From: Variability in screening prevention activities in primary care in Spain: a multilevel analysis
Total sample | Catalonia | Navarre | ||||
---|---|---|---|---|---|---|
N = 468940 | n = 288479 | n = 180461 | ||||
Individual | n | n | n | |||
Age, years, mean (SD) | 49.0 (19.3) | 48.6 (19.3) | 49.7 (19.2) | |||
Age | ||||||
<45 years | 220803 (47.1) | 139193 (48.3) | 81610 (45.2) | |||
≥ 45 years and <65 years | 138321 (29.5) | 82720 (28.7) | 55601 (30.8) | |||
≥ 65 years | 109816 (23.4) | 66566 (23.1) | 43250 (24.0) | |||
Sex, female | 251107 (53.5) | 155775 (54.0) | 95332 (52.8) | |||
Number of visits, mean (SD); median (IQR) | 8.5 (9.4); 6.0 (3–11) | 8.7 (9.7); 6.0 (3–11) | 8.0 (8.9); 5.0 (3–10) | |||
Number of visitsa | ||||||
[1,2] | 111837 ( 23.8) | 67143 ( 23.3) | 44694 (24.8) | |||
[3-5] | 117009 (25.0) | 70147 (24.3) | 46862 (26.0) | |||
[6-10] | 114303 (24.4) | 70283 (24.4) | 44020 (24.4) | |||
≥ 11 | 125791 (26.8) | 80906 (28.0) | 44885 (24.9) | |||
Number of health problems, mean (SD); median (IQR)a | 8.9 (7.0); 7.0 (4–12) | 6.5(5.4); 5.0 (3–9) | 12.8 (7.5); 11.0 (7–17) | |||
Number of health problems | ||||||
[0–3] | 107007 (22.8) | 97124 (33.7) | 9883 (5.5) | |||
[4–6] | 100888 (21.5) | 74225 (25.7) | 26663 (14.8) | |||
[7–11] | 128123 (27.3) | 72957 (25.3) | 55166 (30.6) | |||
≥ 12 | 132922 (28.3) | 44173 (15.3) | 88749 (49.2) | |||
Arterial hypertension | 95737 (20.4) | 59347 (20.6) | 36390 (20.2) | |||
Dyslipidaemia | 85081 (18.1) | 48369 (16.8) | 36712 (20.3) | |||
Obesity | 68331 (14.6) | 47192 (16.4) | 21139 (11.7) | |||
Tobacco use | ||||||
Nonsmoker | 350862 (74.8) | 202908 (70.3) | 147954 (82.0) | |||
Exsmoker | 37457 (8.0) | 27646 (9.6) | 9811 (5.4) | |||
Smoker | 80621 (17.2) | 57925 (20.1) | 22696 (12.6) | |||
At-risk drinker | 10112 (2.2) | 8149 (2.8) | 1963 (1.1) | |||
General practitioner | 426 | 252 | 174 | |||
Age (yrs), mean (SD) | 423 | 46.4 (8.8) | 249 | 46.1 (8.7) | 174 | 46.9(9.1) |
Sex, female | 426 | 240 (56.3) | 252 | 142 (56.3) | 174 | 98 (56.3) |
Number of patients assigned, mean (SD) | 426 | 1452 (307) | 252 | 1534 (286) | 174 | 1334 (299) |
Average number of patients’ health problems, mean (SD); median (IQR) | 426 | 7.6 (3.5); 7.2 (4.4-10.8) | 252 | 5.4 (2.4); 4.9 (3.5-6.7) | 174 | 10.8 (2.1); 11 (9.3-12) |
Coverage, mean (SD)b | 426 | 76.0 (6.1) | 252 | 74.9 (6.0) | 174 | 77.5 (6.0) |
Percentage of patients > = 65 years, mean (SD) | 426 | 19.6 (7.2) | 252 | 19.1 (7.0) | 174 | 20.2 (7.5) |
Teaching mentor (Yes) | 424 | 91 (21.5) | 252 | 61 (24.2) | 172 | 30 (17.4) |
Time with the same patient list (yrs), mean (SD); median (IQR) | 419 | 10.1 (9.1); 7.0 (3–17) | 246 | 10.7 (8.3); 8.0 (3–17) | 173 | 9.3 (10.1); 5.0 (2–12) |
PHC team | 44 | 22 | 22 | |||
Number of professionals, mean (SD); median (IQR) | 10 (4.2); 9 (6–13) | 11.4 (4.5); 11.5 (8–15) | 7.9 (3); 7.5 (6–9) | |||
Average number of patients, mean (SD) | 1423 (193.3) | 1514 (184.3) | 1332 (158.4) | |||
Average number of patient health problems, mean (SD); median (IQR) | 8.1 (3.2); 8.8 (5–10.9) | 5.5 (2.1); 5.1 (3.9-6.4) | 10.7 (1.4); 10.8 (9.7-11.9) | |||
Average coverage, mean (SD)b | 77 (4.4) | 75.8 (4.7) | 78.2 (3.9) | |||
Average percentage of patients > = 65, mean (SD) | 19.5 (4.5) | 18.9 (3.6) | 20.2 (5.2) | |||
Type | ||||||
Urban | 22 (50.0) | 13 (59.1) | 9 (40.9) | |||
Semiurban | 10 (22.7) | 7 (31.8) | 3 (13.6) | |||
Rural | 12 (27.3) | 2 (9.1) | 10 (45.5) | |||
Adherence to PAPPS (Yes) | 11 (25.0) | 6 (27.3) | 5 (22.7) | |||
Teaching centre (Yes) | 12 (27.3) | 7 (31.8) | 5 (22.7) | |||
Years of electronic health records data, mean (SD); median (IQR) | 5.2 (1.6); 5.0 (4.0-6.8) | 4.9 (1.8); 4.0 (4–6.25) | 5.5 (1.3); 5.0 (4–7) | |||
Outcomes | ||||||
Hypertension screening | 373203 | 189746 (50.8) | 229132 | 136853 (59.7) | 144071 | 52893 (36.7) |
Dyslipidaemia screening | 383859 | 247380 (64.4) | 240110 | 164481 (68.5) | 143749 | 82899 (57.7) |
Obesity screening | 391075 | 162864 (41.6) | 235595 | 114836 (48.7) | 155480 | 48028 (30.9) |
Tobacco use screening | 350862 | 128561 (36.6) | 202908 | 96715 (47.7) | 147954 | 31846 (21.5) |
Alcohol screening | 458828 | 185851 (40.5) | 280330 | 150969 (53.9) | 178498 | 34882 (19.5) |