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Table 3 Illness perception dimensions and resources as predictors of potentially suboptimal use of services and/or a poor health related quality of life, results of multinomial logistic regression analyses with one predictor included per analysis

From: Identifying high-need patients with multimorbidity from their illness perceptions and personal resources to manage their health and care: a longitudinal study

 

Frequent contact with GP

Use of general practice out-of-office service

Unplanned hospitalisation

Poor health related quality of life

 

N

OR

N

OR

N

OR

N

OR

Illness perceptions

BIPQ Consequences ≥7 (vs < 7)

576

1.21

584

1.42

580

1.56

584

5.68***

BIPQ Timeline ≥7 (vs < 7)

574

1.81

582

0.87

578

0.98

582

2.56

BIPQ Personal control ≥7 (vs < 7)

576

0.90

584

1.01

580

0.40**

584

0.37***

BIPQ Treatment control ≥7 (vs < 7)

455a

0.66

460a

0.64*

457a

0.61

460a

0.29***

BIPQ Identity ≥7 (vs < 7)

577

1.73**

585

1.13

581

1.27

585

7.10***

BIPQ Concern ≥7 (vs < 7)

564

1.94**

571

1.18

566

1.46

571

6.58***

BIPQ Understanding ≥7 (vs < 7)

568

1.16

575

0.84

570

0.70

575

0.85

BIPQ Emotional response ≥7 (vs < 7)

570

2.02**

577

1.70*

572

1.72

577

5.55***

Personal resources

 Education level: medium (vs low)

576

0.91

584

0.86

580

0.82

584

0.79

 Education level: high (vs low)

576

0.79

584

0.95

580

0.74

584

0.38**

 “I get by or I save” (vs “I have to make debts or use my savings”)

562

0.66

570

1.20

566

1.26

570

0.42**

 Lives with partner

589

1.00

597

1.24

592

1.25

597

0.65*

 “Have plenty people”: yes (vs more or less / no)

574

0.75

580

1.09

575

0.94

580

0.41***

 HLQ Healthcare provider support: score ≥ 3 (vs < 3)

577

1.05

583

0.62*

579

0.80

583

0.70

 HLQ Having sufficient information ≥3 (vs < 3)

569

0.70

576

0.75

571

0.81

576

0.51**

 HLQ Actively managing health ≥3 (vs < 3)

563

1.16

570

0.77

565

1.28

570

1.17

 HLQ Social support ≥3 (vs < 3)

569

1.02

577

1.32

572

1.02

577

0.96

 HLQ Critical appraisal ≥3 (vs < 3)

564

1.21

570

0.67

566

0.87

570

0.90

 HLQ Active engagement with healthcare providers ≥4 (vs < 4)

553

0.87

559

0.68

555

1.24

559

0.43***

 HLQ Navigating the healthcare system ≥4 (vs < 4)

557

0.62*

563

0.75

559

0.82

563

0.48**

 HLQ Ability to find good health information ≥4 (vs < 4)

551

0.73

557

0.72

553

1.07

557

0.54**

 HLQ Reading and understanding health information: score ≥ 4 (vs < 4)

554

0.66*

560

0.77

556

0.76

560

0.58*

 Mastery > 21 (vs ≤21)

574

0.51**

581

0.77

577

0.62

581

.20***

 HADS-Depression < 8 (vs ≥8)

577

0.68

584

0.77

579

1.39

584

.16***

  1. HLQ Health Literacy Questionnaire, HADS Hospital Anxiety and Depression Scale, BIPQ Brief Ilness Perception Questionnaire, OR Odds Ratio; * p < 0.05; ** p < 0.01; *** p < 0.001
  2. a only filled in if applicable (perceived by participants as in case of medical treatment); n = 94 chose the n.a.-option
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