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Table 2 Analyses of associations between general practice characteristics and delay after exclusion of gender-specific cancers

From: General practitioner characteristics and delay in cancer diagnosis. a population-based cohort study

GP characteritics

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

462(111)

1

389(93)

1

684(81)

1

582(65)

1

488(135)

1

416(115)

1

 

Female

212(36)

0.59(0.39 to 0.91)

156(24)

0.48(0.27 to 0.86)

314(27)

0.72(0.45 to 1.16)

237(22)

0.91(0.49 to 1.69)

226(74)

1.32(0.91 to 1.91)

171(64)

1.61(1.04 to 2.51)

Years since

≥ 20 years

489(106)

1

395(87)

1

724(84)

1

593(69)

1

517(150)

1

421(125)

1

graduation

0-19 years

185(41)

0.99(0.65 to 1.50)

150(30)

1.05(0.61 to 1.79)

274(24)

0.74(0.46 to 1.21)

226(18)

0.72(0.39 to 1.35)

197(59)

1.07(0.73 to 1.57)

166(54)

1.16(0.75 to 1.78)

Practice

Solo practice

424(83)

1

328(63)

1

617(62)

1

482(44)

1

445(131)

1

349(107)

1

organization

Group practice

250(64)

1.40(0.96 to 2.03)

217(54)

1.31(0.83 to 2.07)

381(46)

1.21(0.80 to 1.84)

337(43)

1.49(0.87 to 2.54)

269(78)

0.97(0.68 to 1.39)

238(72)

1.10(0.74 to 1.63)

Job satisfaction

Satisfied Not

527(116)

1

425(92)

1

766(79)

1

631(62)

1

551(160)

1

454(137)

1

 

satisfied1

147(31)

0.97(0.62 to 1.53)

120(25)

0.87(0.51 to 1.48)

232(29)

1.22(0.77 to 1.94)

188(25)

1.34(0.76 to 2.37)

163(49)

1.05(0.70 to 1.58)

133(42)

1.23(0.79 to 1.92)

Burnout2

No

481(109)

1

390(89)

1

732(80)

1

602(66)

1

526(158)

1

431(137)

1

 

Yes

186(36)

0.83(0.54 to 1.28)

155(28)

0.68(0.41 to 1.12)

257(25)

0.87(0.54 to 1.40)

217(21)

0.88(0.49 to 1.59)

182(50)

0.89(0.60 to 1.33)

156(42)

0.88(0.57 to 1.35)

CME3

Yes

598(128)

1

483(101)

1

898(99)

1

741(81)

1

637(193)

1

527(167)

1

 

No

72(19)

1.38(0.79 to 2.44)

62(16)

1.36(0.70 to 2.64)

84(7)

0.65(0.29 to 1.45)

78(6)

0.63(0.24 to 1.65)

72(16)

0.66(0.36 to 1.22)

60(12)

0.67(0.33 to 1.34)

Working hours

≥ 40 hours/week

517(117)

1

445(97)

1

774(86)

1

675(70)

1

552(166)

1

486(150)

1

 

< 40 hours/week

122(24)

0.82(0.50 to 1.36)

100(20)

1.16(0.64 to 2.10)

179(19)

0.96(0.56 to 1.65)

144(17)

1.40(0.72 to 2.70)

128(33)

0.81(0.52 to 1.29)

101(29)

0.84(0.50 to 1.41)

List size4

< 1626(median)

347(75)

1

274(57)

1

496(61)

1

395(47)

1

354(111)

1

282(91)

1

 

≥ 1626

317(67)

0.99(0.68 to 1.44)

271(60)

1.14(0.69 to 1.88)

491(46)

0.74(0.49 to 1.12)

424(40)

0.73(0.40 to 1.34)

351(95)

0.81(0.58 to 1.15)

305(88)

1.20(0.76 to 1.87)

Services5

< 9486(median)

345(78)

1

281(61)

1

494(58)

1

404(47)

1

349(121)

1

286(106)

1

 

≥ 9486

319(64)

0.89(0.61 to 1.30)

264(56)

0.84(0.51 to 1.40)

493(49)

0.83(0.55 to 1.25)

415(40)

0.88(0.48 to 1.61)

356(85)

0.59(0.42 to 0.83)

301(73)

0.53(0.34 to 0.83)

Knowledge of the patient

Much

460(92)

1

409(82)

1

681(70)

1

613(62)

1

476(154)

1

426(141)

1

 

Little

212(55)

1.37(0.93 to 2.01)

136(35)

1.55(0.95 to 2.53)

314(38)

1.20(0.78 to 1.84)

206(25)

1.31(0.77 to 2.23)

236(55)

0.63(0.44 to 0.91)

161(38)

0.61(0.39 to 0.94)

Compliance

High

519(109)

1

476(97)

1

769(82)

1

715(73)

1

561(162)

1

521(152)

1

 

Low

74(20)

1.46(0.82 to 2.61)

69(20)

1.53(0.84 to 2.77)

111(14)

1.21(0.65 to 2.27)

104(14)

1.31(0.68 to 2.51)

73(28)

1.53(0.91 to 2.58)

66(27)

1.80(1.04 to 3.13)

  1. Unadjusted and adjusted analyses of general practitioner and practice characteristics and the three stages of delay in the patient population after exclusion of gender-specific cancersadjusted 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)