Table 1.
Patient-level factors related to unscheduled care use
| Factor | All patients (N= 2443),n (%) | Non-usersN= 539 (22.1% of all patients),n (%) | UsersN= 1904 (77.9% of all patients),n (%) | P-value (users versus non-users) | GPOOH only usersN= 1070 (43.8% of all patients),n (%) | A&E only usersN= 204 (8.4% of all patients),n (%) | Users of bothN= 630 (25.8% of all patients),n (%) | P-value (GPOOH versus A&E versus users of both) |
|---|---|---|---|---|---|---|---|---|
| Age, years | ||||||||
| <65 | 478 (19.6) | 114 (21.2) | 364 (19.1) | 0.12 | 214 (20.0) | 35 (17.2) | 115 (18.3) | 0.27 |
| 65–74 | 662 (27.1) | 160 (29.7) | 502 (26.4) | 263 (24.6) | 58 (28.4) | 181 (28.7) | ||
| 75–84 | 809 (33.1) | 172 (31.9) | 637 (33.5) | 359 (33.6) | 72 (35.3) | 206 (32.7) | ||
| ≥85 | 494 (20.2) | 93 (17.3) | 401 (21.1) | 234 (21.9) | 39 (19.1) | 128 (20.3) | ||
|
| ||||||||
| Sex | ||||||||
| Female | 1165 (47.7) | 247 (45.8) | 918 (48.2) | 0.33 | 536 (46.0) | 81 (7.0) | 301 (25.8) | 0.04 |
| Male | 1278 (52.3) | 292 (54.2) | 986 (51.8) | 534 (41.8) | 123 (9.6) | 329 (25.7) | ||
|
| ||||||||
| Remotenessa | ||||||||
| Urban | 1588 (65.9) | 320b (60.4) | 1268 (67.4) | <0.001 | 696c (66.0) | 144d (71.3) | 428e (68.6) | <0.001 |
| Accessible | 587 (24.4) | 166b (31.3) | 421 (22.4) | 242c (22.9) | 48d (23.8) | 131e (21.0) | ||
| Remote | 235 (9.8) | 44b (8.3) | 191 (10.2) | 116c (11.0) | 10d (5.0) | 65e (10.4) | ||
|
| ||||||||
| Deprivationa | ||||||||
| SIMD1 (deprived) | 422 (17.3) | 97b (18.3) | 372 (19.5) | 0.04 | 183c (17.4) | 53d (26.2) | 136e (21.8) | 0.03 |
| SIMD2 | 392 (16.0) | 98b (18.5) | 430 (22.6) | 244c (23.1) | 46d (22.8) | 140e (22.4) | ||
| SIMD3 | 444 (18.2) | 118b (22.3) | 329 (17.3) | 187c (17.7) | 34d (16.8) | 108e (17.3) | ||
| SIMD4 | 731 (29.9) | 103b (19.4) | 392 (20.6) | 232c (22.0) | 30d (14.9) | 130e (20.8) | ||
| SIMD5 (affluent) | 421 (17.2) | 114b (21.5) | 357 (18.8) | 208c (19.7) | 39d (19.3) | 110e (17.6) | ||
|
| ||||||||
| Cancer type | ||||||||
| Lung | 672 (27.5) | 143 (21.3) | 529 (78.7) | 0.06 | 266 (39.6) | 67 (10.0) | 196 (29.2) | 0.002 |
| Upper GI | 514 (21.0) | 129 (25.1) | 385 (74.9) | 231 (44.9) | 38 (7.4) | 116 (22.6) | ||
| Bowel | 303 (12.4) | 59 (19.5) | 244 (80.5) | 158 (52.1) | 17 (5.6) | 69 (22.8) | ||
| Breast and ovarian | 237 (9.7) | 56 (23.6) | 181 (76.4) | 114 (48.1) | 14 (5.9) | 53 (22.4) | ||
| Prostate | 99 (4.1) | 18 (18.2) | 81 (81.8) | 48 (48.5) | 10 (10.1) | 23 (23.2) | ||
| Haematological | 241 (9.9) | 65 (27.0) | 176 (73.0) | 88 (36.5) | 26 (10.8) | 62 (25.7) | ||
| Other | 377 (15.4) | 69 (18.3) | 308 (81.7) | 165 (43.8) | 32 (8.5) | 111 (29.4) | ||
|
| ||||||||
| Diagnosed in thelast year of life | ||||||||
| Yes | 1709 (70.0) | 375 (21.9) | 1334 (78.1) | 0.827 | 727 (42.5) | 155 (9.1) | 452 (26.4) | 0.09 |
| No | 734 (30.0) | 164 (22.3) | 570 (77.7) | 343 (46.7) | 49 (6.7) | 178 (24.3) | ||
a
Data for remoteness and deprivation missing for 33 patients.
b
The denominator for remoteness and deprivation for non-users: 530.
c
The denominator for remoteness and deprivation for GPOOH-only users: 1054.
d
The denominator for remoteness and deprivation for A&E-only users: 202.
e
The denominator for remoteness and deprivation for GPOOH and A&E users: 624. A&E = accident and emergency services. GI = gastrointestinal. GPOOH = GP out-of-hours service. SIMD = Scottish Index of Multiple Deprivation.15