Table 2. Two-part models for health and social care activity: Barking and Dagenham sample of n = 9222 people aged ≥50 years in two-person households.
OR for any activity | 95% LL | 95%UL | Exp gamma coefficient (in the subset with any activity) | 95% LL | 95% UL | Adjusted means across both parts | 95% LL | 95% UL | |
---|---|---|---|---|---|---|---|---|---|
Number of primary care visits | |||||||||
MLTCs/healthy | Reference | Reference | 7.9 | 7.7 | 8.2 | ||||
Both MLTCs | 0.44 | 0.17 | 1.11 | 1.08 | 1.03 | 1.12 | 8.5 | 8.2 | 8.8 |
Both healthy | 0.12 | 0.06 | 0.27 | 0.62 | 0.60 | 0.65 | 4.8 | 4.7 | 4.9 |
Healthy/MLTCs | 0.13 | 0.06 | 0.30 | 0.66 | 0.64 | 0.69 | 5.1 | 5.0 | 5.3 |
Primary care costs | |||||||||
MLTCs/healthy | Reference | Reference | £198 | £192 | £205 | ||||
Both MLTCs | 0.44 | 0.17 | 1.11 | 1.08 | 1.03 | 1.13 | £213 | £205 | £220 |
Both healthy | 0.12 | 0.06 | 0.27 | 0.64 | 0.62 | 0.67 | £124 | £121 | £128 |
Healthy/MLTCs | 0.13 | 0.06 | 0.30 | 0.69 | 0.66 | 0.72 | £134 | £130 | £138 |
Outpatient costs | |||||||||
MLTCs/healthy | Reference | Reference | £312 | £294 | £330 | ||||
Both MLTCs | 1.03 | 0.89 | 1.19 | 0.93 | 0.86 | 1.00 | £293 | £275 | £311 |
Both healthy | 0.50 | 0.44 | 0.56 | 0.71 | 0.66 | 0.76 | £172 | £162 | £182 |
Healthy/MLTCs | 0.51 | 0.45 | 0.58 | 0.73 | 0.68 | 0.79 | £181 | £168 | £193 |
Cost of non-elective admissions | |||||||||
MLTCs/healthy | Reference | Reference | £609 | £532 | £686 | ||||
Both MLTCs | 1.01 | 0.87 | 1.17 | 0.99 | 0.85 | 1.14 | £606 | £527 | £684 |
Both healthy | 0.45 | 0.39 | 0.53 | 0.76 | 0.64 | 0.90 | £247 | £205 | £288 |
Healthy/MLTCs | 0.42 | 0.35 | 0.50 | 0.63 | 0.53 | 0.76 | £192 | £154 | £230 |
Cost of elective admissions | |||||||||
MLTCs/healthy | Reference | Reference | £443 | £396 | £491 | ||||
Both MLTCs | 1.05 | 0.92 | 1.20 | 1.00 | 0.88 | 1.14 | £459 | £409 | £509 |
Both healthy | 0.57 | 0.51 | 0.65 | 0.91 | 0.80 | 1.03 | £273 | £244 | £303 |
Healthy/MLTCs | 0.64 | 0.56 | 0.73 | 0.86 | 0.75 | 0.98 | £281 | £245 | £316 |
ED costs | |||||||||
MLTCs/healthy | Reference | Reference | £84 | £76 | £92 | ||||
Both MLTCs | 1.08 | 0.95 | 1.23 | 1.04 | 0.93 | 1.16 | £91 | £82 | £99 |
Both healthy | 0.53 | 0.47 | 0.60 | 0.76 | 0.67 | 0.85 | £43 | £38 | £47 |
Healthy/MLTCs | 0.52 | 0.45 | 0.59 | 0.78 | 0.68 | 0.88 | £43 | £38 | £48 |
Total hospital costs (outpatient + admissions + ED ) | |||||||||
MLTCs/healthy | Reference | Reference | £1454 | £1338 | £1570 | ||||
Both MLTCs | 1.06 | 0.91 | 1.24 | 0.99 | 0.89 | 1.11 | £1458 | £1338 | £1578 |
Both healthy | 0.49 | 0.43 | 0.56 | 0.62 | 0.56 | 0.69 | £743 | £685 | £800 |
Healthy/MLTCs | 0.47 | 0.41 | 0.54 | 0.59 | 0.53 | 0.67 | £701 | £636 | £766 |
Number of days in hospital | |||||||||
MLTCs/healthy | Reference | Reference | 1.58 | 1.33 | 1.83 | ||||
Both MLTCs | 0.97 | 0.84 | 1.12 | 0.98 | 0.80 | 1.20 | 1.53 | 1.28 | 1.77 |
Both healthy | 0.43 | 0.37 | 0.50 | 0.80 | 0.63 | 1.00 | 0.65 | 0.51 | 0.78 |
Healthy/MLTCs | 0.42 | 0.35 | 0.50 | 0.67 | 0.52 | 0.87 | 0.54 | 0.41 | 0.67 |
Community care costs | |||||||||
MLTCs/healthy | Reference | Reference | £428 | £358 | £498 | ||||
Both MLTCs | 1.14 | 1.00 | 1.30 | 1.20 | 0.97 | 1.49 | £559 | £468 | £650 |
Both healthy | 0.37 | 0.32 | 0.43 | 0.69 | 0.54 | 0.89 | £141 | £111 | £171 |
Healthy/MLTCs | 0.36 | 0.31 | 0.42 | 0.51 | 0.39 | 0.68 | £103 | £77 | £128 |
Mental health costs | |||||||||
MLTCs/healthy | Reference | Reference | £318 | £155 | £482 | ||||
Both MLTCs | 1.24 | 0.99 | 1.54 | 1.41 | 0.73 | 2.71 | £543 | £281 | £795 |
Both healthy | 0.37 | 0.28 | 0.50 | 1.01 | 0.43 | 2.40 | £127 | £31 | £224 |
Healthy/MLTCs | 0.40 | 0.30 | 0.54 | 0.76 | 0.30 | 1.92 | £103 | £19 | £186 |
Social care costs | |||||||||
MLTCs/healthy | Reference | Reference | £439 | £320 | £559 | ||||
Both MLTCs | 1.24 | 0.96 | 1.59 | 0.86 | 0.66 | 1.13 | £461 | £347 | £575 |
Both healthy | 0.29 | 0.20 | 0.43 | 0.58 | 0.38 | 0.88 | £80 | £42 | £118 |
Healthy/MLTCs | 0.27 | 0.18 | 0.41 | 0.51 | 0.32 | 0.81 | £64 | £28 | £99 |
ED = emergency department. Exp = exponentiated. LL= lower limit. MLTCs = multiple long-term conditions. OR = odds ratio. UL = upper limit.