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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