Statistics for multivariate multilevel tests of the effects of time and practice and patient characteristics on consultations by Dutch GPs
| (A) Having at least one GP consultation for psychological or social problems per patient per year (no/yes) | (B) Number of GP consultations for psychological or social problems per patient per year | (C) Number of long GP consultations for psychological or social problems per patient per year | ||||
|---|---|---|---|---|---|---|
| Number of observations in analyses | N=4 389 048 (all GP patients) | N=594 231 (only patients with at least one GP consultation for psychosocial problems) | N=594 231 (only patients with at least one GP consultation for psychosocial problems) | |||
| OR | 95% CI | RR | 95% CI | RR | 95% CI | |
| Year | ||||||
| 2010 (reference) | ||||||
| 2011 | 1.05 | 1.01 to 1.11 | 1.03 | 1.00 to 1.05 | 1.02 | 0.96 to 1.09 |
| 2012 | 1.07 | 1.02 to 1.13 | 1.00 | 0.98 to 1.02 | 1.03 | 0.96 to 1.10 |
| 2013 | 1.15 | 1.10 to 1.21 | 1.05 | 1.03 to 1.08 | 1.07 | 1.00 to 1.14 |
| 2014 | 1.23 | 1.17 to 1.28 | 1.12 | 1.09 to 1.15 | 1.13 | 1.06 to 1.21 |
| Practice characteristics | ||||||
| Employment of MHN | ||||||
| No (reference) | ||||||
| Yes | 1.05 | 1.02 to 1.08 | 1.00 | 0.98 to 1.02 | 1.01 | 0.97 to 1.06 |
| Practice type | ||||||
| Solo (reference) | ||||||
| Duo | 1.05 | 1.01 to 1.09 | 1.02 | 1.00 to 1.05 | 1.09 | 1.02 to 1.16 |
| Group | 1.00 | 0.96 to 1.03 | 1.02 | 0.99 to 1.04 | 1.04 | 0.98 to 1.10 |
| Degree of urbanisation (%) | ||||||
| Very high (reference) | ||||||
| High | 0.99 | 0.95 to 1.03 | 1.04 | 1.02 to 1.07 | 1.04 | 0.98 to 1.10 |
| Medium | 0.90 | 0.86 to 0.93 | 1.04 | 1.01 to 1.06 | 1.13 | 1.06 to 1.21 |
| Low | 0.77 | 0.74 to 0.80 | 1.05 | 1.02 to 1.08 | 1.20 | 1.12 to 1.28 |
| Very low | 0.81 | 0.77 to 0.85 | 1.08 | 1.05 to 1.11 | 1.24 | 1.15 to 1.33 |
| Practice size | ||||||
| Small (reference) | ||||||
| Medium | 1.01 | 0.97 to 1.04 | 1.03 | 1.00 to 1.05 | 1.00 | 0.94 to 1.06 |
| Large | 1.03 | 0.99 to 1.07 | 1.03 | 1.01 to 1.06 | 1.06 | 0.99 to 1.13 |
| Patient characteristics | ||||||
| Sex | ||||||
| Male (reference) | ||||||
| Female | 1.43 | 1.42 to 1.44 | 1.07 | 1.05 to 1.08 | 1.13 | 1.10 to 1.15 |
| Age category (years) | ||||||
| 0–19 (reference) | ||||||
| 19–44 | 1.68 | 1.67 to 1.70 | 1.33 | 1.31 to 1.36 | 1.96 | 1.88 to 2.04 |
| 45–64 | 1.94 | 1.92 to 1.96 | 1.41 | 1.38 to 1.44 | 2.13 | 2.04 to 2.22 |
| >65 | 2.36 | 2.33 to 2.39 | 1.59 | 1.55 to 1.62 | 2.06 | 1.98 to 2.16 |
An OR higher than 1.0 reflects an increased chance of having at least one consultation, compared with the reference group. An RR higher than 1.0 reflects the chance of having more than one consultation, compared with the reference group.
GP, general practitioner; MHN, mental health nurse; RR, risk ratio.