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Table 2 Multiple logistic regression results for probability of PSS initiation: May 2020–August 2021

From: Influence of physician networks on the implementation of pharmaceutical alternatives to a toxic drug supply in British Columbia

 

Adjusted odds ratio

95% CI

Study month

0.97

(0.96, 0.99)

Network characteristics

 Percentage of connected physicians that prescribed PSS prior months

  

  None

Reference

 

  10% or less

1.77

(1.39, 2.25)

   > 10 to 20%

2.42

(1.97, 2.96)

   > 20%

3.79

(3.15, 4.56)

 Percentage of connected physicians that are also connected

1.00

(0.99, 1.00)

 Number of other prescribers their average clients received prescription dispensations from

1.38

(1.25, 1.52)

Practice characteristics

 Primary health authority practice location

  

  Interior

Reference

 

  Fraser

0.78

(0.63, 0.96)

  Vancouver Coastal

1.31

(1.08, 1.59)

  Vancouver Island

1.06

(0.86, 1.31)

  Northern

1.30

(1.00, 1.70)

  Unknown

0.61

(0.27, 1.37)

 Prescriber speciality

  General practice

Reference

 

  Nurse practitioner

1.84

(1.42, 2.38)

  Psychiatry

1.41

(1.10, 1.80)

  Known but other specialties

1.46

(1.01, 2.12)

  Unknown (physician)

0.47

(0.35, 0.62)

 OAT prescriber

3.35

(2.84, 3.95)

SUD prescribing history

 Years since first billing record for a client with SUD/OUD

  

   < 4.5 years

Reference

 

  4.5 to < 10.9 years

0.74

(0.62, 0.89)

  10.9 to < 22.4 years

0.74

(0.62, 0.89)

   ≥ 22.4 years

0.59

(0.49, 0.71)

SUD client caseload

 Number of SUD clients in the past 30 days

  

  2 or less clients

Reference

 

  3 to 6 clients

1.56

(1.15, 2.10)

  13 to 7 clients

2.11

(1.53, 2.91)

  14 or more clients

4.30

(3.13, 5.90)

 Treated a client with a COVID-19 diagnosis

1.50

(1.14, 1.99)

 Percentage of clients aged 40 or over

1.00

(0.99, 1.00)

 Percent SUD/OUD clients with a CCI over 1

1.00

(0.99, 1.00)

 Percentage of clients prescribed benzodiazepines

0.99

(0.99, 1.00)

 Percentage of clients accessing social assistance during follow-up

1.02

(1.01, 1.02)

 Percentage of clients experienced an overdose in the past 12 months

1.01

(1.00, 1.01)

  1. Abbreviations: PSS prescribed safer supply, OAT opioid agonist treatment, SUD non-opioid substance use disorder, OUD opioid use disorder, CCI Charlson comorbidity index