Table 4

HR of prescription for psychotropic medication in the former period from January to June 2014 or in the latter period from July to December 2014 according to organisational changes in 2013 among the study population (n=15 038)

NPrescription, follow-up
1 January to 30 June 2014
Prescription, follow-up
1 July to 31 December 2014
Fully adjusted modelFully adjusted model
Prescriptions (n=1257), % of NHR95% CIPrescriptions (n=1268), % of NHR95% CI
No changes67968.
Any changes82428.61.090.97 to to 1.41
Mergers25608.21.05*0.88 to*1.06 to 1.50
Split-ups9567.20.87†0.67 to†0.79 to 1.31
Relocation18727.81.02‡0.82 to‡0.93 to 1.44
Change in management37819.21.20‡1.03 to 1.4110.31.42‡1.22 to 1.65
Employee lay-off32049.01.16§0.97 to 1.399.61.23§1.03 to 1.46
Budget cuts24018.51.04¶0.87 to¶1.00 to 1.41
  • Results for covariates omitted as no noteworthy change in estimates were observed relative to table 2.

  • Fully adjusted model: ‘Any changes’ adjusted for all employee-level covariates and number of work-unit employee and in the fixed part and a random intercept for the work-unit level (model 3). Each type of organisational changes additionally adjusted for other changes as potential confounders on the association with psychotropic prescriptions:

  • *Split-ups and budget cuts; ‡budget cuts; ‡mergers and split-ups; §mergers, change in management and budget cuts; ¶change in management (model 4).