Table 5.
Consultation length and continuity of care for doctor (face-to-face) consultations
| Group/outcome | Intellectual disability (n= 14 751) | Controls (n = 86 221) | Odds ratio | |||
|---|---|---|---|---|---|---|
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| N/mean | % | N/mean | % | UOR (95% CI) | AORa (95% CI) | |
| Consultation length | ||||||
| All, N | 3.65 | 100 | 2.52 | 100 | – | – |
| Duration missing or zero, mean | 0.21 | 5.9 | 0.13 | 5.2 | – | – |
| Standard length (1–10 minutes), mean | 2.17 | 59.5 | 1.32 | 52.6 | – | – |
| Long length (>10 minutes), mean | 1.27 | 34.7 | 1.06 | 42.2 | – | – |
| Patients with >1 long consultation (>10 minutes), N | 7566 | 51.3 | 38 880 | 45.1 | 1.33 (1.28 to 1.39) | 0.73 (0.69 to 0.77) |
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| Continuity of care | ||||||
| All, N | 9167 | 100 | 42 135 | 100 | – | – |
| Patients with >50% of consultations with same doctor,b N | 3962 | 43.2 | 20 673 | 49.1 | 0.77 (0.73 to 0.81) | 0.77 (0.73 to 0.82) |
| Continuity of care by number of consultations | ||||||
| >50% with same doctor, 2–5 total consultations only,c N | 2690 | 45.6 | 14 851 | 49.0 | – | – |
| >50% with same doctor, 6–11 total consultations only,c N | 975 | 39.4 | 4713 | 48.7 | – | – |
| >50% with same doctor, 12 total consultations only,c N | 297 | 37.7 | 1109 | 52.1 | – | – |
AOR = adjusted odds ratio. UOR = unadjusted odds ratio.
a
Adjusted for comorbidity and total number of doctor (face-to-face) consultations.
b
Regressions restricted to 8677 match sets where case and at least one control has at least two doctor consultations.
c
Totals for this sub-analysis: 2–5 consultations (intellectual disability = 5906, controls = 30 332), 6–11 (intellectual disability = 2473, controls = 9675), ≥12 (intellectual disability = 788, controls = 2128).