Can a continuous quality improvement program create culturally safe emergency departments for Aboriginal people in Australia? A multiple baseline study

Gadsden, Thomas; Wilson, Gai; Totterdell, James; Willis, John; Gupta, Ashima; Chong, Alwin; Clarke, Angela; Winters, Michelle; Donahue, Kym; Posenelli, Sonia; Maher, Louise; Stewart, Jessica; Gardiner, Helen; Passmore, Erin; Cashmore, Aaron; Milat, Andrew

doi:10.1186/s12913-019-4049-6

Table 3 Site-specific model estimates of the proportion of ED visits made by Aboriginal people that had an accurate recording of Aboriginal status^b

From: Can a continuous quality improvement program create culturally safe emergency departments for Aboriginal people in Australia? A multiple baseline study

Site-specific model estimates
ED	Parameter	Estimate (log-odds)	Odds ratio	95% CI	P-value
1^a
	Pre-intervention slope	0.267	1.31	[1.21, 1.41]	< 0.001
	Change in slope	−0.197	0.82	[0.64, 1.06]	0.124
	Intervention slope	0.069	1.07	[0.84, 1.36]	0.572
	Change in intercept	0.004	1.00	[0.75, 1.34]	0.977
2
	Pre-intervention slope	0.172	1.19	[1.12, 1.25]	< 0.001
	Change in slope	−0.001	1.00	[0.86, 1.16]	0.992
	Intervention slope	0.171	1.19	[1.04, 1.36]	0.013
	Change in intercept	−0.175	0.84	[0.70, 1.00]	0.054
3^a
	Pre-intervention slope	0.346	1.41	[1.31, 1.52]	< 0.001
	Change in slope	−0.080	0.92	[0.78, 1.09]	0.353
	Intervention slope	0.266	1.30	[1.12, 1.52]	< 0.001
	Change in intercept	−0.137	0.87	[0.70, 1.09]	0.231
4^a
	Pre-intervention slope	0.112	1.12	[1.01, 1.24]	0.028
	Change in slope	0.273	1.31	[1.12, 1.54]	< 0.001
	Intervention slope	0.385	1.47	[1.30, 1.66]	< 0.001
	Change in intercept	0.115	1.12	[0.90, 1.41]	0.316
5
	Pre-intervention slope	−0.070	0.93	[0.89, 0.98]	0.003
	Change in slope	0.139	1.15	[1.02, 1.29]	0.020
	Intervention slope	0.068	1.07	[0.96, 1.19]	0.210
	Change in intercept	0.191	1.21	[1.05, 1.40]	0.009
6^a
	Pre-intervention slope	0.219	1.25	[1.12, 1.39]	< 0.001
	Change in slope	−0.209	0.81	[0.60, 1.10]	0.179
	Intervention slope	0.011	1.01	[0.76, 1.34]	0.940
	Change in intercept	0.208	1.23	[0.85, 1.79]	0.274
7^a
	Pre-intervention slope	0.244	1.28	[1.12, 1.46]	< 0.001
	Change in slope	0.042	1.04	[0.86, 1.26]	0.658
	Intervention slope	0.286	1.33	[1.17, 1.52]	< 0.001
	Change in intercept	− 0.033	0.97	[0.73, 1.27]	0.816
8^a
	Pre-intervention slope	−0.054	0.95	[0.72, 1.25]	0.701
	Change in slope	0.302	1.35	[0.95, 1.92]	0.093
	Intervention slope	0.248	1.28	[1.02, 1.60]	0.029
	Change in intercept	−0.024	0.98	[0.73, 1.31]	0.875

^aOverdispersion accounted for by including dispersion parameter in analysis
^bSource: Admitted Patient, Emergency Department Attendance and Deaths Register, NSW Ministry of Health SAPHaRI
The bold figures indicate a statiscally significant increase in the trend of accurate recording of Aboriginality from baseline to the intervention period

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ISSN: 1472-6963

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