Quality of care for major depression and its determinants: a multilevel analysis

BMC Psychiatry

Table 3 Factors associated with minimally adequate treatment for 915 respondents meeting DSM-IV MDE criteria nested in 65 clinics in the Dialogue Project in 2008

	Model with level 1 factors only			Final model
	Coefficient	OR	95% CI	Coefficient	OR	95% CI
Individual characteristics
Intercept	−0.72**	0.49	0.31 - 0.78	−1.34***	0.26	0.14 - 0.48
Age
18-24	−0.43	0.65	0.4 - 1.05	−0.50*	0.61	0.37 - 0.99
25-44 (ref)	-	1.00	-	-	1.00	-
45-64	−0.18	0.83	0.61 - 1.13	−0.20	0.82	0.60 - 1.11
65+	−1.33***	0.27	0.14 - 0.52	−1.45***	0.23	0.12 - 0.47
Sex
Male	−0.06	0.94	0.68 - 1.3	−0.13	0.88	0.63 - 1.22
Female (ref)	-	1.00	-	-	1.00	-
Has a family physician
Yes	0.47*	1.61	1.1 - 2.36	0.52**	1.68	1.14 - 2.48
No (ref)	-	1.00	-	-	1.00	-
Has a supplementary insurance coverage
Yes	0.55***	1.73	1.3 - 2.3	0.53***	1.70	1.27 - 2.27
No (ref)	-	1.00	-	-	1.00	-
At least one comorbid Anxiety Disorder
Yes	0.58***	1.8	1.35 - 2.39	0.58***	1.79	1.35 - 2.39
No (ref)	-	1.00	-	-	1.00	-
Severity of depressive symptoms (HADS depression sub-scale)	0.07***	1.07	1.04 - 1.11	0.07***	1.07	1.04 - 1.11
Clinics characteristics
Psychotherapy available on-site
Yes				0.38*	1.46	1.06 - 2.02
No (ref)				-	1.00	-
Number of GP using treatment algorithms with individuals suffering from anxiety or depressive disorders
All/Most				0.40*	1.49	1.07 - 2.08
None/Some (ref)				-	1.00	-
Inadequate mode of remuneration to offer an “optimal level” of care for patients suffering from anxiety or depressive disorders
Not at all / Slightly				0.46*	1.58	1.07 - 2.35
Fairly				0.29	1.33	0.91 - 1.95
Highly (ref)				-	1.00	-

ISSN: 1471-244X