practice municipality | |||||||||||||
| > 50,000 | 1103 | Ref | Ref | ||||||||||
| 20-50,000 | 667 | 0.9 | 0.7-1.2 | 0.37 | 0.9 | 0.7-1.2 | 0.43 | ||||||
| 10-20,000 | 514 | 1.7 | 1.3-2.2 | < 0.001 | 1.5 | 1.1-2.1 | 0.005 | ||||||
| < 10,000 | 895 | 4.4 | 3.6-5.5 | < 0.001 | 3.7 | 2.8-4.9 | < 0.001 | ||||||
Binary logistic regression analyses. N = 3179 GPs
1) "High rate" defined as > 35 meetings per 1000 patients per year
2) Proportion of MDMs concerning patients ≥ 67 years lower than the proportion of list population ≥ 67 years
3) Proportion of MDMs concerning patients ≥ 67 years equal to or higher than the proportion of list population ≥ 67 years
4) Among list population ≥ 20 years
5) Proportion disability pensioners in the age group 20 - 67 years
6) Proportion with social assistance in the age group 20 - 40 years
*) Categorised variables with three equal sized groups of GPs, percentages are give, rounded to nearest whole numbers, to illustrate differences between GP groups.