Table 5.
Factors associated with primary care service use in the last 12 months of life, using all deaths post QoF, N = 46,703
| GP consultation | GP prescription | GP referral to other specialities | Palliative care needs recognised or not | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Palliative care (ref: Yes) | No | 1.32(1.31 to 1.34) | < 0.0001 | 1.17(1.15 to 1.19) | < 0.0001 | 1.23(1.19 to 1.26) | < 0.0001 | ||
| Age at death (ref: < 50) | 50–59 | 0.95(0.92 to 0.99) | < 0.0001 | 1.13(1.06 to 1.20) | < 0.0001 | 1.10(1.00 to 1.20) | < 0.0001 | 0.98(0.94 to 1.02) | < 0.0001 |
| 60–69 | 0.93(0.90 to 0.97) | 1.19(1.12 to 1.26) | 1.18(1.08 to 1.28) | 0.88(0.85 to 0.92) | |||||
| 70–79 | 0.90(0.87 to 0.94) | 1.27(1.20 to 1.34) | 1.25(1.15 to 1.35) | 0.81(0.78 to 0.85) | |||||
| 80–89 | 0.84(0.81 to 0.87) | 1.36(1.29 to 1.44) | 1.23(1.13 to 1.34) | 0.70(0.67 to 0.73) | |||||
| 90+ | 0.78(0.75 to 0.81) | 1.49(1.40 to 1.59) | 1.10(0.99 to 1.21) | 0.56(0.53 to 0.59) | |||||
| Gender (ref: female) | Male | 0.95(0.94 to 0.96) | < 0.0001 | 0.90(0.88 to 0.91) | < 0.0001 | 1.00(0.97 to 1.03) | 0.96 | 0.97(0.96 to 0.99) | 0.006 |
| Cancer site (ref: Lung) | Colorectal | 1.00(0.98 to 1.02) | < 0.0001 | 1.06(1.03 to 1.09) | < 0.0001 | 1.06(1.01 to 1.10) | < 0.0001 | 0.78(0.75 to 0.80) | < 0.0001 |
| Breast | 1.03(1.02 to 1.04) | 0.97(0.95 to 0.99) | 0.99(0.95 to 1.02) | 0.90(0.88 to 0.93) | |||||
| Prostate | 1.21(1.19 to 1.23) | 1.14(1.11 to 1.17) | 1.19(1.14 to 1.24) | 0.76(0.73 to 0.78) | |||||
| No. comorbid conditions (ref: 0) | 1 | 1.09(1.06 to 1.13) | < 0.0001 | 1.20(1.17 to 1.23) | < 0.0001 | 1.05(1.01 to 1.09) | < 0.0001 | 1.06(1.03 to 1.08) | < 0.0001 |
| 2 | 1.33(1.29 to 1.37) | 1.45(1.42 to 1.49) | 1.13(1.09 to 1.17) | 1.06(1.03 to 1.09) | |||||
| 3 | 1.11(1.07 to 1.14) | 1.69(1.64 to 1.74) | 1.21(1.16 to 1.26) | 1.05(1.02 to 1.08) | |||||
| 4+ | 1.06(1.03 to 1.10) | 2.04(1.97 to 2.10) | 1.30(1.24 to 1.38) | 0.99(0.95 to 1.03) | |||||
| Time between diagnosis and death (ref: 120+) | < 6 | 1.01(0.98 to 1.04) | 0 < .0001 | 0.97(0.93 to 1.02) | < 0.0001 | 1.54(1.42 to 1.67) | < 0.0001 | 1.13(1.07 to 1.20) | < 0.0001 |
| 6–12 | 0.79(0.77 to 0.81) | 1.08(1.03 to 1.13) | 1.43(1.32 to 1.54) | 1.38(1.31 to 1.45) | |||||
| 13–36 | 0.89(0.81 to 0.98) | 1.06(1.01 to 1.10) | 0.90(0.84 to 0.98) | 1.42(1.35 to 1.50) | |||||
| 37–60 | 1.04(0.95 to 1.14) | 1.03(0.98 to 1.08) | 0.93(0.86 to 1.01) | 1.32(1.25 to 1.40) | |||||
| 61–120 | 1.30(1.09 to 1.54) | 0.98(0.94 to 1.03) | 0.95(0.88 to 1.02) | 1.17(1.11 to 1.24) | |||||
| Year of death (ref: 2010–2014) | 2006–2009 | 1.18(1.16 to 1.19) | < 0.0001 | 0.92(0.90 to 0.94) | < 0.0001 | 0.93(0.88 to 0.97) | 0.003 | 0.86(0.84 to 0.88) | < 0.0001 |
| Region (ref: England) | Wales | 1.24(1.22 to 1.26) | 0.011 | 1.14(1.07 to 1.22) | < 0.0001 | 1.19(1.00 to 1.42) | < 0.0001 | 0.98(0.91 to 1.05) | 0.50 |
| Scotland | 1.07(1.06 to 1.09) | 0.85(0.80 to 0.89) | 0.62(0.49 to 0.77) | 1.00(0.95 to 1.06) | |||||
| NI | 1.34(1.31 to 1.37) | 1.00(0.92 to 1.08) | 1.35(1.10 to 1.66) | 0.91(0.79 to 1.04) | |||||