Table 5.
Adjusted a mean change in overall SPARS and domain scores by level of care and visit number during the first year of supervision
| HC2 | HC3 | HC4/hospital | All facilities | |||||
|---|---|---|---|---|---|---|---|---|
| Observations | Adj. Diff. (95%CI) | Observations | Adj. Diff. (95%CI) | Observations | Adj. Diff. (95%CI) | Observations | Adj. Diff. (95%CI) | |
| Total SPARS score | ||||||||
| All | 1639 | 2.2 (2.14 - 2.27) | 980 | 2.1 (2.04 - 2.19) | 292 | 2.0 (1.87 - 2.11) | 2911 | 2.2 (2.11 - 2.20) |
| 2 | 679 | 3.2 (3.07 - 3.26) | 416 | 2.8 (2.68 - 2.87) | 125 | 2.5 (2.34 - 2.66) | 1220 | 3.0 (2.90 - 3.02) |
| 3 | 496 | 2.1 (1.97 - 2.19) | 301 | 2.1 (1.87 - 2.25) | 96 | 2.1 (1.85 - 2.42) | 893 | 2.1 (2.01 - 2.15) |
| 4 | 323 | 0.8 (0.72 - 0.95) | 186 | 1.0 (0.75 - 1.16) | 53 | 1.1 (0.91 - 1.28) | 562 | 0.9 (0.82 - 0.97) |
| 5 | 141 | 1.2 (1.03 - 1.33) | 77 | 1.6 (1.31 - 1.93) | 18 | 0.3 (-0.01 - 0.68) | 236 | 1.3 (1.15 - 1.36) |
| Stock management | ||||||||
| All | 1635 | 0.3 (0.31 - 0.36) | 980 | 0.4 (0.34 - 0.40) | 292 | 0.4 (0.29 - 0.42) | 2907 | 0.4 (0.32 - 0.38) |
| 2 | 679 | 0.4 (0.37 - 0.45) | 416 | 0.5 (0.40 - 0.53) | 125 | 0.4 (0.24 - 0.50) | 1220 | 0.4 (0.38 - 0.47) |
| 3 | 494 | 0.4 (0.36 - 0.43) | 301 | 0.4 (0.31 - 0.42) | 96 | 0.5 (0.40 - 0.56) | 891 | 0.4 (0.37 - 0.42) |
| 4 | 321 | 0.1 (0.10 - 0.18) | 186 | 0.3 (0.20 - 0.32) | 53 | 0.2 (0.04 - 0.35) | 560 | 0.2 (0.16 - 0.21) |
| 5 | 141 | 0.2 (0.15 - 0.34) | 77 | 0.2 (0.04 - 0.35) | 18 | 0.1 (-0.22 - 0.42) | 236 | 0.2 (0.15 - 0.28) |
| Storage management | ||||||||
| All | 1639 | 0.4 (0.34 - 0.38) | 980 | 0.4 (0.33 - 0.39) | 292 | 0.3 (0.23 - 0.30) | 2911 | 0.3 (0.34 - 0.36) |
| 2 | 679 | 0.6 (0.51 - 0.59) | 416 | 0.5 (0.45 - 0.61) | 125 | 0.4 (0.29 - 0.53) | 1220 | 0.5 (0.50 - 0.57) |
| 3 | 496 | 0.4 (0.29 - 0.43) | 301 | 0.3 (0.21 - 0.34) | 96 | 0.2 (0.05 - 0.29) | 893 | 0.3 (0.28 - 0.34) |
| 4 | 323 | 0.1 (0.03 - 0.11) | 186 | 0.1 (0.06 - 0.23) | 53 | 0.2 (0.12 - 0.35) | 562 | 0.1 (0.08 - 0.14) |
| 5 | 141 | 0.1 (-0.03 - 0.23) | 77 | 0.2 (0.13 - 0.33) | 18 | -0.1 (-0.27 - 0.06) | 236 | 0.1 (0.05 - 0.20) |
| Order reporting | ||||||||
| All | 1639 | 0.4 (0.34 - 0.39) | 980 | 0.3 (0.29 - 0.35) | 292 | 0.5 (0.46 - 0.58) | 2911 | 0.4 (0.35 - 0.38) |
| 2 | 679 | 0.5 (0.42 - 0.52) | 416 | 0.3 (0.29 - 0.41) | 125 | 0.7 (0.62 - 0.83) | 1220 | 0.5 (0.42 - 0.48) |
| 3 | 496 | 0.4 (0.30 - 0.40) | 301 | 0.4 (0.32 - 0.45) | 96 | 0.5 (0.32 - 0.60) | 893 | 0.4 (0.33 - 0.42) |
| 4 | 323 | 0.2 (0.12 - 0.25) | 186 | 0.1 (0.01 - 0.22) | 53 | 0.2 (0.05 - 0.38) | 562 | 0.2 (0.11 - 0.22) |
| 5 | 141 | 0.3 (0.24 - 0.40) | 77 | 0.5 (0.39 - 0.58) | 18 | 0.3 (-0.02 - 0.58) | 236 | 0.4 (0.30 - 0.44) |
| Prescribing quality | ||||||||
| All | 1639 | 0.6 (0.59 - 0.62) | 980 | 0.6 (0.52 - 0.60) | 292 | 0.4 (0.38 - 0.45) | 2911 | 0.6 (0.56 - 0.58) |
| 2 | 679 | 0.8 (0.76 - 0.80) | 416 | 0.7 (0.65 - 0.81) | 125 | 0.5 (0.41 - 0.54) | 1220 | 0.7 (0.70 - 0.75) |
| 3 | 496 | 0.6 (0.60 - 0.66) | 301 | 0.5 (0.49 - 0.57) | 96 | 0.5 (0.44 - 0.58) | 893 | 0.6 (0.56 - 0.60) |
| 4 | 323 | 0.3 (0.26 - 0.33) | 186 | 0.3 (0.24 - 0.37) | 53 | 0.2 (0.12 - 0.35) | 562 | 0.3 (0.27 - 0.32) |
| 5 | 141 | 0.4 (0.33 - 0.43) | 77 | 0.4 (0.35 - 0.51) | 18 | 0.1 (-0.19 - 0.30) | 236 | 0.4 (0.32 - 0.42) |
| Dispensing quality | ||||||||
| All | 1639 | 0.5 (0.52 - 0.56) | 980 | 0.5 (0.48 - 0.52) | 292 | 0.4 (0.40 - 0.46) | 2911 | 0.5 (0.51 - 0.53) |
| 2 | 679 | 1.0 (0.95 - 0.98) | 416 | 0.7 (0.68 - 0.73) | 125 | 0.5 (0.48 - 0.56) | 1220 | 0.8 (0.82 - 0.84) |
| 3 | 496 | 0.3 (0.33 - 0.36) | 301 | 0.5 (0.48 - 0.54) | 96 | 0.5 (0.47 - 0.55) | 893 | 0.4 (0.40 - 0.43) |
| 4 | 323 | 0.1 (0.12 - 0.16) | 186 | 0.1 (0.09 - 0.16) | 53 | 0.2 (0.16 - 0.28) | 562 | 0.1 (0.13 - 0.16) |
| 5 | 141 | 0.1 (0.11 - 0.17) | 77 | 0.3 (0.23 - 0.33) | 18 | 0.0 (-0.08 - 0.1) | 236 | 0.2 (0.15 - 0.20) |
aModels adjusted for baseline SPARS scores and the significant predictors in the individual multivariate analyses, which are listed for each model in Table 6 and Appendix 1