Table 3.
Associations between average proportions of women receiving a pregnancy care measure (outcome measures) and average Systems Assessment Tool scores (predictors)
| Outcome measure | Overall systems | Delivery system design | Information systems and decision support | Self-management support systems | External links | Organizational influence and integration |
|---|---|---|---|---|---|---|
| Screened for cigarette use β coefficient (95 % CI) | 2.6 (−3.1 to 8.3) | 1.3 (−4.4 to 7.0) | 4.0 (−0.87 to 8.9) | 2.1 (−1.7 to 5.9) | 0.37 (−4.6 to 5.3) | 1.3 (−3.9 to 6.4) |
| Cigarette cessation advice β (95 % CI) | 6.8 (−0.18 to 14) | 7.1* (0.33 to 14) | 2.3 (−4.4 to 9.0) | 5.9* (1.5 to 10) | 1.2 (−5.2 to 7.6) | 7.2* (1.2 to 13) |
| Screened for alcohol use β (95 % CI) | 6.8* (0.25 to 13) | 5.2 (−1.5 to 12) | 7.6* (2.0 to 13) | 5.0* (0.62 to 9.3) | 2.5 (−3.5 to 8.5) | 4.3 (−1.8 to 10) |
| Brief alcohol counselling β (95 % CI) | 6.3 (−2.9 to 15) | 5.4 (−3.5 to 14) | 2.5 (−6.3 to 11) | 5.3 (−0.62 to 11) | 1.6 (−6.3 to 9.6) | 6.7 (−1.4 to 15) |
| Nutrition counselling β (95 % CI) | 8.3* (3.1 to 13) | 6.6* (1.2 to 12) | 7.4* (2.8 to 12) | 4.7* (1.0 to 8.4) | 4.0 (−1.0 to 9.0) | 7.3* (2.8 to 12) |
| Folate prescription < 20 weeks β (95 % CI) | 7.9* (2.6 to 13) | 6.1* (0.44 to 12) | 6.7* (1.8 to 12) | 3.7 (−0.23 to 7.7) | 4.9 (−0.01 to 9.9) | 8.2* (3.7 to 13) |
*p < 0.05, n = 27 PHCs except n = 26 for cigarette cessation advice and n = 25 for brief alcohol counselling. β beta coefficient, CI confidence interval. Using each PHC as the unit of analysis, univariable linear regression assessed associations between the average proportion of women who received each pregnancy care measure across all cycles and average overall or subscale SAT scores