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Table 4 Adjusted odds ratios with 95% confidence intervals (95% CI) for offering test/treatment in four clinical scenarios

From: The nexus of evidence, context, and patient preferences in primary care: postal survey of Canadian family physicians

 

Adjusted odds ratio* (95% CI)

P value

CLINICAL SCENARIO 1

  

Patient expectation:

  

Wonders about mammography

1.00+

 

Requests mammography

3.11 (1.72 to 5.64)

<.001

Demands mammography

5.15 (2.87 to 9.23)

<.0001

CLINICAL SCENARIO 2

  

Patient expectation:

  

Wonders about x-ray

1.00+

 

Requests x-ray

2.08 (1.06 to 4.09)

<.0001

Demands x-ray

3.95 (2.07 to 7.54)

<.0001

CLINICAL SCENARIO 3

  

Patient expectation:

  

Wonders about antibiotics

1.00+

 

Requests antibiotics

0.89 (0.49 to 1.63)

0.71 NS

Demands antibiotics

1.51 (0.84 to 2.70)

0.17 NS

Type of practice:

  

Group

1.00+

 

Solo

2.22 (1.35 to 3.65)

<.001

Hours/week seeing patients:

  

0–19 hours

1.00+

 

20–49 hours

1.79 (1.02 to 3.15)

<.05

50+ hours

3.52 (1.06 to 11.70)

<.05

CLINICAL SCENARIO 4

  

Physician gender:

  

Male

1.00+

 

Female

2.11 (1.19 to 3.76)

<.01

  1. * Adjusted for physician age, gender, hours/week seeing patients, practice setting, type of practice, Internet access, patient expectation, and self-identification with EBM. + Used as baseline comparison.