Nurse telephone advice alone (NTAA) | Return consultations | ||||
---|---|---|---|---|---|
After NTAA | After NTAA | After GP contact | |||
Univariable associations | Multivariable model | Univariable associations | Multivariable model | Multivariable model | |
Patient characteristics | RR (95%CI) | RR (95%CI) | RR (95%CI) | RR (95%CI) | RR (95%CI) |
Male | 1.00 (ref) | 1.00 (ref) | |||
Female | 1.00 (0.84–1.19) | - | 0.85 (0.61–1.14) | - | - |
Public insurance | 1.00 (ref) | 1.00 (ref) | |||
Private insurance | 1.02 (0.84–1.22) | - | 1.01 (0.73–1.34) | - | - |
Non-deprived area | 1.00 (ref) | 1.00 (ref) | |||
Deprived area | 0.90 (0.75–1.08) | - | 0.88 (0.64–1.17) | - | - |
Distance per 5 km* | 1.03 (0.78–1.31) | - | 1.38 (0.94–1.83) | - | - |
Age per 10 yrs** | 0.92 (0.90–0.95) | 0.96 (0.93–0.99) | 0.99 (0.94–1.05) | 1.02 (0.99–1.05) | 1.02 (1.00–1.04) |
Day or evening | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
Night | 1.52 (1.37–1.65) | 1.63 (1.48–1.76) | 1.33 (1.07–1.58) | 1.23 (1.04–1.40) | 1.28 (1.13–1.41) |
1 or 2 problems presented | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
3 problems presented | 0.65 (0.52–0.82) | 0.65 (0.51–0.83) | 0.91 (0.63–1.25) | 1.01 (0.82–1.16) | 0.95 (0.86–1.03) |
Cough | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) | 1.00 (ref) |
Chest pain | 0.17 (0.07–0.45) | 0.18 (0.06–0.47) | # | # | 0.81 (0.56–1.00) |
Localised abdominal pain | 0.36 (0.17–0.75) | 0.35 (0.16–0.74) | 1.22 (0.74–1.43) | # | 1.50 (1.18–1.74) |
Shortness of breath | 0.44 (0.25–0.76) | 0.41 (0.22–0.74) | 1.21 (0.79–1.46) | 1.21 (0.58–1.88) | 0.90 (0.71–1.06) |
Generalised abdominal pain | 0.92 (0.58–1.39) | 0.86 (0.53–1.32) | 0.23 (0.07–0.70) | 0.62 (0.29–0.92) | 1.34 (1.09–1.53) |
Sore throat | 1.17 (0.80–1.62) | 1.34 (0.92–1.82) | 0.83 (0.41–1.38) | 0.91 (0.55–1.24) | 0.95 (0.77–1.09) |
Fever | 1.22 (0.89–1.59) | 1.17 (0.83–1.56) | 0.92 (0.54–1.36) | 1.00 (0.66–1.31) | 1.06 (0.90–1.17) |
Headache | 1.33 (0.96–1.73) | 1.40 (1.00–1.81) | 0.22 (0.08–0.64) | 0.61 (0.31–0.90) | 0.80 (0.56–0.96) |
Vomiting | 1.39 (1.10–1.68) | 1.44 (1.20–1.63) | 0.25 (0.11–0.54) | 0.62 (0.39–0.85) | 0.90 (0.73–1.02) |
Earache | 1.51 (1.30–1.68) | 1.49 (1.18–1.78) | 0.93 (0.56–1.36) | 0.99 (0.69–1.27) | 0.94 (0.75–1.07) |
Nurse-related variables | |||||
Male | 1.00 (ref) | 1.00 (ref) | |||
Female | 1.03 (0.73–1.38) | - | 1.18 (0.87–1.51) | - | n.a. |
Experience < 20 years | 1.00 (ref) | 1.00 (ref) | |||
Experience > 20 years | 1.02 (0.79–1.29) | - | 0.86 (0.59–1.19) | - | n.a. |
No. of specialities ≤ 3 | 1.00 (ref) | 1.00 (ref) | |||
No. of specialities > 3 | 0.97 (0.73–1.25) | - | 1.23 (0.95–1.51) | - | n.a. |
No experience in GP practice | 1.00 (ref) | 1.00 (ref) | |||
Experience in GP practice | 0.98 (0.70–1.32) | - | 1.29 (1.03–1.55) | - | n.a. |