Table 2:

Primary care variables predicting use of emergency department, overall and by patient baseline characteristics*

InteractionIRR (95% CI)
Overall
Affiliation with a primary physician
 None v. family physician1.12 (1.07–1.17)
 None v. specialist1.08 (1.03–1.14)
 Specialist v. family physician1.03 (1.00–1.06)
Continuity of care with a family physician
 Low v. high1.00 (0.97–1.03)
 Medium v. high1.00 (0.97–1.02)
Complete annual examinations with a family physician, no.
 0 v. 21.23 (1.19–1.27)
 1 v. 21.10 (1.07–1.14)
Continuity of care with a specialist
 Low v. high1.17 (1.07–1.28)
 Medium v. high1.10 (1.01–1.18)
Age, 18–64 yr
Affiliation with a primary physician
 None v. family physician1.11 (1.05–1.16)
 None v. specialist1.10 (1.04–1.17)
 Specialist v. family physician1.00 (0.97–1.04)
Age, ≥ 65 yr
Affiliation with a primary physician
 None v. family physician1.26 (1.18–1.34)
 None v. specialist1.11 (1.04–1.19)
 Specialist v. family physician1.13 (1.09–1.17)
Visits to physicians during baseline, 3–24
Continuity of care with a family physician
 Low v. high0.98 (0.95–1.01)
 Medium v. high0.99 (0.96–1.02)
Visits to physicians during baseline, ≥ 25
Continuity of care with a family physician
 Low v. high1.17 (1.07–1.28)
 Medium v. high1.13 (1.04–1.24)
No or low comorbidity score
Continuity of care with a specialist
 Low v. high1.10 (0.96–1.27)
 Medium v. high1.10 (1.00–1.22)
Medium comorbidity score
Continuity of care with a specialist
 Low v. high1.48 (1.22–1.79)
 Medium v. high1.28 (1.08–1.51)
High comorbidity score
Continuity of care with a specialist
 Low v. high0.98 (0.80–1.21)
 Medium v. high0.93 (0.77–1.13)
Time spent in hospital, 0 d
Continuity of care with a specialist
 Low v. high1.11 (0.99–1.25)
 Medium v. high1.08 (0.98–1.18)
Time spent in hospital, 1–3 d
Continuity of care with a specialist
 Low v. high1.75 (1.33–2.30)
 Medium v. high1.31 (1.05–1.65)
Time spent in hospital, ≥ 4 d
Continuity of care with a specialist
 Low v. high1.11 (0.90–1.37)
 Medium v. high1.05 (0.87–1.27)
  • Note: CI = confidence interval, IRR = incidence rate ratio.

  • * Selection of interactions based on statistical significance (p < 0.05) and clinical importance (15% difference in IRR).

  • Based on score on usual provider continuity index.

  • See Appendix 2 for derivation of comorbidity scores.