Table 9.
Multilevel models (*p < 0.05; **p < 0.01; ***p < 0.001) |
Provision of technical proceduresa | Use of guidelinesa | Collaboration with different providersa | Integration with secondary carea | |||||
---|---|---|---|---|---|---|---|---|---|
N. = 7136 | N. = 7127 | N. = 7145 | N. = 7108 | ||||||
Empty model | Fixed part | Coeff. | S.E. | Coeff. | S.E. | Coeff. | S.E. | Coeff. | S.E. |
Intercept | 2.116*** | 0.115 | 0.843*** | 0.021 | 1.916*** | 0.027 | 1.687*** | 0.030 | |
Random part | Var. | S.E. | Var. | S.E. | Var. | S.E. | Var. | S.E. | |
Country level | 0.452 | 0.110 | 0.014 | 0.004 | 0.025 | 0.006 | 0.029 | 0.007 | |
GP level | 0.201 | 0.003 | 0.054 | 0.001 | 0.060 | 0.001 | 0.186 | 0.003 | |
ICC | |||||||||
Country | 69.2% | 20.6% | 29.6% | 13.4% | |||||
GP | 30.8% | 79.4% | 70.4% | 86.6% | |||||
N. = 6934 | N. = 6940 | N. = 6944 | N. = 6908 | ||||||
Model only covariates | Fixed part | Coeff. | S.E. | Coeff. | S.E. | Coeff. | S.E. | Coeff. | S.E. |
Intercept | 2.034*** | 0.110 | 0.790*** | 0.020 | 1.873*** | 0.029 | 1.593*** | 0.033 | |
Random part | Var. | S.E. | Var. | S.E. | Var. | S.E. | Var. | S.E. | |
Country level | 0.409 | 0.099 | 0.012 | 0.003 | 0.027 | 0.007 | 0.029 | 0.007 | |
GP level | 0.185 | 0.003 | 0.053 | 0.001 | 0.058 | 0.001 | 0.182 | 0.003 | |
ICC | |||||||||
Country | 68.8% | 18.8% | 31.9% | 13.9% | |||||
GP | 31.2% | 81.2% | 68.1% | 86.1% | |||||
N. = 6655 | N. = 6660 | N. = 6663 | N. = 6628 | ||||||
MODEL 1 (variable 1) | Fixed part | Coeff. | S.E. | Coeff. | S.E. | Coeff. | S.E. | Coeff. | S.E. |
Intercept | 1.985*** | 0.111 | 0.782*** | 0.021 | 1.844*** | 0.031 | 1.600*** | 0.033 | |
GP co-located with other GP | 0.093*** | 0.013 | 0.007 | 0.007 | 0.047*** | 0.007 | 0.011 | 0.013 | |
Random part | Var. | S.E. | Var. | S.E. | Var. | S.E. | Var. | S.E. | |
Country level | 0.396 | 0.098 | 0.012 | 0.003 | 0.028 | 0.007 | 0.028 | 0.007 | |
GP level | 0.184 | 0.003 | 0.053 | 0.001 | 0.058 | 0.001 | 0.185 | 0.003 | |
ICC | |||||||||
Country | 68.3% | 18.7% | 32.6% | 13.0% | |||||
GP | 31.7% | 81.3% | 67.4% | 87.0% | |||||
N. = 6925 | N. = 6931 | N. = 6935 | N. = 6899 | ||||||
MODEL 2 (variable 2) | Fixed part | Coeff. | S.E. | Coeff. | S.E. | Coeff. | S.E. | Coeff. | S.E. |
Intercept | 1.944*** | 0.112 | 0.799*** | 0.022 | 1.782*** | 0.028 | 1.553*** | 0.036 | |
GP co-located with other professional | 0.113*** | 0.018 | −0.011 | 0.009 | 0.117*** | 0.010 | 0.052** | 0.018 | |
Random part | Var. | S.E. | Var. | S.E. | Var. | S.E. | Var. | S.E. | |
Country level | 0.411 | 0.100 | 0.012 | 0.003 | 0.022 | 0.005 | 0.031 | 0.008 | |
GP level | 0.184 | 0.003 | 0.053 | 0.001 | 0.057 | 0.001 | 0.182 | 0.003 | |
ICC | |||||||||
Country | 69.1% | 18.6% | 27.6% | 14.5% | |||||
GP | 30.9% | 81.4% | 72.4% | 85.5% | |||||
N. = 6655 | N. = 6660 | N. = 6663 | N. = 6628 | ||||||
MODEL 3 (interaction) | Fixed part | Coeff. | S.E. | Coeff. | S.E. | Coeff. | S.E. | Coeff. | S.E. |
Intercept | 1.885*** | 0.113 | 0.788*** | 0.023 | 1.768*** | 0.029 | 1.528*** | 0.037 | |
Single-handed GP practice (ref) | |||||||||
- More GPs without other professionals | 0.153*** | 0.023 | 0.021 | 0.013 | 0.033* | 0.013 | 0.090*** | 0.024 | |
- One GP with other professionals | 0.146*** | 0.022 | −0.003 | 0.012 | 0.106*** | 0.013 | 0.108*** | 0.022 | |
- More GPs with other professionals | 0.200*** | 0.021 | −0.001 | 0.012 | 0.143*** | 0.012 | 0.080*** | 0.022 | |
Random part | Var. | S.E. | Var. | S.E. | Var. | S.E. | Var. | S.E. | |
Country level | 0.415 | 0.100 | 0.012 | 0.003 | 0.023 | 0.006 | 0.028 | 0.007 | |
GP level | 0.182 | 0.003 | 0.053 | 0.001 | 0.057 | 0.001 | 0.184 | 0.003 | |
ICC | |||||||||
Country | 69.0% | 18.5% | 28.5% | 13.4% | |||||
GP | 31.0% | 81.5% | 71.5% | 86.6% | |||||
N. = 6813 | N. = 6819 | N. = 6823 | N. = 6787 | ||||||
MODEL 4 (var 2 details) | Fixed part | Coeff. | S.E. | Coeff. | S.E. | Coeff. | S.E. | Coeff. | S.E. |
Intercept | 1.931*** | 0.111 | 0.787*** | 0.022 | 1.756*** | 0.026 | 1.544*** | 0.036 | |
GP with nurse | 0.103*** | 0.018 | −0.004 | 0.010 | 0.093*** | 0.010 | 0.037* | 0.018 | |
GP with other health professional | 0.060** | 0.014 | 0.003* | 0.007 | 0.079*** | 0.008 | 0.043** | 0.014 | |
GP with social worker | 0.043** | 0.018 | 0.007 | 0.010 | 0.118*** | 0.010 | 0.022 | 0.018 | |
Random part | Var. | S.E. | Var. | S.E. | Var. | S.E. | Var. | S.E. | |
Country level | 0.406 | 0.099 | 0.012 | 0.003 | 0.019 | 0.005 | 0.031 | 0.008 | |
GP level | 0.182 | 0.003 | 0.053 | 0.001 | 0.054 | 0.001 | 0.181 | 0.003 | |
ICC | |||||||||
Country | 69.0% | 18.7% | 26.3% | 14.7% | |||||
GP | 31.0% | 81.3% | 73.6% | 85.3% |
aCovariates GP level: sex, age, urbanisation, involvement in disease management