2) Health provider -oriented outcomes related to consultation processes such as rate of provision of services.
The rate of provision of services is presented in Table 2.
However, there were no significant differences over time in the rate of provision of services per year.
In qualitative part of study, the rate of provision of counseling services was low, which would strongly affect the patient adherence and compliance to the prescribed drug therapy.
There is evidence that the overall rate of provision relative to need (equity) varies geographically across England depending on the sociodemographic characteristics of an area.
The rate of provision of services per visit changed over time with increased rates observed overall (from 1.43 ± 0.05 services per visit in 1990 to 1.66 ± 0.06 services per visit in 2000), reflecting increases in pathology and reconstructive surgery.
We used a random intercepts multilevel model to control for evidence of clustering in the data by allowing the overall rate of provision relative to need to vary across wards and districts.
The model compares the log of the rate ratio of provision relative to need in each group, producing equity rate ratios by sociodemographic, hospital, and distance variables (see appendix 1 on bmj.com).
The rate ratio of provision (number of cases provided for per 1000 population) to need (the number of cases needed to be served per 1000 population) was calculated for each EHP intervention.
This factor operated in the predicted direction: EDP tended to be briefer in taxa that feed in less distant, nearshore waters, which in seabirds facilitates increased rates of provisioning and post-embryonic growth [ 5, 49].
Nest was included as a random factor to control for potential non-independence of provisioning rates of parents of the same brood.
