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Table 3 Logistic-regression multivariate analyses of the declared practices or difficulties according to general practitioners’ characteristics

From: General practitioner’s clinical practices, difficulties and educational needs to manage Alzheimer’s disease in France: analysis of national telephone-inquiry data

 

Dependent variables

Independent variables

AD diagnostic tests used

Disclosed AD diagnosis to patient

Systematic referral to specialist

Referred to social services

Aware of national guidelines

Difficulties: easy management of

Comorbidities

Coordination of assistance

Behavioral disorders

N

925

925

925

925

925

925

925

925

Age >51 yr

1.15 (0.78–1.72)

0.61† (0.44–0.84)

1.66† (1.15–2.39)

1.49† (1.11–2.00)

1.19 (0.89–1.59)

0.95 (0.70–1.30)

1.04 (0.78–1.38)

0.93 (0.68–1.29)

Male

0.75 (0.49–1.12)

1.57* (1.09–2.26)

0.66* (0.44–0.99)

0.47‡ (0.34–0.64)

1.43* (1.04–1.97)

1.66† (1.20–2.29)

0.92 (0.68–1.25)

1.22 (0.86–1.75)

Type of practice (alone vs. group)

0.97 (0.66–1.43)

1.11 (0.81–1.53)

0.77 (0.53–1.10)

1.28 (0.96–1.70)

1.10 (0.82–1.46)

0.99 (0.73–1.34)

1.14 (0.87–1.51)

1.24 (0.90–1.70)

Total (vs. partial) fee reimbursement

1.66 (0.82–3.38)

1.31 (0.76–2.27)

0.95 (0.53–1.70)

0.91 (0.57–1.43)

1.46 (0.91–2.34)

1.24 (0.77–1.99)

1.20 (0.77–1.87)

0.88 (0.53–1.46)

Role as an educator (medical students)

0.87 (0.54–1.39)

1.29 (0.89–1.85)

0.52† (0.35–0.78)

0.99 (0.71–1.39)

1.30 (0.93–1.81)

0.80 (0.56–1.13)

1.14 (0.82–1.59)

0.92 (0.63–1.34)

High patient load (>21/day)

0.83 (0.57–1.22)

1.28 (0.92–1.77)

1.51* (1.06–2.162)

1.06 (0.80–1.42)

1.01 (0.76–1.36)

0.98 (0.72–1.32)

1.30 (0.98–1.72)

1.18 (0.85–1.63)

5–7 days/wk (vs. fewer days) in office

1.20 (0.81–1.79)

1.08 (0.78–1.50)

0.93 (0.65–1.35)

0.85 (0.64–1.14)

0.91 (0.68–1.21)

1.19 (0.88–1.61)

1.14 (0.86–1.51)

1.12 (0.81–1.54)

Involved in educating the public

0.91 (0.61–1.35)

1.30 (0.94–1.78)

1.22 (0.84–1.78)

1.19 (0.89–1.59)

1.70‡ (1.28–2.27)

1.35 (0.99–1.83)

1.08 (0.82–1.44)

1.67† (1.22–2.28)

Alternative medicine techniques (often or always)

0.73 (0.45–1.19)

1.18 (0.82–1.70)

1.34 (0.87–2.09)

1.08 (0.78–1.50)

0.89 (0.64–1.25)

0.98 (0.69–1.40)

1.04 (0.75–1.43)

0.93 (0.64–1.35)

>10% of clientele underprivileged

0.92 (0.62–1.40)

1.00 (0.71–1.40)

1.00 (0.68–1.48)

0.92 (0.68–1.25)

0.88 (0.65–1.20)

0.85 (0.62–1.16)

0.79 (0.59–1.06)

1.03 (0.73–1.44)

Participating in a network

0.99 (0.68–1.45)

1.10 (0.81–1.50)

0.91 (0.64–1.29)

1.49† (1.13–1.96)

1.52† (1.15–2.01)

1.10 (0.82–1.48)

1.12 (0.86–1.47)

1.32 (0.98–1.80)

R2 Nagelkerke

0.018

0.041

0.047

0.061

0.059

0.030

0.015

0.032

Hosmer Lesmeshow test (sig.)

0.121

0.757

0.533

0.275

0.745

0.668

0.139

0.999

  1. *p < 0.05; †p < 0.01; ‡p < 0.001.
  2. Values are expressed as odds ratios (95% CI), unless stated otherwise. Multivariate analyses used information from 925 GPs for whom no data were missing.