Area deprivation and attachment to a general practitioner through centralized waiting lists: a cross-sectional study in Quebec, Canada

Table 3 Factors associated with likelihood of attachment to a GP through centralized waiting list among all subjects (n = 74, 859; June 2013 to May 2015) (multiple logistic regression)

Variables in the model		Attachment to a GP
		Adjusted ORⁱ	95% CI	P-value
Material deprivation^a	Very advantaged	0.75	0.70; 0.81	<.0001
	Advantaged	0.88	0.82; 0.95	0.0004
	Medium	0.99	0.92; 1.06	0.77
	Disadvantaged	0.99	0.91; 1.06	0.67
	Very disadvantaged (ref.)^b
Social deprivation^c	Very advantaged	1.23	1.15; 1.32	<.0001
	Advantaged	1.21	1.13; 1.30	<.0001
	Medium	1.19	1.11; 1.27	<.0001
	Disadvantaged	1.04	0.99; 1.10	0.11
	Very disadvantaged (ref.)^b
Sex	Male	1.07	1.02; 1.11	0.0019
Sex	Female (ref.)^b
Age		0.99	0.98; 0.99	<.0001
Local health network	A	0.12	0.11; 0.13	<.0001
	B	0.42	0.39; 0.45	<.0001
	C	0.04	0.04; 0.05	<.0001
	D	0.43	0.41; 0.46	<.0001
	E (ref.)^b
Medical vulnerability^d	Vulnerable	2.56	2.26; 2.84	<.0001
Medical vulnerability^d	Non-vulnerable (ref.)^b
Clinical priority^e	1 (most urgent)	85.88	70.32; 104.89	<.0001
	2	13.43	12.39; 14.56	<.0001
	3	6.82	6.22; 7.48	<.0001
	4	2.13	2.03; 2.25	<.0001
	5 (least urgent) (ref.)^b
Number of health conditions^f		0.95	0.91; 1.00	0.07
Health conditions	Mental health^g	0.42	0.38; 0.46	<.0001
	Major depression	0.85	0.73; 0.98	0.03
	Addiction	0.39	0.31; 0.49	<.0001
	Active cancer	1.54	1.36; 1.74	<.0001
	Intellectual disability	0.72	0.54; 0.96	0.03
	Diabetes	1.46	1.32; 1.62	<.0001
	COPD	1.00	0.89; 1.12	0.98
	Absence of condition (ref.)^b
Wait time (days)^h		1.00	0.99;1.00	0.54

^aArea-based material deprivation
^bRef.: reference category
^cArea-based social deprivation
^dMedical vulnerability is determined by the presence of at least one of 19 medical vulnerability codes, as pre-determined by the RAMQ, or being older of 70 year old
^eClinical priority level as assigned by the CWLs’ nurses (ranging from Priority 1 – most urgent, to Priority 5 – least urgent)
^fNumber of medical vulnerability codes present
^gMental health problems excluding major depression
^hWait time: For patients waiting for attachment – number of days between CWL registration and May31^st, 2015; For patients attached to a GP – number of days between CWL registration and attachment
ⁱAdjusted OR: Odds ratio adjusted for all other variables presented in the table

ISSN: 1475-9276