Table 3

Effects of practice organisation characteristics on indicators of cardiovascular risk management

Linear regressionLogistic regression
Risk factor registrationAntiplatelet therapyInfluenza vaccinationSBP<140 mm HgDBDP<90 mm HgLDL<2.5 mmol/l
Bp ValueORp ValueORp ValueORp ValueORp ValueORp Value
(a) Primary analyses
Age−0.00420.02071.0040NS1.0688<0.00011.0230<0.00010.98580.00360.98860.0035
Gender
 1=female0.0200NS1.7695<0.00011.0619NS0.9601NS0.9954NS0.71920.0001
 2=male
Chronic care model-composite (score from 0 to 5)0.0307<0.00011.05330.02451.1246<0.00011.0028NS1.0091NS1.0037NS
Community resources and policies (n=4)0.0084NS0.9049NS0.8513NS1.0078NS1.15560.02831.1035NS
(b) Secondary analyses
Healthcare organisation (n=7)0.0280NS1.0371NS1.19280.02430.9938NS0.9807NS0.9802NS
Clinical information systems (n=6)0.04980.02361.31920.00161.47680.00021.0575NS1.0558NS0.9627NS
Self-management support (n=4)0.1676<0.00011.0539NS1.54770.00040.9685NS–*1.14690.0252
Decision support (n=3)0.0685NS1.1954NS1.43380.04111.0767NS1.0664NS1.1165NS
Delivery system design (n=15)0.03520.00021.0597NS1.13420.00361.0022NS0.9763NS1.0033NS
  • Results of regression analyses (B values and OR) with p<0.05 as significance level, a three-level model.

  • Three level model: outcomes on patient level with age and gender as covariates; practice characteristics was the next level and country the third level. Country proved to be a significant factor in all analyses (p<0.0001, data not shown).

  • Primary analysis:  practice level with two variables: (1) community resources and policies and (2) the Chronic Care Model composite score of the other five domains, comprising healthcare organisation, clinical information systems, self-management support, decision support and delivery system design.

  • Secondary analysis: practice level with two variables: (1) community resources and policies and (2) one of the other five domains: healthcare organisation, clinical information systems, self-management support, decision support or delivery system design. Only the estimates of these last domains are displayed in this analysis.

  • *Analysis found no estimate.

  • DBP, diastolic blood pressure; B, effect estimate in regression analysis; LDL, low-density lipoprotein cholesterol level; NS, not significant, significance level at p<0.05; SBP, systolic blood pressure.