Outcome is 100% service delivery | Unadjusted | Model A | Model B | Model C | |||||
---|---|---|---|---|---|---|---|---|---|
Predictors | Fixed effects | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI |
Audit Year | 2007 | Â | Â | 1.00 | (reference) | 1.00 | (reference) | 1.00 | (reference) |
2008 | Â | Â | 0.65 | (0.46-0.91) | 0.79 | (0.55-1.12) | 0.82 | (0.57-1.19) | |
2009 | Â | Â | 0.65 | (0.47-0.92) | 0.73 | (0.51-1.04) | 0.74 | (0.51-1.06) | |
2010 | Â | Â | 0.44 | (0.31-0.63)b | 0.50 | (0.34-0.73)b | 0.49 | (0.33-0.73)b | |
2011 | Â | Â | 0.34 | (0.24-0.47)b | 0.43 | (0.30-0.63)b | 0.43 | (0.29-0.63)b | |
2012 | Â | Â | 0.51 | (0.36-0.72)b | 0.56 | (0.38-0.83)a | 0.57 | (0.38-0.85) | |
2013 | Â | Â | 0.61 | (0.43-0.86) | 0.71 | (0.48-1.05) | 0.71 | (0.48-1.06) | |
2014 | Â | Â | 0.57 | (0.40-0.82)a | 0.66 | (0.43-1.00) | 0.62 | (0.40-0.94) | |
Health Centre Characteristics | |||||||||
Location | Urban | 1.00 | (reference) | Â | Â | 1.00 | (reference) | 1.00 | (reference) |
Regional | 0.25 | (0.12-0.56)a | Â | Â | 0.41 | (0.19-0.86) | 0.38 | (0.18-0.80) | |
Remote | 1.71 | (0.88-3.34) | Â | Â | 2.09 | (1.12-3.90) | 1.98 | (1.05-3.74) | |
Governance | Community-controlled | 1.00 | (reference) | Â | Â | Â | Â | Â | Â |
Government operated | 0.78 | (0.49-1.23) | Â | Â | Â | Â | Â | Â | |
Service population | ≥1000 | 1.00 | (reference) |  |  |  |  |  |  |
>500- < 1000 | 1.30 | (0.78-2.17) |  |  |  |  |  |  | |
≤500 | 1.31 | (0.88-1.96) |  |  |  |  |  |  | |
Length of accreditationa | Never accredited | 1.00 | (reference) | Â | Â | Â | Â | Â | Â |
Accredited for some of the time | 1.45 | (0.94-2.24) | Â | Â | Â | Â | Â | Â | |
Accredited for all of the time | 0.73 | (0.49-1.06) | Â | Â | Â | Â | Â | Â | |
Duration of participation in ABCD CQI project | Baseline | 1.00 | (reference) | Â | Â | 1.00 | (reference) | 1.00 | (reference) |
1-2 cycles | 1.49 | (1.35-1.64)b | Â | Â | 1.30 | (1.12-1.50)b | 1.34 | (1.16-1.55)b | |
≥3 cycles | 1.11 | (0.98-1.24) |  |  | 0.97 | (0.78-1.20) | 1.01 | (0.81-1.26) | |
Provided adult health checkb | No | 1.00 | (reference) | Â | Â | 1.00 | (reference) | 1.00 | (reference) |
Yes | 3.17 | (2.88-3.50)b | Â | Â | 3.25 | (2.94-3.59)b | 3.40 | (3.07-3.77)b | |
Patient Characteristics | |||||||||
Sex | Male | 1.00 | (reference) | Â | Â | Â | Â | 1.00 | (reference) |
Female | 1.41 | (1.30-1.52)b | Â | Â | Â | Â | 1.45 | (1.33-1.57)b | |
Age (years) | 15-19 | 1.82 | (1.48-2.22)b | Â | Â | Â | Â | 2.10 | (1.67-2.63)b |
20-24 | 3.21 | (2.63-3.92)b | Â | Â | Â | Â | 3.84 | (3.07-4.80)b | |
25-29 | 2.82 | (2.30-3.47)b | Â | Â | Â | Â | 3.01 | (2.39-3.79)b | |
30-24 | 2.15 | (1.74-2.65)b | Â | Â | Â | Â | 2.35 | (1.85-2.97)b | |
35-39 | 1.72 | (1.38-2.13)b | Â | Â | Â | Â | 1.77 | (1.39-2.26)b | |
40-44 | 1.35 | (1.08-1.67) | Â | Â | Â | Â | 1.36 | (1.07-1.73) | |
45-49 | 1.17 | (0.93-1.47) | Â | Â | Â | Â | 1.27 | (0.99-1.63) | |
50-54 | 1.00 | (reference) | Â | Â | Â | Â | 1.00 | (reference) | |
Aboriginal Status | Non-Aboriginal | 1.00 | (reference) | Â | Â | Â | Â | 1.00 | (reference) |
Aboriginal | 2.10 | (1.70-2.61)b | Â | Â | Â | Â | 1.46 | (1.15-1.84)a | |
Not recorded | 1.55 | (1.13-2.12) | Â | Â | Â | Â | 1.09 | (0.77-1.55) | |
Random effects (intercepts) | |||||||||
  State (variance (SE)) |  |  | 1.05 | (0.71) | 0.54 | (0.39) | 0.55 | (0.395) | |
  MORSTATE |  |  | 2.66 |  | 2.02 |  | 2.03 |  | |
   PCV (% explained variance) |  |  |  |  | 48% |  | 47% |  | |
  Health Centre (variance (SE)) |  |  | 0.84 | (0.14) | 0.54 | (0.09) | 0.55 | (0.095) | |
  MORHC |  |  | 2.39 |  | 2.01 |  | 2.03 |  | |
   PCV (% explained variance) |  |  |  |  | 36% |  | 34% |  | |
  State & Health Centre (variance) |  |  | 1.89 |  | 1.08 |  | 1.11 |  | |
  MORSTATE-HC |  |  | 3.70 |  | 2.69 |  | 2.73 |  | |
   PCV (% explained variance) |  |  |  |  | 43% |  | 41% |  | |
  Patient (variance (SE)) |  |  | 0.28 | (0.14) | 0.12 | (0.055) | 0.03 | (0.015) | |
   PCV (% explained variance) |  |  |  |  | 59% |  | 89% |  |