Usual care (n=17 practices, 749 patients) | Intervention (n=16 practices, 797 patients) | |
Patients | ||
Age: mean (SD) | 70.7 (11.4) | 71.0 (11.6) |
Female: no. (%) | 377 (50%) | 406 (51%) |
White ethnicity: no./total no. (%) | 729/739 (99%) | 775/780 (99%) |
Fully retired from work: no./total no. (%) | 512/721 (71%) | 525/759 (69%) |
No. of long-term conditions from QOF: median (IQR) | 3.0 (3.0 to 3.0) | 3.0 (3.0 to 3.0) |
No. of self-reported conditions: median (IQR), n | 7.0 (5.0 to 10.0), 748 | 7.0 (5.0 to 9.0), 795 |
Long-term conditions* no. (%) with: | ||
Cardiovascular disease or chronic kidney disease† | 698 (93%) | 747 (94%) |
Stroke or transient ischaemic attack | 241 (32%) | 286 (36%) |
Diabetes | 401 (54%) | 411 (52%) |
Chronic obstructive pulmonary disease or asthma | 382 (51%) | 388 (49%) |
Epilepsy | 35 (5%) | 41 (5%) |
Atrial fibrillation | 249 (33%) | 281 (35%) |
Serious mental illness‡ | 37 (5%) | 29 (4%) |
Depression | 283 (38%) | 276 (35%) |
Dementia | 27 (4%) | 33 (4%) |
Learning disability | 7 (1%) | 7 (1%) |
Rheumatoid arthritis | 55 (7%) | 48 (6%) |
EQ-5D-5L score: mean (SD), n | 0.542 (0.292), 747 | 0.574 (0.282), 795 |
*Conditions with similar clinical management were grouped and counted once only.
†Including coronary heart disease, hypertension, heart failure, peripheral arterial disease, chronic kidney disease stages 3 to 5.
‡Including schizophrenia, psychosis, bipolar disease.
QOF, Quality and Outcomes Framework.