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) |