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

Table 4 Factors associated with the wait time (days) for attachment to a GP among subjects who have been attached to a GP through centralized waiting list (n = 24, 958; June 2013 to May 2015) (Multilevel linear regression)

Variables in the model		Wait time for attachment to a GP
Variables in the model		Coefficient Beta^h	95% CI	P-value
Material deprivation^a	Very advantaged	−34.20	−45.82; − 22.59	<.0001
	Advantaged	−24.92	−36.74; −13.10	<.0001
	Medium	−19.10	−30.67; − 7.54	0.0012
	Disadvantaged	−13.59	−24.70; − 2.48	0.0166
	Very disadvantaged (ref.)^b
Social deprivation^c	Very advantaged	−7.14	−19.98; 5.69	0.2750
	Advantaged	−7.75	−20.82; 5.33	0.2455
	Medium	−15.92	−27.29; −4.55	0.0061
	Disadvantaged	−5.14	−13.91; 3.63	0.2505
	Very disadvantaged (ref.)^b
Sex	Female	−4.34	−11.14; 2.45	0.2098
Sex	Male (ref.)^b
Age		1.30	1.10; 1.50	<.0001
Local health network	A	266.20	157.52; 374.89	0.0089
	B	7.68	−85.38; 100.73	0.7566
	C	182.57	88.95; 276.19	0.0139
	D	−41.65	− 121.13; 37.83	0.1528
	E (ref.)^b
Medical vulnerability^d	Vulnerable	−73.72	− 59.46; − 87.99	<.0001
Medical vulnerability^d	Non-vulnerable (ref.)^b
Clinical priority^e	1 (most urgent)	− 441.72	− 464.72; − 418.72	<.0001
	2	−296.38	− 308.66; − 284.10	<.0001
	3	− 246.75	−261.71; − 231.79	<.0001
	4	− 107.92	−118.98; −96.85	<.0001
	5 (least urgent) (ref.)^b
Number of health conditions^f		−12.3450	−19.77; − 4.92	0.0011
Health conditions	Mental health^g	78.50	63.00; 94.01	<.0001
	Major depression	21.01	−0.83; 42.84	0.06
	Addiction	122.07	84.46; 159.69	<.0001
	Active cancer	1.28	−14.79; 17.36	0.8754
	Intellectual disability	70.85	26.88; 114.82	0.0019
	Diabetes	−5.47	−19.98; 9.05	0.4591
	COPD	12.38	−4.94; 29.69	0.1604
	Absence of condition (ref.)^b

^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
^hBeta adjusted for all other variables presented in the table and nested by GPs’ unique identifier

ISSN: 1475-9276