Effects of practice organisation characteristics on indicators of cardiovascular risk management
Linear regression | Logistic regression | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Risk factor registration | Antiplatelet therapy | Influenza vaccination | SBP<140 mm Hg | DBDP<90 mm Hg | LDL<2.5 mmol/l | |||||||
B | p Value | OR | p Value | OR | p Value | OR | p Value | OR | p Value | OR | p Value | |
(a) Primary analyses | ||||||||||||
Age | −0.0042 | 0.0207 | 1.0040 | NS | 1.0688 | <0.0001 | 1.0230 | <0.0001 | 0.9858 | 0.0036 | 0.9886 | 0.0035 |
Gender | ||||||||||||
1=female | 0.0200 | NS | 1.7695 | <0.0001 | 1.0619 | NS | 0.9601 | NS | 0.9954 | NS | 0.7192 | 0.0001 |
2=male | ||||||||||||
Chronic care model-composite (score from 0 to 5) | 0.0307 | <0.0001 | 1.0533 | 0.0245 | 1.1246 | <0.0001 | 1.0028 | NS | 1.0091 | NS | 1.0037 | NS |
Community resources and policies (n=4) | 0.0084 | NS | 0.9049 | NS | 0.8513 | NS | 1.0078 | NS | 1.1556 | 0.0283 | 1.1035 | NS |
(b) Secondary analyses | ||||||||||||
Healthcare organisation (n=7) | 0.0280 | NS | 1.0371 | NS | 1.1928 | 0.0243 | 0.9938 | NS | 0.9807 | NS | 0.9802 | NS |
Clinical information systems (n=6) | 0.0498 | 0.0236 | 1.3192 | 0.0016 | 1.4768 | 0.0002 | 1.0575 | NS | 1.0558 | NS | 0.9627 | NS |
Self-management support (n=4) | 0.1676 | <0.0001 | 1.0539 | NS | 1.5477 | 0.0004 | 0.9685 | NS | –* | 1.1469 | 0.0252 | |
Decision support (n=3) | 0.0685 | NS | 1.1954 | NS | 1.4338 | 0.0411 | 1.0767 | NS | 1.0664 | NS | 1.1165 | NS |
Delivery system design (n=15) | 0.0352 | 0.0002 | 1.0597 | NS | 1.1342 | 0.0036 | 1.0022 | NS | 0.9763 | NS | 1.0033 | NS |
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.