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Table 1 Analyses of associations between general practice characteristics and delay in cancer diagnosis

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)

  1. Unadjusted and adjusted analyses of general practitioner and practice characteristics and the three stages of delay adjusted for patient clustering within GPs and practices. The N in each column is the number of answers with complete data. The number of patients with long delays is provided in brackets. Results are presented as odds ratios (ORs) with 95% confidence intervals (95%CIs).*ORs adjusted for patient gender and age.
  2. 125% less satisfied
  3. 2Burnout index: emotional exhaustion score (0-38) > 26 and/or depersonalization score (0-24) > 9
  4. 3Participation in continuing medical education (CME). CME-group and/or supervision group
  5. 4Listed patients per GP according to the county's Health Service Registry (2003)
  6. 5Services (daytime surgery consultations, telephone consultations and home visits) per GP per year according to the county's Health Service Registry (2003)