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