All consultations | Face-to-face and home visits | Telephone, video, and e-consultations | |||||||
---|---|---|---|---|---|---|---|---|---|
GP consultations | IRR | 95% CI | P-value | IRR | 95% CI | P-value | IRR | 95% CI | P-value |
Change in consultation rates by variable (2020 versus 2019)b | 0.89 | 0.85 to 0.92 | <0.001 | 0.16 | 0.14 to 0.19 | <0.001 | 2.76 | 2.33 to 3.27 | <0.001 |
Age category, yearsc | <0.001 | <0.001 | 0.421 | ||||||
0–4 | 0.81 | 0.73 to 0.88 | <0.001 | 0.24 | 0.20 to 0.28 | <0.001 | 2.60 | 2.14 to 3.15 | <0.001 |
5–17 | 0.65 | 0.59 to 0.71 | <0.001 | 0.12 | 0.10 to 0.14 | <0.001 | 2.19 | 1.81 to 2.65 | <0.001 |
18–49 | 0.91 | 0.83 to 1.00 | 0.041 | 0.16 | 0.14 to 0.19 | <0.001 | 2.77 | 2.30 to 3.34 | <0.001 |
50–69 | 0.89 | 0.81 to 0.97 | 0.008 | 0.16 | 0.14 to 0.19 | <0.001 | 2.76 | 2.29 to 3.33 | <0.001 |
70–84 | 0.96 | 0.87 to 1.05 | 0.324 | 0.19 | 0.16 to 0.22 | <0.001 | 2.84 | 2.35 to 3.42 | <0.001 |
≥85 | 1.05 | 0.96 to 1.16 | 0.265 | 0.24 | 0.21 to 0.29 | <0.001 | 2.78 | 2.30 to 3.36 | <0.001 |
Mental health statusc | <0.001 | 0.687 | 0.229 | ||||||
Good mental health | 0.84 | 0.80 to 0.87 | <0.001 | 0.16 | 0.14 to 0.18 | <0.001 | 2.61 | 2.25 to 3.03 | <0.001 |
Poor mental health | 1.06 | 1.01 to 1.10 | 0.022 | 0.17 | 0.14 to 0.19 | <0.001 | 2.97 | 2.56 to 3.44 | <0.001 |
Shielding statusc | <0.001 | 0.032 | 0.644 | ||||||
Non shielding | 0.86 | 0.81 to 0.91 | <0.001 | 0.16 | 0.14 to 0.18 | <0.001 | 2.67 | 2.29 to 3.11 | <0.001 |
Shielding | 1.09 | 1.03 to 1.16 | 0.004 | 0.20 | 0.17 to 0.23 | <0.001 | 2.81 | 2.41 to 3.27 | <0.001 |
Sexc | 0.411 | 0.776 | 0.718 | ||||||
IMD quintilec | 0.895 | 0.867 | 0.940 | ||||||
Ethnicityc | 0.636 | 0.076 | 0.108 | ||||||
Nurse/paramedic consultations | IRR | 95% CI | P -value | IRR | 95% CI | P-value | IRR | 95% CI | P-value |
Change in consultation rates by variable (2020 versus 2019)b | 0.83 | 0.76 to 0.91 | <0.001 | 0.54 | 0.49 to 0.59 | <0.001 | 5.51 | 3.81 to 7.97 | <0.001 |
Age category, yearsc | 0.003 | <0.001 | 0.835 | ||||||
0–4 | 1.00 | 0.85 to 1.17 | 0.975 | 0.83 | 0.70 to 0.98 | 0.026 | 5.71 | 3.98 to 8.18 | <0.001 |
5–17 | 0.62 | 0.53 to 0.73 | <0.001 | 0.29 | 0.25 to 0.35 | <0.001 | 4.71 | 3.32 to 6.68 | <0.001 |
18–49 | 0.87 | 0.74 to 1.02 | 0.081 | 0.53 | 0.45 to 0.62 | <0.001 | 6.66 | 4.79 to 9.27 | <0.001 |
50–69 | 0.89 | 0.76 to 1.04 | 0.154 | 0.57 | 0.48 to 0.67 | <0.001 | 5.74 | 4.13 to 7.98 | <0.001 |
70–84 | 0.86 | 0.74 to 1.01 | 0.064 | 0.56 | 0.48 to 0.66 | <0.001 | 5.54 | 3.97 to 7.73 | <0.001 |
≥85 | 0.83 | 0.71 to 0.97 | 0.021 | 0.51 | 0.44 to 0.61 | <0.001 | 5.51 | 3.90 to 7.78 | <0.001 |
Mental health statusc | 0.017 | 0.012 | 0.966 | ||||||
Good mental health | 0.83 | 0.75 to 0.92 | <0.001 | 0.54 | 0.49 to 0.59 | <0.001 | 5.78 | 4.24 to 7.87 | <0.001 |
Poor mental health | 0.99 | 0.90 to 1.10 | 0.890 | 0.65 | 0.58 to 0.72 | <0.001 | 5.72 | 4.17 to 7.86 | <0.001 |
Shielding statusc | 0.001 | 0.001 | 0.222 | ||||||
Non shielding | 0.83 | 0.73 to 0.94 | 0.003 | 0.53 | 0.46 to 0.60 | <0.001 | 5.28 | 3.75 to 7.44 | <0.001 |
Shielding | 1.15 | 1.01 to 1.31 | 0.031 | 0.73 | 0.63 to 0.84 | <0.001 | 7.13 | 4.99 to 10.19 | <0.001 |
Sexc | 0.390 | 0.873 | 0.727 | ||||||
IMD quintilec | 0.958 | 0.926 | 0.879 | ||||||
Ethnicityc | 0.163 | 0.111 | 0.924 |
↵a Table 2 shows output from the negative binomial models.
↵b The overall changes in consulting in 2020 compared to 2019 are presented.
↵c P-values for the interaction between consulting year and patient characteristics are presented. Changes in consulting rates are only presented by the different levels of a patient characteristic for characteristics if the interaction P-value is <0.05 for at least one of the three outcome models. IMD = Index of Multiple Deprivation. IRR = incidence rate ratio.