Table 4:

Multivariable quasi-Poisson regression of primary care physician visits

VariableNo. of patientsUnadjusted incidence rate ratio (95% CI)Adjusted incidence rate ratio (95% CI)
Sex
 Female83 9780.97 (0.96–0.99)0.97 (0.95–0.98)
Age, yr
 19–5923 5201.00 (ref.)1.00 (ref.)
 60–6925 9571.07 (1.03–1.11)1.02 (0.98–1.05)
 70–7947 4101.11 (1.07–1.15)1.08 (1.05–1.12)
 80–8986 7171.14 (1.10–1.17)1.15 (1.11–1.18)
 ≥ 9042 4501.17 (1.13–1.21)1.20 (1.16–1.25)
Region*
 Central93 2171.00 (ref.)1.00 (ref.)
 East42 2760.94 (0.91–0.96)0.96 (0.94–0.99)
 North19 3920.82 (0.79–0.85)0.84 (0.81–0.87)
 South71 1691.09 (1.06–1.11)1.07 (1.05–1.09)
Rurality
 Rural30 5840.88 (0.86–0.91)0.96 (0.94–0.99)
Patient enrolment model type
 Enhanced fee-for-service73 1501.00 (ref.)1.00 (ref.)
 Family health team75 0310.78 (0.76–0.79)0.77 (0.76–0.79)
 Other capitation64 9080.81 (0.79–0.82)0.80 (0.78–0.82)
 Other84030.60 (0.56–0.65)0.66 (0.62–0.71)
 Not enrolled45620.77 (0.73–0.81)0.79 (0.75–0.83)
Home care services
 Personal support162 2761.00 (0.89–1.02)0.98 (0.96–1.00)
 Nursing80 6361.33 (1.31–1.35)1.34 (1.31–1.36)
Function
 Independent/supervision127 7251.00 (ref.)1.00 (ref.)
 Mild/moderate impairment72 2201.05 (1.03–1.07)1.01 (0.99–1.03)
 Severe impairment26 1091.15 (1.12–1.19)1.05 (1.02–1.08)
Cognition
 Independent/supervision85 6131.00 (ref.)1.00 (ref.)
 Mild/moderate impairment121 0811.01 (0.99–1.03)0.98 (0.97–1.00)
 Severe impairment19 3601.00 (0.96–1.04)0.97 (0.93–1.01)
Mood
 No symptoms108 9181.00 (ref.)1.00 (ref.)
 Some symptoms59 6841.11 (1.09–1.13)1.10 (1.08–1.13)
 Daily symptoms57 4521.23 (1.20–1.25)1.22 (1.19–1.24)
Chronic conditions
 Congestive heart failure29 8751.24 (1.21–1.27)1.12 (1.09–1.14)
 Chronic obstructive pulmonary disease44 2091.14 (1.11–1.16)1.07 (1.05–1.09)
 Dementia58 4131.02 (0.99–1.04)1.04 (1.02–1.07)
No. of medications
 0–436 2941.00 (ref.)1.00 (ref.)
 5–870 6981.21 (1.17–1.24)1.17 (1.14–1.21)
 ≥ 9119 0621.45 (1.41–1.49)1.38 (1.34–1.42)
  • Note: CI = confidence interval, ref. = reference.

  • * Region is defined by the first letter of a postal code: P = North, K = East, M and N = Central, L = South.

  • Rural is defined as having a postal code with a Rurality Index for Ontario 2008 score ≥ 40.