Table 3.
Ethnic differences (adjusted odds ratioa and percentage achieving QOF target) in blood pressure monitoring for patients with chronic conditions
| White British | % | Other white, OR (95% CI) | % | Asian, OR (95% CI) | % | Caribbean, OR (95% CI) | % | African, OR (95% CI) | % | Blackb (combined), OR (95% CI) | % | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Diabetes | – | 94.6 | 0.76 (0.52 to 1.11) | 93.1 | 0.85 (0.48 to 1.51) | 93.7 | 1.94 (1.12 to 3.35)c | 97.1 | 0.96 (0.61 to 1.51) | 94.4 | 1.27 (0.88 to 1.83) | 95.8 |
| Hypertension | – | 84.2 | 0.89 (0.75 to 1.06) | 82.7 | 1.33 (0.95 to 1.87) | 87.7 | 1.32 (1.05 to 1.66)c | 87.6 | 1.12 (0.86 to 1.46) | 85.7 | 1.22 (0.98 to 1.52) | 86.7 |
| Coronary heart disease | – | 91.7 | 1.17 (0.63 to 2.16) | 92.8 | 1.95 (0.78 to 4.85) | 95.5 | 2.31 (0.72 to 7.34) | 96.2 | 1.41 (0.40 to 4.97) | 93.9 | 1.75 (0.83 to 3.72) | 95.4 |
| Stroke | – | 89.6 | 3.76 (1.00 to 14.05)a | 97.0 | 2.30 (0.47 to 11.19) | 95.2 | 0.95 (0.41 to 2.21) | 89.1 | 0.71 (0.32 to 1.57) | 86.0 | 0.85 (0.44 to 1.65) | 88.2 |
| Chronic kidney disease | – | 92.5 | 0.94 (0.40 to 2.23) | 92.1 | 1.15 (0.36 to 3.64) | 93.4 | 1.68 (0.41 to 6.83) | 95.4 | 0.97 (0.38 to 2.46) | 92.3 | 1.20 (0.55 to 2.62) | 93.8 |
| All diseases | – | 85.6 | 0.94 (0.80 to 1.10) | 84.8 | 1.34 (1.08 to 1.67)d | 88.9 | 1.32 (1.07 to 1.64)c | 88.7 | 1.06 (0.85 to 1.33) | 86.3 | 1.18 (0.97 to 1.43) | 87.5 |
OR = odds ratio.
a
Comparing the odds of patients from a given ethnic group having a positive outcome compared to white British patients. Coefficients are adjusted for age, sex, number of comorbidities, and social deprivation. An odds ratio greater than one indicates improved monitoring and less than one indicates poorer monitoring.
b
Caribbean and African categories combined.
c
P<0.05
d
P<0.01.