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Table 5 Factors associated with perception of high levels of clinical coordination, by level of care

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)

Factors Primary Care Secondary Care
Raw OR (95% IC) Adj. OR (95% IC) Raw OR (95% IC) Adj. OR (95% IC)
Sex
Female 1 1 1 1
Male 1.04 (0.78–1.39) 1.02 (0.69–1.50) 0.94 (0.77–1.14) 1.12 (0.82–1.54)
Country of birth
Spain 0.63 (0.42–0.95) 0.85 (0.44–1.62) 1.21 (0.90–1.64) 1.19 (0.73–1.94)
Other 1 1 1 1
Years working as a doctor
0 to 10 years 1 1 1 1
11 to 20 years 0.80 (0.49–1.32) 0.82 (0.31–2.20) 0.62 (0.46–0.83) 0.49 (0.27–0.89)
21 to 30 years 0.79 (0.48–1.30) 0.83 (0.32–2.13) 0.92 (0.68–1.25) 0.82 (0.43–1.57)
31 to 45 years 0.74 (0.44–1.24) 0.62 (0.24–1.60) 0.63 (0.58–0.94) 0.50 (0.32–0.80)
Satisfaction with the job in the organization
Yes 3.62 (2.25–5.83) 2.59 (2.09–3.21) 4.15 (2.78–6.19)  
No 1 1 1  
I know the doctors of the other care level who see my patients personally
Often/Always 3.51 (2.66–4.64) 2.22 (1.58–3.10) 3.79 (3.08–4.67) 2.67 (1.64–4.43)
Rarely/Never 1 1 1 1
I trust in the clinical skills of the doctors of the other level who see my patients
Often/Always 2.84 (0.98–8.29)   3.57 (2.54–5.01) 1.61 (1.18–2.19)
Rarely/Never 1   1 1
My daily practice influences the practice of the doctors of the other level
Often/Always 2.30 (1.64–3.22) 1.72 (1.29–2.30) 3.06 (2.11–4.43) 2.08 (1.36–3.18)
Rarely/Never 1 1 1 1
My organization’s management facilitates coordination between primary and secondary care doctors
Often/Always 4.43 (3.12–6.30) 2.56 (1.80–3.63) 5.15 (4.07–6.52) 3.59 (2.36–5.46)
Rarely/Never 1 1 1 1
The time I can dedicate to coordinating with doctors of the other level during my working day is sufficient
Often/Always 1.87 (1.28–2.71)   3.97 (2.97–5.31) 2.20 (1.90–2.56)
Rarely/Never 1   1 1
Area according to type of management of PC and SC
One entity manages SC and majority of PC 1 1 1 1
One entity manages SC and minority of PC 0.73 (0.54–0.99) 0.76 (0.71–0.82) 0.77 (0.61–0.98) 0.78 (0.70–0.87)
Different entities manage SC and PC 0.70 (0.51–0.97) 0.64 (0.58–0.72) 1.17 (0.94–1.46) 1.05 (0.95–1.16)
Area according to type of hospital
Local and regional hospitals 1 1 1 1
Regional high-resolution hospitals 1.14 (0.82–1.58) 1.15 (0.90–1.47) 1.19 (0.96–1.48) 1.14 (0.56–2.34)
High-technology hospitals 0.75 (0.49–1.13) 0.54 (0.49–0.60) 0.78 (0.61–0.99) 1.03 (0.69–1.55)
Joint clinical case conferences between primary and secondary care doctors for the discussion of cases
Yes 2.46 (1.81–3.34) 1.97 (1.32–2.94) 3.26 (2.63–4.05) 1.50 (1.39–1.62)
No 1 1 1 1
Shared protocols, care pathways or clinical practice guidelines between primary and secondary care
Yes 3.99 (1.97–8.11)   3.77 (2.91–4.88) 2.42 (1.63–3.58)
No 1   1 1
Primary care doctors are informed when their patients are discharged from the hospital
Often/Always 3.12 (2.30–4.25) 3.14 (2.53–3.89) 2.52 (1.99–3.19)  
Rarely/Never 1 1 1