Table 2 Mutually adjusted analyses of dissatisfaction and unmet expectations according to GP assessment of diagnosis
From: Symptoms as the main problem: a cross- sectional study of patient experience in primary care
Dissatisfaction with | Unmet expectations | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Time | Thoroughness | Examination | Explanation | |||||||||||||
(OR, 95% CI)a | (OR, 95% CI)a | (OR, 95% CI)a | (OR, 95% CI)a | (OR, 95% CI)a | ||||||||||||
Patients with ‘symptoms only’ (n) | 660 | 656 | 608 | 631 | 659 | |||||||||||
Patient characteristics: | ||||||||||||||||
Male (vs. female) | 0.82 | 0.58 | 1.16 | 1.02 | 0.72 | 1.45 | 0.84 | 0.59 | 1.21 | 0.66 | 0.46 | 0.96 | 1.08 | 0.68 | 1.73 | |
Age | 1.00 | 0.98 | 1.01 | 0.99 | 0.98 | 1.00 | 0.99 | 0.98 | 1.00 | 0.99 | 0.97 | 1.00 | 0.99 | 0.97 | 1.00 | |
Education 10–15 years (vs. <10 years) | 0.96 | 0.66 | 1.39 | 0.97 | 0.65 | 1.46 | 1.06 | 0.73 | 1.54 | 1.12 | 0.76 | 1.66 | 0.97 | 0.59 | 1.60 | |
Education >15 years (vs. <10 years) | 0.80 | 0.50 | 1.29 | 0.83 | 0.50 | 1.38 | 0.82 | 0.49 | 1.35 | 0.81 | 0.49 | 1.32 | 0.47 | 0.22 | 0.99 | |
Chronic disorder (vs. none) | 0.71 | 0.50 | 1.01 | 0.67 | 0.47 | 0.94 | 0.70 | 0.48 | 1.03 | 0.80 | 0.56 | 1.16 | 0.92 | 0.58 | 1.46 | |
Physical functioning (SF-12, PCS) | 0.98 | 0.96 | 1.00 | 0.98 | 0.96 | 0.99 | 0.97 | 0.95 | 0.98 | 0.98 | 0.96 | 0.99 | 0.97 | 0.95 | 0.99 | |
Mental functioning (SF-12, MCS) | 0.99 | 0.97 | 1.01 | 0.99 | 0.97 | 1.01 | 0.98 | 0.96 | 1.00 | 0.98 | 0.96 | 1.00 | 0.98 | 0.96 | 1.00 | |
Illness worry | 0.87 | 0.55 | 1.38 | 1.07 | 0.68 | 1.68 | 0.85 | 0.54 | 1.32 | 0.88 | 0.56 | 1.38 | 1.61 | 0.95 | 2.73 | |
GP assessment: | ||||||||||||||||
Expect outcome to be ‘no disease’ | 1.12 | 0.80 | 1.57 | 1.25 | 0.88 | 1.77 | 1.57 | 1.11 | 2.22 | 1.00 | 0.71 | 1.42 | 1.32 | 0.86 | 2.04 | |
GP characteristics: | ||||||||||||||||
Male (vs. female) | 1.01 | 0.70 | 1.45 | 0.89 | 0.60 | 1.30 | 0.97 | 0.65 | 1.43 | 1.04 | 0.71 | 1.54 | 1.06 | 0.65 | 1.73 | |
Years in practice | 1.00 | 0.97 | 1.02 | 1.00 | 0.98 | 1.02 | 0.99 | 0.97 | 1.02 | 1.00 | 0.97 | 1.02 | 0.98 | 0.96 | 1.01 | |
Practice type solo (vs. partnership) | 0.92 | 0.60 | 1.41 | 1.01 | 0.65 | 1.59 | 1.01 | 0.65 | 1.56 | 1.01 | 0.68 | 1.51 | 1.02 | 0.58 | 1.81 | |
Patients with a specific diagnosis (n) | 1212 | 1209 | 1113 | 1146 | 1214 | |||||||||||
Patient characteristics: | ||||||||||||||||
Male (vs. female) | 0.90 | 0.68 | 1.19 | 0.94 | 0.72 | 1.23 | 1.21 | 0.92 | 1.58 | 0.95 | 0.71 | 1.25 | 0.86 | 0.59 | 1.24 | |
Age | 0.99 | 0.98 | 1.00 | 0.99 | 0.98 | 1.00 | 0.99 | 0.98 | 1.00 | 0.99 | 0.98 | 1.00 | 0.98 | 0.97 | 0.99 | |
Education 10–15 years (vs. <10 years) | 1.02 | 0.79 | 1.32 | 0.87 | 0.66 | 1.14 | 1.07 | 0.78 | 1.47 | 1.12 | 0.85 | 1.49 | 0.80 | 0.55 | 1.17 | |
Education >15 years (vs. <10 years) | 0.79 | 0.55 | 1.14 | 0.75 | 0.51 | 1.10 | 0.88 | 0.58 | 1.33 | 0.79 | 0.58 | 1.08 | 0.57 | 0.33 | 0.97 | |
Chronic disorder (vs. none) | 0.86 | 0.64 | 1.16 | 0.86 | 0.64 | 1.15 | 0.97 | 0.73 | 1.30 | 0.98 | 0.97 | 1.00 | 1.05 | 0.73 | 1.50 | |
Physical functioning (SF-12, PCS) | 0.99 | 0.97 | 1.00 | 0.99 | 0.98 | 1.00 | 0.99 | 0.98 | 1.00 | 0.98 | 0.97 | 1.00 | 0.98 | 0.97 | 0.99 | |
Mental functioning (SF-12, MCS) | 0.99 | 0.97 | 1.00 | 0.99 | 0.97 | 1.00 | 0.98 | 0.97 | 1.00 | 0.98 | 0.97 | 1.00 | 0.98 | 0.96 | 1.00 | |
Illness worry | 1.28 | 0.91 | 1.81 | 1.30 | 0.91 | 1.87 | 1.36 | 0.92 | 2.01 | 1.15 | 0.78 | 1.70 | 1.68 | 1.09 | 2.57 | |
GP assessment: | ||||||||||||||||
Expect outcome to be ‘no disease’ | 1.13 | 0.85 | 1.50 | 1.12 | 0.84 | 1.50 | 1.45 | 1.04 | 2.02 | 1.38 | 1.00 | 1.91 | 1.24 | 0.82 | 1.88 | |
GP characteristics: | ||||||||||||||||
Male (vs. female) | 1.03 | 0.77 | 1.36 | 1.06 | 0.80 | 1.41 | 1.03 | 0.74 | 1.42 | 1.09 | 0.80 | 1.47 | 0.91 | 0.61 | 1.36 | |
Years in practice | 1.00 | 0.98 | 1.01 | 0.99 | 0.98 | 1.01 | 1.00 | 0.98 | 1.02 | 1.01 | 0.99 | 1.02 | 0.99 | 0.97 | 1.01 | |
Practice type solo (vs. partnership) | 0.97 | 0.71 | 1.32 | 0.93 | 0.68 | 1.27 | 1.12 | 0.76 | 1.66 | 0.99 | 0.69 | 1.41 | 0.90 | 0.53 | 1.54 | |