From: General practitioner characteristics and delay in cancer diagnosis. a population-based cohort study
GP characteristics | Patient delay; OR(95%CI) | Doctor delay; OR(95%CI) | System delay; OR(95%CI) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
N | Unadjusted* | N | Adjusted* | N | Unadjusted* | N | Adjusted* | N | Unadjusted* | N | Adjusted* | ||
Gender | Male | 680(177) | 1 | 571(147) | 1 | 1021(100) | 1 | 866(82) | 1 | 766(198) | 1 | 642(168) | 1 |
Female | 314(51) | 0.54(0.38 to 0.77) | 230(32) | 0.44(0.28 to 0.71) | 490(39) | 0.88(0.58 to 1.33) | 368(32) | 1.10(0.66 to 1.84) | 374(106) | 1.38(1.00 to 1.89) | 278(87) | 1.50(1.02 to 2.21) | |
Years since | ≥ 20 years | 735(169) | 1 | 596(138) | 1 | 1099(106) | 1 | 901(88) | 1 | 832(220) | 1 | 671(183) | 1 |
graduation | 0-19 years | 259(59) | 0.96(0.69 to 1.35) | 205(41) | 1.06(0.68 to 1.64) | 412(33) | 0.83(0.54 to 1.27) | 333(26) | 0.81(0.48 to 1.37) | 308(84) | 1.11(0.79 to 1.55) | 249(72) | 1.11(0.75 to 1.63) |
Practice | Solo practice | 622(129) | 1 | 485(99) | 1 | 928(85) | 1 | 732(64) | 1 | 706(197) | 1 | 553(159) | 1 |
organization | Group practice | 372(99) | 1.38(1.02 to 1.86) | 316(80) | 1.18(0.82 to 1.70) | 583(54) | 1.00(0.68 to 1.45) | 502(50) | 1.13(0.71 to 1.80) | 434(107) | 0.82(0.59 to 1.13) | 367(96) | 0.93(0.64 to 1.34) |
Job satisfaction | Satisfied | 765(172) | 1 | 619(138) | 1 | 1155(101) | 1 | 950(82) | 1 | 877(239) | 1 | 711(199) | 1 |
Not satisfied1 | 229(56) | 1.12(0.79 to 1.58) | 182(41) | 0.93(0.61 to 1.41) | 356(38) | 1.21(0.80 to 1.83) | 284(32) | 1.32(0.81 to 2.15) | 263(65) | 0.86(0.60 to 1.23) | 209(56) | 1.00(0.67 to 1.49) | |
Burnout2 | No | 712(165) | 1 | 577(133) | 1 | 1116(102) | 1 | 915(87) | 1 | 845(233) | 1 | 684(198) | 1 |
Yes | 272(60) | 0.95(0.68 to 1.33) | 224(46) | 0.79(0.53 to 1.18) | 381(34) | 0.96(0.63 to 1.47) | 319(27) | 0.91(0.55 to 1.51) | 284(69) | 0.86(0.60 to 1.22) | 236(57) | 0.83(0.56 to 1.22) | |
CME3 | Yes | 895(204) | 1 | 722(159) | 1 | 1368(128) | 1 | 1124(108) | 1 | 1023(277) | 1 | 832(235) | 1 |
No | 94(24) | 1.20(0.73 to 1.96) | 79(20) | 1.19(0.67 to 2.10) | 133(9) | 0.70(0.34 to 1.44) | 110(6) | 0.56(0.22 to 1.40) | 108(26) | 0.87(0.51 to 1.48) | 88(20) | 0.95(0.52 to 1.73) | |
Working hours | ≥ 40 hours/week | 752(181) | 1 | 645(149) | 1 | 1141(110) | 1 | 990(91) | 1 | 854(234) | 1 | 738(208) | 1 |
< 40 hours/week | 191(36) | 0.73(0.49 to 1.09) | 156(30) | 1.03(0.64 to 1.65) | 293(25) | 0.89(0.55 to 1.45) | 244(23) | 1.13(0.64 to 1.98) | 221(52) | 0.83(0.56 to 1.23) | 182(47) | 0.80(0.52 to 1.23) | |
List size4 | < 1626(median) | 508(108) | 1 | 397(84) | 1 | 743(72) | 1 | 584(56) | 1 | 558(156) | 1 | 431(127) | 1 |
≥ 1626 | 475(114) | 1.18(0.87 to 1.59) | 404(95) | 1.07(0.71 to 1.60) | 751(66) | 0.90(0.62 to 1.30) | 650(58) | 0.89(0.52 to 1.51) | 566(143) | 0.89(0.65 to 1.21) | 489(128) | 1.12(0.74 to 1.69) | |
Services5 | < 9486(median) | 520(117) | 1 | 418(89) | 1 | 748(72) | 1 | 603(58) | 1 | 563(168) | 1 | 449(143) | 1 |
≥ 9486 | 463(105) | 1.03(0.76 to 1.39) | 383(90) | 1.00(0.66 to 1.51) | 746(66) | 0.91(0.63 to 1.31) | 631(56) | 0.95(0.56 to 1.62) | 561(131) | 0.72(0.53 to 0.98) | 471(112) | 0.66(0.44 to 0.99) | |
Knowledge of the patient | Much | 680(143) | 1 | 609(129) | 1 | 1045(91) | 1 | 937(83) | 1 | 773(220) | 1 | 684(199) | 1 |
Little | 312(85) | 1.35(0.99 to 1.85) | 192(50) | 1.33(0.90 to 1.98) | 463(48) | 1.22(0.84 to 1.79) | 297(31) | 1.20(0.75 to 1.91) | 365(84) | 0.72(0.53 to 0.99) | 236(56) | 0.68(0.47 to 0.99) | |
Compliance | High | 772(168) | 1 | 713(151) | 1 | 1186(105) | 1 | 1100(95) | 1 | 902(236) | 1 | 830(219) | 1 |
Low | 94(29) | 1.60(0.99 to 2.58) | 88(28) | 1.63(0.99 to 2.68) | 144(19) | 1.51(0.88 to 2.60) | 134(19) | 1.63(0.93 to 2.85) | 99(38) | 1.58(1.00 to 2.51) | 90(36) | 1.73(1.07 to 2. 80) |