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Table 6 Adjusted comparison of process of care indicators between primary care payment models

From: Comparison of primary care models in the prevention of cardiovascular disease - a cross sectional study

Area of care

Process of care indicator

p-value

Pairwise comparison of models: AOR [95% CI]

   

Blended Capitation

vs. FFS

CHC

vs. FFS

Blended Capitation

vs. CHC

Dyslipidemia

Lipid Profile

0.60

1.1

[0.9-1.4]

0.9

[0.7-1.3]

1.2

[0.8-1.7]

 

Lipid lowering drug

0.24

0.8

[0.5-1.3]

0.7

[0.4-1.0]

1.2

[0.7-2.1]

Diabetes

2 HbA1c tests

0.01*

1.5

[1.1-2.3]

2.4†

[1.4-4.2]

0.6

[0.3-1.2]

Chronic Kidney Disease

eGFR

0.90

1.2

[0.6-2.3]

1.1

[0.4-3.2]

1.1

[0.3-3.9]

Hypertension

2 Blood Pressures

0.73

1.0

[0.6-1.5]

1.2

[0.7-1.8]

0.9

[0.5-1.3]

 

Antihypertensive drug

0.25

0.7

[0.4-1.0]

0.9

[0.5-1.3]

0.8

[0.5-1.4]

Waist Circumference

Waist Circumference (WC)

0.007*

3.7 †

[1.8-7.8]

2.0

[1.0-4.2]

1.8

[0.8-4.0]

 

Smoking advice

0.13

1.6

[1.0-2.6]

1.5

[0.8-2.9]

1.0

[0.5-2.1]

Smoking Cessation

Smoking Program

0.25

2.7

[0.8-9.2]

1.1

[0.4-2.6]

2.6

[0.9-7.3]

 

Smoking drug therapy

0.04*

1.5

[0.9-2.5]

0.6

[0.3-1.1]

2.4 †

[1.3-4.6]

  1. Adjusted for age, sex, rurality, number of cardiovascular-related comorbidities, and year of data collection
  2. * p < 0.05: Indicates that payment model has a significant effect on the delivery of the specified indicator
  3. † p < 0.017: p-value limit for between group comparisons was corrected using a Bonferroni correction factor
  4. AOR = Adjusted Odds Ratio, CI = 95% confidence interval on odds ratio