Table 3.
Results of the policy variables of DIS and DES18 on outcomes
| Domain measure | Quality of primary care | Doctor–patient relationship | |||||
|---|---|---|---|---|---|---|---|
| Population achievement of all QOF indicators excluding dementia, coefficient (95% CI) | Population achievement of the QOF dementia annual review indicator, coefficient (95% CI) | Patient-centred care, coefficient (95% CI) | Access to care, coefficient (95% CI) | Continuity of care, coefficient (95% CI) | Explaining tests and, treatments coefficient (95% CI) | Confidence and trust in the GP, coefficient (95% CI) | |
| DES18 policy | 0.743a (0.490 to 0.996) | 1.302a (0.555 to 2.050) | −0.525a (−0.755 to −0.296) | −0.364b (−0.582 to −0.145) | −0.417 (−0.890 to 0.057) | −0.371b (−0.620 to −0.122) | −0.520b (−0.837 to −0.202) |
| DIS policy | 0.429a (0.209 to 0.648) | −0.01 (−0.749 to 0.729) | 0.138 (−0.094 to 0.369) | 0.198 (−0.033 to 0.429) | −0.663b (−1.147 to −0.180) | 0.265c (0.006 to 0.525) | −0.189 (−0.527 to 0.148) |
| Within R2 | 0.116 | 0.025 | 0.056 | 0.086 | 0.431 | 0.371 | 0.100 |
| Between R2 | 0.141 | 0.142 | 0.362 | 0.384 | 0.302 | 0.297 | 0.380 |
| Overall R2 | 0.129 | 0.057 | 0.267 | 0.300 | 0.334 | 0.326 | 0.318 |
| Standard deviation of practice random effect | 2.976 | 5.706 | 4.316 | 3.994 | 12.599 | 4.788 | 7.224 |
| Intraclass correlation | 0.483 | 0.174 | 0.545 | 0.580 | 0.745 | 0.589 | 0.665 |
| Observations, practice-years | 70 790 | 70 790 | 57 896 | 57 896 | 57 560 | 57 896 | 57 896 |
| Practices, n | 7079 | 7079 | 7237 | 7237 | 7195 | 7237 | 7237 |
a
0.1% significance level.
b
1% significance level.
c
5% significance level. DES18 = Directed Enhanced Service 18. DIS = Dementia Identification Scheme. QOF = Quality and Outcomes Framework.