Associations between treatment plan implementation and patient and team characteristics; unadjusted and adjusted results from logistic regression models allowing for clustering by team*
| Unadjusted (n=2512)† | Adjusted Model 1 (n=2431) | Adjusted Model 2 (n=2512) | Adjusted Model 3 (n=2431) | |||||
|---|---|---|---|---|---|---|---|---|
| OR (95% CI) | p Value | OR (95% CI) | p Value | OR (95% CI) | p Value | OR (95% CI) | p Value | |
| Age (at first decision) (1 year increase) | 1.00 (0.99 to 1.01) | 0.60 | 1.00 (0.99 to 1.01) | 0.84 | ||||
| Gender | ||||||||
| Male | 1 | 1 | ||||||
| Female | 0.99 (0.80 to 1.21) | 0.89 | 1.01 (0.82 to 1.24) | 0.96 | ||||
| IMD quintile | ||||||||
| Least deprived | 1 | 1 | 1 | |||||
| 2 | 0.83 (0.53 to 1.30) | 0.83 (0.53 to 1.30) | 0.80 (0.52 to 1.25) | |||||
| 3 | 0.91 (0.58 to 1.40) | 0.91 (0.58 to 1.40) | 0.87 (0.56 to 1.34) | |||||
| 4 | 0.64 (0.43 to 0.98) | 0.65 (0.43 to 0.99) | 0.64 (0.42 to 0.97) | |||||
| Most deprived | 0.60 (0.39 to 0.93) | 0.04 | 0.60 (0.39 to 0.93) | 0.04 | 0.60 (0.39 to 0.91) | 0.05 | ||
| TCI (1 unit increase) | 1.68 (0.70 to 4.03) | 0.25 | 2.28 (1.30 to 4.00) | 0.004 | 1.96 (1.15 to 3.31) | 0.01 | ||
| Type of disease team | ||||||||
| Haematological cancer | 1 | 1 | 1 | |||||
| Community mental health | 0.56 (0.35 to 0.90) | 0.60 (0.37 to 0.99) | 0.57 (0.39 to 0.82) | |||||
| Dementia | 1.21 (0.67 to 2.20) | 1.11 (0.74 to 1.67) | 1.05 (0.76 to 1.45) | |||||
| Heart failure | 0.93 (0.52 to 1.54) | 0.03 | 0.78 (0.49 to 1.21) | <0.001 | 0.75 (0.50 to 1.14) | <0.001 | ||
| Skin cancer | 0.81 (0.42 to 1.56) | 0.97 (0.67 to 1.39) | 0.97 (0.67 to 1.39) | |||||
| Gynaecological cancer | 1.22 (0.62 to 2.38) | 2.76 (1.58 to 4.83) | 2.48 (1.48 to 4.15) | |||||
| Adjusted Teachman's (ATI) (1 unit increase) | 0.64 (0.35 to 1.17) | 0.15 | 0.65 (0.24 to 1.76)‡ | 0.40 | ||||
| Number of professional groups | 0.90 (0.77 to 1.06) | 0.21 | 0.84 (0.65 to 1.10)‡ | 0.21 | 0.75 (0.66 to 0.87) | <0.001 | ||
| Patient preferences considered | ||||||||
| No | 1 | 0.24 | 1 | 0.34 | ||||
| Yes | 0.86 (0.67 to 1.11) | 0.89 (0.69 to 1.14) | ||||||
| Health behaviours/other clinical factors mentioned | ||||||||
| No | 1 | 0.80 | 1 | 0.55 | ||||
| Yes | 1.03 (0.83 to 1.27) | 1.07 (0.86 to 1.32) | ||||||
*Intra cluster correlation coefficient for team clustering=0.05 (bootstrap 95% CI 0.01 to 0.08).
†For age n=2504 and for IMD quintile n=2431.
‡ATI and number of professional groups are highly correlated (correlation coefficient 0.8). When included individually in model 2, each showed a significant relationship: OR for ATI=0.38 (95% CI 0.23 to 0.63) p<0.001, OR for number of professional groups=0.76 (95% CI 0.67 to 0.87) p<0.001.
IMD, Index of Multiple Deprivation; TCI, Team Climate Inventory.