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. 2015 Apr 2;3(2):E182–E191. doi: 10.9778/cmajo.20140099

Table 4: Adjusted odds of obtaining follow-up care from a family doctor, cardiologist or internist within 7 days of emergency department discharge among patients who had a family physician (n = 14 146).

Variable OR (95% CI) p value
Patient characteristics


Age, per decade increase
1.09 (1.06–1.12)
< 0.001
Female
1.05 (0.98–1.13)
0.18
Income quintile; referent = 1, lowest


2
1.07 (0.96–1.20)
0.22
3
1.04 (0.93–1.16)
0.53
4
0.95 (0.85–1.06)
0.34
5 (highest)
1.05 (0.94–1.17)
0.40
Rural residence
0.95 (0.85–1.07)
0.44
Long-term care or nursing home residence
0.77 (0.56–1.05)
0.09
Immigrant
1.18 (1.04–1.34)
0.01
Past medical history; referent = 0


Hypertension, recent diagnosis (in the last yr)
1.14 (0.92–1.40)
0.23
Hypertension, diagnosis made before the last 1 yr
1.15 (1.06–1.26)
0.002
Heart failure, recent diagnosis (in the last yr)
0.87 (0.65–1.14)
0.31
Heart failure, diagnosis made before the last 1 yr
0.75 (0.64–0.88)
< 0.001
Acute myocardial infarction
1.02 (0.92–1.14)
0.68
Coronary artery disease
0.83 (0.73–0.94)
0.003
Coronary artery bypass graft
1.09 (0.85–1.40)
0.49
Stroke
0.78 (0.65–0.94)
0.01
Diabetes mellitus
1.06 (0.96–1.17)
0.24
Dementia
0.84 (0.69–1.03)
0.09
Chronic obstructive pulmonary disease
1.03 (0.93–1.13)
0.58
Asthma
1.04 (0.94–1.15)
0.44
Renal failure
0.69 (0.57–0.83)
< 0.001
Nonmetastatic cancer
0.84 (0.76–0.94)
0.002
Metastatic cancer
0.94 (0.72–1.22)
0.62
CHADS2 score ≥ 2; referent = 0 or 1
0.97 (0.87–1.09)
0.65
ADG score per 1 point increase
1.04 (1.03–1.05)
< 0.001
Emergency department visit characteristics


Emergency department triage score of 1 or 2 (high acuity); referent = 3, 4 or 5
1.02 (0.94–1.09)
0.69
Patients who arrived by ambulance
0.99 (0.91–1.07)
0.77
Time of day patient presented to the emergency department


00:00–07:59
0.89 (0.81–0.98)
0.01
16:00–23:59
0.93 (0.86–1.00)
0.05
Day of week patient presented to the emergency department, weekend
0.94 (0.87–1.03)
0.17
Emergency department physician, age per decade increase
0.97 (0.84–1.12)
0.62
Emergency department physician, female
1.06 (0.93–1. 20)
0.34
Emergency department physician, main specialty;
referent = family medicine training


Emergency medicine (3-yr program)
0.90 (0.76–1.05)
0.16
Emergency medicine (5-yr program)
0.91 (0.75–1.10)
0.29
Other
0.93 (0.57–1.53)
0.73
Emergency department physician, no. of years of practice; yr


     4–10
1.03 (0.91–1.16)
0.38
   11–20
0.98 (0.83–1.15)
0.85
> 20
0.98 (0.73–1.30)
0.86
Hospital type; referent = community


Small
0.82 (0.69–0.98)
0.03
Teaching
1.16 (1.04–1.29)
0.007
Family physician characteristics


Family physician, age per decade increase
1.00 (0.99–1.00)
0.24
Family physician, female
0.99 (0.91–1.07)
0.82
Family physician, no. of years of practice; yr


     6–10
1.02 (0.82–1.27)
0.83
   11–15
1.07 (0.87–1.31)
0.54
> 15
1.06 (0.86–1.29)
0.59
Family physician, reimbursement type


CCM* or FHG†; referent


FHN‡ with FHT
0.73 (0.62–0.86)
< 0.001
FHN‡ without FHT
0.77 (0.60–0.97)
0.03
FHO§ with FHT
0.84 (0.76–0.93)
< 0.001
FHO§ without FHT
0.86 (0.79–0.94)
0.001
FFS¶ 0.94 (0.82–1.07) 0.33

Note: ADG = aggregated diagnosis group, CCM = comprehensive care model, CHADS2 = cardiac failure, hypertension, age, diabetes, stroke system, CI = confidence interval, FFS = fee for service, FHG = family health group, FHN = family health network, FHO = family health organization, FHT = family health team, OR = odds ratio, SD = standard deviation.
*Primarily fee for service, < 3 physicians.
†Primarily fee for service, ≥ 3 physicians.
‡Primarily capitation, small basket of services.
§Primarily capitation, large basket of services.
¶Traditional fee for service.