Table 3.
Results of negative binomial regression analyses of avoidable diabetes admissions and characteristics of primary care organization1.
Uncontrolled diabetes (n = 21) |
Long-term complications (n = 23) |
Short-term complications (n = 23) |
|||||
---|---|---|---|---|---|---|---|
IRR | 95% CI | IRR | 95% CI | IRR | 95% CI | ||
Continuity | |||||||
Long-term continuity | Model 1 | 0.54 | 0.25–1.19 | 0.86 | 0.43–1.70 | 0.86 | 0.59–1.26 |
Model 2 | 0.643 | 0.39–1.04 | 1.00 | 0.66–1.53 | 0.84 | 0.58–1.22 | |
Availability of medical information | Model 1 | 0.442 | 0.28–0.70 | 0.482 | 0.32–0.70 | 1.313 | 0.97–1.75 |
Model 2 | 0.73 | 0.40–1.34 | 0.74 | 0.48–1.15 | 1.31 | 0.90–1.89 | |
Coordination | |||||||
Skill mix | Model 1 | 0.92 | 0.81–1.06 | 0.852 | 0.76–0.96 | 1.04 | 0.96–1.13 |
Model 2 | 1.05 | 0.92–1.19 | 0.96 | 0.86–1.08 | 1.03 | 0.94–1.12 | |
Diabetes chronic care management | Model 1 | 1.08 | 0.86–1.35 | 0.97 | 0.80–1.18 | 1.09 | 0.98–1.21 |
Model 2 | 1.08 | 0.92–1.27 | 1.02 | 0.88–1.17 | 1.08 | 0.97–1.20 | |
Comprehensiveness | |||||||
Medical equipment | Model 1 | 1.10 | 0.91–1.32 | 0.87 | 0.74–1.03 | 1.00 | 0.91–1.10 |
Model 2 | 1.142 | 1.02–1.28 | 0.97 | 0.86–1.09 | 0.99 | 0.90–1.09 | |
Task profile | Model 1 | 0.72 | 0.45–1.14 | 0.572 | 0.71–0.78 | 1.11 | 0.87–1.43 |
Model 2 | 2.152 | 1.36–3.41 | 0.91 | 0.61–1.36 | 1.02 | 0.71–1.47 | |
Health promotion | Model 1 | 1.13 | 0.77–1.66 | 1.04 | 0.73–1.49 | 1.03 | 0.87–1.24 |
Model 2 | 0.89 | 0.68–1.16 | 0.89 | 0.70–1.12 | 1.05 | 0.88–1.25 | |
Access | |||||||
Organizational access | Model 1 | 1.50 | 0.69–3.25 | 2.312 | 1.22–4.37 | 1.06 | 0.70–1.62 |
Model 2 | 0.84 | 0.46–1.53 | 1.662 | 1.07–2.60 | 1.13 | 0.74–1.73 | |
Out-of-hours care | Model 1 | 1.05 | 0.91–1.22 | 0.913 | 0.82–1.01 | 1.00 | 0.92–1.07 |
Model 2 | 1.093 | 0.99–1.21 | 0.96 | 0.89–1.04 | 0.99 | 0.92–1.06 |
Notes: All primary care characteristics were analysed separately. Bold values indicate either p < 0.10 or p < 0.05.
Model 1 shows the results controlled for diabetes prevalence only; model 2 shows the results controlled for diabetes prevalence and hospital bed supply. IRR =incident rate ratio.
p < 0.05
p < 0.10.