Table 1.

Associations between consistency of GP seen and emergency inpatient admissions and A&E attendances for the cohort: multilevel random intercept negative binomial regression models for years 2000–2015 (inpatient admissions) and 2008–2015 (A&E attendances)a

Emergency inpatient admissionA&E visit
Incidence rate ratio95% CIP-valueIncidence rate ratio95% CIP-value
Usual provider of care index
  <1/21 (ref)1 (ref)
  ≥1/2, <2/31.010.981.050.400.950.910.98<0.01
  ≥2/31.030.991.070.180.900.860.94<0.01
  Undefined (<2 consultations in year)1.020.981.060.350.800.760.83<0.01
No. of consultations in year1.041.031.04<0.011.031.031.03<0.01
Year0.960.950.96<0.011.031.031.04<0.01
Sex
  Male1 (ref)1 (ref)
  Female1.030.991.070.200.940.910.980.01
Ethnic group
  Black African1.120.961.310.151.060.921.220.45
  Black Caribbean1.301.041.630.021.501.191.89<0.01
  Black other1.381.071.770.011.491.191.88<0.01
  Bangladeshi1.160.841.600.380.910.681.230.56
  Chinese0.830.561.230.371.050.721.540.80
  Indian0.860.731.010.070.930.791.080.34
  Pakistani1.070.941.220.310.990.871.120.88
  Other Asian1.351.131.61<0.011.241.051.460.01
  White1 (ref)1 (ref)
  Mixed1.241.081.42<0.011.161.021.320.02
  Other1.090.931.270.301.191.031.380.02
Age group, years
  <13.523.333.72<0.011.941.782.10<0.01
  1–51 (ref)1 (ref)
  6–100.470.450.49<0.010.660.630.69<0.01
  11–150.450.420.47<0.010.700.660.74<0.01
  16–200.440.420.46<0.010.730.690.77<0.01
  21–250.440.410.46<0.010.810.760.85<0.01
Main diagnostic group
  Circulatory1.791.562.06<0.011.221.061.390.01
  Congenital1 (ref)1 (ref)
  Gastrointestinal2.822.383.35<0.011.321.121.55<0.01
  Genitourinary3.072.793.38<0.011.651.501.82<0.01
  Haematology1.851.682.04<0.011.191.081.31<0.01
  Metabolic1.991.792.21<0.011.341.201.49<0.01
  Neurology1.711.601.82<0.011.331.251.41<0.01
  Oncology1.951.832.08<0.011.020.961.080.58
  Perinatal0.880.751.040.140.960.831.120.64
  Respiratory2.292.122.46<0.011.281.191.38<0.01
  Other1.531.231.90<0.011.221.001.490.05
Deprivation category
  1 (least deprived)0.720.670.77<0.010.630.590.67<0.01
  20.750.700.80<0.010.660.620.71<0.01
  30.820.770.88<0.010.780.730.83<0.01
  40.950.891.010.100.860.800.91<0.01
  5 (most deprived)1 (ref)1 (ref)
Model parameters
  Degrees of freedom3838
  Log likelihood−91 308.9−63 513.0
  BIC183 056.2127 447.1
  • a ’No. of consultations in year’ and ‘Year’ are continuous variables — incident rate ratios indicate the expected proportional change in outcome rate for one additional consultation and 1 year later in time. A&E = accident and emer gency. BIC = Bayesian information criterion.