Table 2

Postenrolment mortality rate as number and percentage (%) of deaths and healthcare utilisation frequencies and charges, in 3-year postenrolment for patients right-sited to the FMC (Intervention group) and their matched controls (Control group)

InterventionControlHR* (95% CI)P value*
N (%)N (%)
3-year mortality31 (4.50%)76 (11.10%)0.37 (0.25 to 0.57) < 0.01
Healthcare utilisation frequenciesInterventionControlExcess zero partNon-excess zero part
(Zero-inflated)†(Negative binomial)†
Mean (SD)Mean (SD)OR (95% CI)P valueIRR (95% CI)P value
Frontier FMC attendances11.25 (9.17)
SOC attendances7.99 (9.45)4.521.23 (0.55 to 2.75)0.622.06 (1.79 to 2.37) < 0.01
Polyclinic attendances4.12 (7.6)6.611.09 (0.78 to 1.52)0.620.60 (0.52 to 0.70) < 0.01
Emergency department attendances1.21 (2.41)0.810.17 (0.03 to 0.94) 0.04 1.12 (0.88 to 1.42)0.36
Emergency admissions0.62 (1.61)0.440.51 (0.27 to 0.97) 0.04 0.91 (0.63 to 1.30)0.6
Non-day surgery inpatient admissions0.7 (1.74)0.470.49 (0.26 to 0.92) 0.03 0.95 (0.67 to 1.35)0.79
Non-day surgery inpatient admissions LOS4.03 (13.37)3.450.48 (0.32 to 0.72) < 0.01 0.39 (0.26 to 0.58) < 0.01
All-cause admissions1.14 (2.21)0.660.81 (0.21 to 3.15)0.761.53 (1.13 to 2.08) 0.01
All-cause admissions LOS4.48 (13.48)3.640.11 (0.01 to 1.06)0.060.49 (0.35 to 0.70) < 0.01
Healthcare utilisation charges ($)InterventionControlZero partNon-zero part
(First part—Probit)‡(Second part—Gamma)‡
MeanMeanME (95% CI)P valueMR (95% CI)P value
Frontier FMC attendance charges1466 (1614)
SOC attendance charges1135 (1397)6400.09 (0.04 to 0.13) < 0.01 1.86 (1.63 to 2.12) < 0.01
Polyclinic attendance charges327 (698)650−0.06 (-0.12 to 0.00) 0.04 0.51 (0.42 to 0.61) < 0.01
Emergency department attendance charges383 (782)2410.11 (0.06 to 0.17) < 0.01 1.18 (1.00 to 1.40)0.05
Emergency admission charges3866 (11 408)33290.04 (0.00 to 0.08)0.070.88 (0.65 to 1.20)0.42
Non-day surgery inpatient admission charges4747 (12 769)35500.05 (0.01 to 0.10) 0.02 0.97 (0.73 to 1.28)0.83
All-cause admission charges5335 (13 062)37800.10 (0.04 to 0.15) < 0.01 1.05 (0.79 to 1.40)0.72
  • The HR, along with its 95% CI and p value, are presented for the mortality rate. The OR or ME and the IRR or MR are presented for the zero and non-zero parts of the models for healthcare utilisation frequencies and charges, along with their 95% CIs and p values. Significant p values are bolded, and colour-coded, with red indicating HR>1, OR<1, ME<0, IRR>1 or MR>1 and green indicating HR<1, OR>1, ME>0, IRR<1 or MR<1.

  • *Adjusted for propensity score.

  • †Adjusted for pre-enrolment healthcare utilisation frequencies, propensity score and survival days (or follow-up time).

  • ‡Adjusted for pre-enrolment healthcare utilisation charges, propensity score and survival days (or follow-up time).

  • CI, confidence interval; FMC, family medicine clinic; HR, hazard ratio; IRR, incidence rate ratio;LOS, length of stay; ME, marginal effects; MR, mean ratio;OR, odds ratio; SD, standard deviation; SOS, specialist outpatient clinic.