Table 3 Service utilization in patients with chronic diseases and with or without polypharmacy
M [SD] | Total patients with chronic diseases 9443 (100%) | 95% CI | Non-polypharmacy patients 7845 (83.1%) | 95% CI | Polypharmacy patients 1598 (100%) | 95% CI | p |
|---|---|---|---|---|---|---|---|
Total annual healthcare contacts | 13.9 [17.6] | 13.5–14.2 | 10.5 [13.4] | 10.2–10.8 | 30.3 [24.9] | 29.1–31.6 | < 0.01 |
Primary care | |||||||
N ≥ 1 contact (%)* | 7855 (83.2%) | 82.4–83.9 | 6274 (80.0%) | 79.1–80.9 | 1581 (98.9%) | 98.4–99.4 | < 0.01 |
Total annual primary care contacts | 11.7 [14.9] | 11.4–12.0 | 8.8 [11.2] | 8.6–9.1 | 25.9 [21.3] | 24.8–26.9 | < 0.01 |
Contact type | |||||||
Medical | 11.4 [14.6] | 11.1–11.7 | 8.6 [10.9] | 8.3–8.8 | 25.5 [21.0] | 24.5–26.6 | < 0.01 |
Administrative | 0.9 [3.3] | 0.8–1.0 | 0.7 [2.7] | 0.6–0.7 | 2.2 [5.3] | 1.9–2.5 | < 0.01 |
Laboratory | 0.8 [1.3] | 0.7–0.8 | 0.6 [1.1] | 0.6–0.7 | 1.4 [1.9] | 1.3–1.4 | < 0.01 |
Mode of contact | |||||||
In person | 10.7 [12.7] | 10.4–11.0 | 8.5 [10.5] | 8.3–8.7 | 21.6 [16.5] | 20.1–22.4 | < 0.01 |
Home visit | 0.6 [4.0] | 0.6–0.7 | 0.1 [1.6] | 0.1–0.2 | 3.0 [8.6] | 2.6–3.4 | < 0.01 |
Telephone | 0.4 [2.3] | 0.3–0.4 | 0.2 [1.1] | 0.2–0.2 | 1.4 [4.8] | 1.1–1.6 | < 0.01 |
Professional contacted | |||||||
Physician | 6.3 [7.1] | 6.1–6.4 | 5.0 [5.8] | 5.0–5.2 | 12.4 [9.3] | 11.9–12.9 | < 0.01 |
Nurse | 3.2 [7.1] | 3.1–3.4 | 2.0 [4.3] | 1.9–2.1 | 9.2 [12.9] | 8.6–9.8 | < 0.01 |
Physiotherapist | 0.3 [2.0] | 0.3–0.3 | 0.3 [1.9] | 0.2–0.3 | 0.4 [2.4] | 0.3–0.5 | 0.01 |
Social worker | 0.1 [0.6] | 0.1–0.1 | 0.04 [0.4] | 0.0–0.1 | 0.3 [1.1] | 0.2–0.3 | < 0.01 |
Dentist | 0.04 [0.4] | 0.04–0.05 | 0.04 [0.4] | 0.0–0.1 | 0.03 [0.29] | 0.02–0.05 | 0.16 |
Paediatrician | 0.01 [0.2] | 0.00–0.01 | 0.00 [0.1] | 0.00–0.01 | 0.01 [0.34] | 0.00–0.03 | 0.24 |
Midwife | 0.1 [0.7] | 0.1–0.1 | 0.1 [0.8] | 0.1–0.2 | 0.01 [0.10] | 0.00–0.01 | < 0.01 |
Hospital care | |||||||
N ≥ 1 contact (%)* | 4143 (43.9%) | 42.9–44.9 | 3070 (39.1%) | 38.1–40.2 | 1073 (67.1%) | 64.8–69.5 | < 0.01 |
Total annual hospital care contacts | 2.2 [4.8] | 2.1–2.3 | 1.7 [4.0] | 1.6–1.8 | 4.4 [7.2] | 4.1–4.8 | < 0.01 |
Contact type | |||||||
External consultations | 1.7 [3.4] | 1.6–1.7 | 1.3 [3.0] | 1.3–1.4 | 3.2 [4.7] | 3.0–3.5 | < 0.01 |
Emergency department | 0.3 [0.9] | 0.3–0.3 | 0.2 [0.7] | 0.2–0.3 | 0.7 [1.4] | 0.7–0.8 | < 0.01 |
Day hospital care | 0.1 [1.9] | 0.1–0.2 | 0.1 [1.7] | 0.1–0.1 | 0.3 [2.5] | 0.2–0.4 | < 0.01 |
Hospitalization | 0.1 [0.3] | 0.1–0.1 | 0.04 [0.2] | 0.03–0.04 | 0.2 [0.6] | 0.2–0.2 | < 0.01 |
Non-primary-care, non-hospital-care users | |||||||
N (%) | 1485 (15.7%) | 15.0–16.5 | 1469 (18.7%) | 17.9–19.6 | 16 (1.0%) | 0.5–1.5 | < 0.01 |