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Table 3 Primary and secondary care doctors’ experience of high levels of clinical coordination

From: Do primary and secondary care doctors have a different experience and perception of cross-level clinical coordination? Results of a cross-sectional study in the Catalan National Health System (Spain)

 

Total

PC

SC

 

(N = 3308)

(N = 1141)

(N = 2167)

n (%)

n (%)

n (%)

p

Coordination of clinical information between levels of care

Primary and secondary care doctors share information on the care of patients we have in commona

1959 (63.11)

757 (70.09)

1202 (59.39)

< 0.001

The information we share is as required for the care of these patientsa

2224 (72.14)

830 (76.92)

1394 (69.56)

< 0.001

Primary and secondary care doctors use the information that we sharea

2489 (81.77)

911 (84.90)

1578 (80.06)

0.001

Coordination of clinical management: Consistency of care between levels

We agree with the treatments prescribed or directions given to the patients by doctors of the other levela

2357 (77.99)

792 (74.16)

1565 (80.09)

< 0.001

There are no contraindications and/or duplications in the treatments prescribed by primary and secondary care doctorsa

2100 (69.54)

652 (61.05)

1448 (74.18)

< 0.001

Primary and secondary care doctors establish a treatment plan together for patients that require thisa

422 (13.82)

129 (11.99)

293 (14.82)

0.030

We do not repeat the tests that doctors have already carried out at the other level (analysis, imaging)a

2182 (71.45)

768 (71.98)

1414 (71.16)

0.635

Coordination of clinical management: Adequate follow-up between levels

Primary care doctors refer the patients to secondary care when appropriatea

2493 (83.13)

1060 (99.07)

1433 (74.29)

< 0.001

Secondary care doctors send the patients back to primary care for follow-up when appropriatea

2484 (83.55)

811 (76.65)

1673 (87.36)

< 0.001

Secondary care doctors make recommendations to the primary care doctor on the follow-up of patients (diagnosis, treatment, other guidelines)a

1780 (59.10)

421 (39.38)

1359 (69.94)

< 0.001

Primary care doctors resolve any queries on the follow-up of patients with the secondary care doctorsa

1249 (42.63)

588 (55.00)

661 (35.52)

< 0.001

Coordination of clinical management: Accessibility between levels of care

On being referred in the standard way to secondary care, the patient does not wait a long time to be seena

611 (21.43)

17 (1.58)

594 (33.43)

< 0.001

On being referred urgently to secondary care, the patient does not wait a long time to be seena

1440 (49.33)

189 (17.58)

1251 (69.15)

< 0.001

On being sent back to primary care, the patient does not wait a long time to be seena

1540 (76.24)

870 (81.84)

670 (30.91)

< 0.001

  1. a Results correspond to the categories always and very often