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Table 3 Primary outcome analysis of any cardiovascular disease (CVD) hospitalization using mixed-effects logistic regression analysis accounting for clustering by practice and provider (N = 262,996)

From: Practice facilitation for improving cardiovascular care: secondary evaluation of a stepped wedge cluster randomized controlled trial using population-based administrative data

Parameter

Model A

Model B

Model C

 

(Unadjusted)

(Adjusted for patient factors)

(Adjusted for patient and provider factors)

 

Odds ratio

p value

Odds ratio

p value

Odds ratio

p value

Phase

 Baseline

Ref

 

Ref

 

Ref

 

 Intervention

0.96

0.51

0.96

0.50

0.96

0.49

 Post

0.95

0.51

0.93

0.37

0.93

0.36

 Year

0.95

<0.001

0.95

0.001

0.95

0.002

Region

 1

1.54

0.04

1.13

0.49

0.87

0.41

 2

0.89

0.48

0.90

0.43

0.75

0.028

 3

1.08

0.65

0.99

0.94

0.81

0.09

 4

1.36

0.07

1.01

0.93

0.74

0.035

 5

0.84

0.34

0.90

0.50

0.85

0.22

 6

0.87

0.51

0.95

0.75

0.89

0.47

 7

0.80

0.18

0.81

0.11

0.72

0.011

 8

0.95

0.81

0.92

0.65

0.83

0.24

 9

Ref

 

Ref

 

Ref

 

Patient characteristics

 Age

  

1.03

<0.001

1.03

<0.001

 Sex

  

0.55

<0.001

0.55

<0.001

Number of ADGs

 0

  

Ref

-

Ref

-

 1 (1–4)

  

0.78

0.18

0.78

0.19

 2 (5–9)

  

1.16

0.44

1.16

0.42

 3 (10+)

  

2.03

<0.001

2.04

<0.001

Location

 Urban

  

Ref

-

Ref

-

 Suburban

  

1.21

0.001

1.08

0.24

 Rural

  

1.23

0.001

1.12

0.13

Income quintile

 1

  

Ref

-

Ref

-

 2

  

0.89

0.015

0.90

0.020

 3

  

0.86

0.002

0.86

0.002

 4

  

0.80

<0.001

0.80

<0.001

 5

  

0.75

<0.001

0.75

<0.001

Immigrant

  

1.00

0.995

0.997

0.97

Provider characteristics

 Payment model

 FFS

    

Ref

-

 Capitation, FHT

    

0.97

0.68

 Capitation, non-FHT

    

1.07

0.13

 Female physician

    

0.90

0.058

 Years since graduation

    

1.00

0.24

Physician rurality

 Urban

    

Ref

-

 Suburban

    

1.46

0.013

 Rural

    

1.33

0.032

 Trained abroad

    

1.21

0.041

 Practice size

    

1.02

0.054

  1. ADG Aggregated Diagnostic Groups, FHT Family Health Team