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. 2017 Sep 26;67(664):e792–e799. doi: 10.3399/bjgp17X693101

Table 2.

The relationship between practice funding types and secondary care utilisation, patient satisfaction, and QOF scores: multivariable regression models

Practice funding types and outcomes Mean value Mean cost per patient (95% CIs) Multivariable regression models: funding (££ per patient) as the predictor variable of interest
r2 B 95% CI P
GMS practices, no MPIG (n = 1607) values for capitation funding £78.79 (66.17 to 106.42)
A&E attendance per 1000 registered patients 354.2 0.36 −0.35 −1.08 to 0.38 0.30
Emergency admissionsd per 1000 registered patients 97.9 0.48 −0.04 −0.13 to 0.05 0.34
ACSC admissions per 1000 registered patients 17.5 0.46 −0.02 −0.04 to 0.00 0.19
OP attendances per 1000 registered patients 67.7 0.14 0.09 0.01 to 0.17 0.03a
QOF total 527.8 0.09 −0.02 −0.17 to 0.14 0.85
Patient satisfaction (very good, %) 48.8 0.31 0.09 0.04 to 0.14 <0.01b
GMS practices, with MPIG (n = 2726) values for capitation funding £69.82 (60.72 to 79.36)
A&E attendance per 1000 registered patients 298.7 0.42 −0.59 −2.00 to 0.82 0.41
Emergency admissionsd per 1000 registered patients 83.0 0.45 −0.02 −0.28 to 0.24 0.87
ACSC admissions per 1000 registered patients 14.2 0.44 0.01 −0.04 to 0.05 0.79
OP attendances per 1000 registered patients 63.7 0.06 0.19 −0.12 to 0.50 0.22
QOF total 531.6 0.09 0.33 −0.18 to 0.84 0.20
Patient satisfaction (very good, %) 50.6 0.28 0.00 0.00 to 0.00 <0.001c
GMS practices, with MPIG (n = 2726) values for capitation supplement £5.72 (0.67 to 15.02)
A&E attendance per 1000 registered patients 298.7 0.43 −0.99 −1.94 to −0.05 0.04a
Emergency admissionsd per 1000 registered patients 83.0 0.48 −0.33 −0.49 to −0.17 <0.001c
ACSC admissions per 1000 registered patients 14.2 0.46 −0.05 −0.09 to −0.01 0.01b
OP attendances per 1000 registered patients 63.7 0.08 −0.23 −0.48 to 0.03 0.08
QOF total 531.6 0.08 −0.17 −0.56 to 0.22 0.4
Patient satisfaction (very good, %) 50.6 0.27 0.08 −0.07 to 0.08 0.83
PMS practices (n = 2834) values for capitation funding £84.43 (66.68 to 107.09)
A&E attendance per 1000 registered patients 331.9 0.35 0.81 −0.07 to 1.70 0.07
Emergency admissionsd per 1000 registered patients 89.0 0.52 −0.51 −0.17 to 0.06 0.38
ACSC admissions per 1000 registered patients 15.8 0.52 0.07 −0.20 to 0.07 0.32
OP attendances per 1000 registered patients 64.1 0.15 −0.09 −0.23 to 0.06 0.23
QOF total 531.3 0.10 0.04 −0.09 to 0.17 0.5
Patient satisfaction (very good, %) 48.4 0.44 0.04 −0.09 to 0.17 0.56
a

P≤0.05.

b

P≤0.01.

c

P≤0.001.

All P values relate to the significance of the regression coefficients, B. r2 values show the proportion of variation in the outcome that can be explained by the model predictors. All attendance and admission rates are mean values, per year.

d

Emergency admissions = emergency hospital admissions. A&E = accident and emergency. ACSC admissions = ambulatory care sensitive condition hospital admissions. GMS = General Medical Services. MPIG = mean practice income guarantee. OP attendances = outpatient attendances. Patient satisfaction (very good, %) = overall experience of GP surgery ‘very good’, %, as reported on the General Practice Patient Survey. PMS = Personal Medical Services. QOF = Quality and Outcomes Framework.