Table 3.
Outcome | PAM level (vs 1) | No mental health long-term conditions | Mental health long-term condition | 2+ Long-term conditions | 3+ Long-term conditions |
Rate ratio (CI) | Rate ratio (CI) | Rate ratio (CI) | Rate ratio (CI) | ||
Contact with a general practitioner | 2 | 0.93 (0.89 to 0.98) | 0.88 (0.83 to 0.94) | 0.93 (0.89 to 0.97) | 0.94(0.89 to 1.00) |
3 | 0.87 (0.84 to 0.91) | 0.87 (0.82 to 0.92) | 0.88 (0.85 to 0.92) | 0.89 (0.85 to 0.94) | |
4 | 0.84 (0.79 to 0.89) | 0.79 (0.72 to 0.86) | 0.81 (0.77 to 0.86) | 0.86 (0.80 to 0.93) | |
Emergency department attendance | 2 | 0.76 (0.67 to 0.87) | 0.77 (0.65 to 0.92) | 0.83 (0.73 to 0.93) | 0.84 (0.72 to 0.98) |
3 | 0.74 (0.66 to 0.83) | 0.71 (0.61 to 0.82) | 0.77 (0.69 to 0.85) | 0.77 (0.67 to 0.88) | |
4 | 0.71 (0.61 to 0.82) | 0.65 (0.52 to 0.81) | 0.68 (0.59 to 0.80) | 0.68 (0.56 to 0.84) | |
Elective admission | 2 | 0.85 (0.72 to 1.00) | 0.83 (0.65 to 1.06) | 0.88 (0.75 to 1.03) | 0.82 (0.66 to 1.01) |
3 | 0.79 (0.69 to 0.92) | 0.74 (0.60 to 0.90) | 0.83 (0.72 to 0.95) | 0.90 (0.75 to 1.07) | |
4 | 0.85 (0.70 to 1.03) | 0.68 (0.49 to 0.93) | 0.82 (0.68 to 1.01) | 0.82 (0.63 to 1.07) | |
Emergency admission | 2 | 0.76 (0.62 to 0.92) | 0.65 (0.49 to 0.85) | 0.69 (0.58 to 0.83) | 0.65 (0.52 to 0.81) |
3 | 0.69 (0.58 to 0.81) | 0.62 (0.50 to 0.77) | 0.69 (0.59 to 0.80) | 0.71 (0.59 to 0.85) | |
4 | 0.68 (0.54 to 0.86) | 0.51 (0.36 to 0.73) | 0.62 (0.50 to 0.77) | 0.55 (0.41 to 0.73) | |
Attended outpatient appointment | 2 | 0.90 (0.82 to 0.99) | 0.88 (0.77 to 1.01) | 0.91 (0.83 to 0.99) | 0.92 (0.82 to 1.03) |
3 | 0.86 (0.79 to 0.94) | 0.91 (0.81 to 1.02) | 0.88 (0.82 to 0.95) | 0.91 (0.82 to 1.01) | |
4 | 0.82 (0.74 to 0.91) | 0.75 (0.63 to 0.89) | 0.80 (0.72 to 0.90) | 0.87 (0.75 to 1.01) | |
‘Did not attend’ a GP contact | 2 | 0.93 (0.82 to 1.06) | 0.87 (0.74 to 1.01) | 0.90 (0.80 to 1.01) | 0.89 (0.76 to 1.03) |
3 | 0.85 (0.76 to 0.95) | 0.84 (0.74 to 0.96) | 0.87 (0.79 to 0.96) | 0.87 (0.77 to 0.99) | |
4 | 0.78 (0.67 to 0.91) | 0.74 (0.60 to 0.92) | 0.74 (0.64 to 0.85) | 0.74 (0.61 to 0.91) | |
‘Did not attend’ an outpatient appointment | 2 | 0.89 (0.74 to 1.06) | 0.63 (0.49 to 0.80) | 0.78 (0.67 to 0.92) | 0.65 (0.53 to 0.8) |
3 | 0.72 (0.62 to 0.84) | 0.64 (0.52 to 0.78) | 0.70 (0.61 to 0.81) | 0.65 (0.55 to 0.78) | |
4 | 0.78 (0.63 to 0.96) | 0.66 (0.48 to 0.90) | 0.72 (0.59 to 0.89) | 0.57 (0.43 to 0.76) | |
Minor self-referral to an emergency department | 2 | 0.86 (0.70 to 1.05) | 1.03 (0.79 to 1.34) | 1.04 (0.86 to 1.25) | 1.13 (0.88 to 1.44) |
3 | 0.77 (0.65 to 0.92) | 0.77 (0.62 to 0.96) | 0.80 (0.68 to 0.94) | 0.82 (0.66 to 1.01) | |
4 | 0.69 (0.54 to 0.87) | 0.64 (0.44 to 0.91) | 0.67 (0.52 to 0.85) | 0.62 (0.43 to 0.87) |
GP, general practitioner; PAM, Patient Activation Measure.