Inappropriate use | Excessive use | ||||||
---|---|---|---|---|---|---|---|
Group | Variable | Odds Ratio | 95% CI | P value | Odds Ratio | 95% CI | P value |
(Lower, Upper) | (Lower, Upper) | ||||||
Socio-demographic | Sex (female = 1) | 0.67 | 0.65–0.68 | <.0001 | 0.50 | 0.47–0.54 | <.0001 |
Higher SES | 0.97 | 0.96–0.97 | <.0001 | 0.92 | 0.91–0.94 | <.0001 | |
Year | 0.98 | 0.98–0.98 | <.0001 | 0.99 | 0.98–0.99 | <.0001 | |
Age (per 10 years increase) | 1.05 | 1.05–1.06 | <.0001 | 1.36 | 1.33–1.39 | <.0001 | |
Type & quality of care for asthma | Having received pulmonary function test | 0.86 | 0.82–0.89 | <.0001 | 0.90 | 0.83–0.98 | 0.0006 |
Respirologist consultation | 0.70 | 0.66–0.75 | <.0001 | 1.18 | 1.07–1.31 | <.0001 | |
Internal medicine consultation | 0.69 | 0.65–0.74 | <.0001 | 1.06 | 0.95–1.18 | 0.317 | |
Allergist consultation | 0.48 | 0.45–0.51 | <.0001 | 0.34 | 0.28–0.41 | <.0001 | |
General Practitioner visits | |||||||
No visit | – | – | – | – | – | – | |
1 visit PY | 1.24 | 1.22–1.26 | <.0001 | 1.58 | 1.51–1.66 | <.0001 | |
2 visits PY | 1.29 | 1.27–1.32 | <.0001 | 2.46 | 2.33–2.61 | <.0001 | |
More than 2 visits | 1.73 | 1.69–1.77 | <.0001 | 7.24 | 6.8–7.71 | <.0001 | |
Continuity of care (COC) | |||||||
COC = 0 | – | – | – | – | – | – | |
COC > 0 and COC < 50% | 0.73 | 0.71–0.75 | <.0001 | 0.92 | 0.85–0.99 | 0.0275 | |
COC > =50% and COC < 100% | 0.77 | 0.75–0.8 | <.0001 | 0.94 | 0.85–1.03 | 0.1953 | |
COC = 100% | 0.82 | 0.79–0.85 | <.0001 | 0.96 | 0.84–1.08 | 0.4703 | |
Asthma-related hospitalisation | 1.46 | 1.34–1.58 | <.0001 | 1.48 | 1.33–1.65 | <.0001 | |
Appropriate use of ICS | 0.10 | 0.10–0.11 | <.0001 | 0.09 | 0.09–0.10 | <.0001 | |
Systemic corticosteroid | 0.61 | 0.60–0.63 | <.0001 | 1.80 | 1.72–1.90 | <.0001 | |
Comorbidity-related variables | Modified Charlson score (SD) | 0.99 | 0.97–1.00 | 0.1371 | 0.95 | 0.91–1.00 | 0.0201 |
None asthma related outpatient resource utilisations | |||||||
< 5 times | – | – | – | – | – | – | |
<=5 and > 10 times | 0.77 | 0.76–0.79 | <.0001 | 0.84 | 0.79–0.89 | <.0001 | |
<=10 and > 20 times | 0.68 | 0.67–0.7 | <.0001 | 0.79 | 0.74–0.85 | <.0001 | |
> 20 times | 0.63 | 0.61–0.65 | <.0001 | 0.81 | 0.75–0.88 | <.0001 | |
None asthma related hospitalisation | 1.09 | 1.07–1.11 | <.0001 | 1.33 | 1.27–1.39 | <.0001 |