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. 2016 Jun 24;26(5):360–371. doi: 10.1136/bmjqs-2016-005233

Table 6.

Adjusted associations between participation in the extended hours access scheme and patient experience, using multilevel random-effects regression models, propensity score matching and instrumental variable analysis

Satisfaction with opening hours Experience of making an appointment Overall experience
Number of responses 731 700 725 885 753 020
Number of general practices 7399 7399 7399
Between-practice SD* 4.5 7.0 4.3
Random-effects regression models
 Mean difference (95% CI) 1.25 (0.96 to 1.55) 0.48 (0.07 to 0.90) 0.32 (0.04 to 0.60)
 p Value <0.001 0.022 0.026
 Standardised mean difference 0.28 0.07 0.07
Propensity score matching
 Mean difference (95% CI) 1.35 (1.00 to 1.70) 0.51 (−0.03 to 1.04) 0.39 (0.03 to 0.74)
 p Value <0.001 0.063 0.032
 Standardised mean difference 0.30 0.07 0.09
Instrumental variable analysis
 Mean difference (95% CI) 1.36 (0.71 to 2.00) 1.79 (0.84 to 2.75) 1.13 (0.50 to 1.76)
 p Value <0.001 <0.001 <0.001
 Standardised mean difference 0.30 0.25 0.26

Numbers of responses and general practices correspond to respondents with no missing data for relevant outcome models.

Mean differences are relative to the means for general practices not participating in the scheme.

All models adjusted for/balanced: respondent age, gender, ethnicity, socio-economic status, ability to take time off work to see a GP, confidence in managing health; and general practice registered population size, number of full-time-equivalent GPs per 10 000 patients, socio-economic status of registered population, Quality and Outcomes Framework achievement, urban/rural location and region of England.

*SD of practice-level random effects adjusted for patient characteristics only. Standardised mean differences equal mean differences divided by this SD.