Background
Methods
Study design, setting, ethics and patient selection
Questionnaire
Statistics
Results
Variable (missing values) | Patients without appointment (n = 251) | Patients with appointment (n = 250) | p-values for group differences |
---|---|---|---|
Age in years (4) | 44 (16) | 50 (16) | < 0.001§ |
Female (3) | 120 (48%) | 139 (56%) | 0.11* |
Family status (4) | |||
- single | 77 (31%) | 56 (23%) | |
- unmarried in partnership | 38 (15%) | 21 (8%) | |
- married | 129 (51%) | 155 (63%) | 0.005* |
- widowed | 7 (3%) | 14 (6%) | |
At least one child (3) | 154 (61%) | 178 (72%) | 0.01* |
Privately insured (5) | 22 (9%) | 21 (13%) | 0.19* |
High school graduation (10) | 82 (33%) | 63 (24%) | 0.07* |
Patient in the practice since … years (60) | 8 (2, 15) | 8 (4, 20) | 0.13# |
At least one chronic disease (3) | 71 (29%) | 113 (45%) | < 0.001 |
Patients without appointment (n = 251) | Patients with appointment (n = 250) | P values for group differences | |
---|---|---|---|
ICPC-2 categories | |||
Respiratory (R) | 68 (27%) | 41 (16%) | 0.005 |
Musculoskeletal (L) | 62 (25%) | 45 (18%) | 0.08 |
Process codes (−) | 17 (7%) | 60 (24%) | < 0.001 |
Digestive (D) | 27 (11%) | 12 (5%) | 0.02 |
Cardiovascular (K) | 13 (5%) | 16 (6%) | 0.57 |
General and unspecified (A) | 15 (6%) | 13 (5%) | 0.14 |
Psychological (P) | 15 (6%) | 12 (5%) | 0.69 |
Other | 35 (13%) | 41 (16%) | 0.59 |
Most frequent single ICPC-2 codes | |||
Upper respiratory infection acute (R74) | 35 (14%) | 22 (9%) | 0.07 |
Back syndrome w/o radiating pain (L84) | 15 (6%) | 8 (3%) | 0.14 |
Blood test (−34) | 1 (< 1%) | 18 (7%) | nc |
Gastroenteritis (D73) | 14 (6%) | 3 (1%) | nc |
Preventive immunization/medication (−44) | 4 (2%) | 11 (4%) | nc |
Therapeutic counsellling/listening (−58) | 8 (3%) | 7 (3%) | nc |
Neck syndrome (L83) | 10 (4% | 4 (2%) | nc |
General symptom/complaint other (A29) | 9 (4%) | 3 (1%) | nc |
Sinusitis acute/chronic (R75) | 6 (2%) | 4 (2%) | nc |
Acute bronchitis/bronchiolitis (R78) | 5 (2%) | 4 (2%) | nc |
Bursitis/tendinitis/synovitis (L87) | 2 (1%) | 6 (2%) | nc |
Rating (Code) | Patients without appointment (n = 251) | Patients with appointment (n = 250) | p-value |
---|---|---|---|
Patient’s view | |||
Very urgent | 24 (10%) | 15 (8%) | |
Urgent | 100 (41%) | 66 (36%) | |
Somewhat urgent | 81 (3%) | 79 (43%) | 0.46 |
Not urgent | 35 (14%) | 23 (12%) | |
Not urgent at all | 5 (2%) | 1 (1%) | |
Missing | 7 | 66 | |
Physician‘s view | |||
Very urgent | 15 (6%) | 8 (3%) | |
Urgent | 56 (22%) | 33 (13%) | |
Somewhat urgent | 84 (34%) | 60 (24%) | < 0.001 |
Not urgent | 57 (23%) | 91 (37%) | |
Not urgent at all | 37 (15%) | 57 (23%) | |
Missing | 2 | 1 | |
Difference physician – patient | |||
Patient very much more urgent (−4) | 3 (1%) | 1 (< 1%) | |
Patient much more urgent (−3) | 15 (6%) | 16 (8%) | |
Patient more urgent (−2) | 33 (14%) | 43 (23%) | |
Patient slightly more urgent (−1) | 72 (30%) | 53 (29%) | 0.007 |
Full agreement (0) | 76 (31%) | 49 (29%) | |
Physician slightly more urgent (1) | 36 (15%) | 17 (9%) | |
Physician more urgent (2) | 8 (3%) | 5 (3%) | |
Physician much more urgent (3) | – | – | |
Physician very much more urgent (4) | – | – | |
Missing | 8 | 66 |
Symptoms/disorder - instrument (n missing) | Patients without appointment (n = 251) | Patients with appointment (n = 250) | p-value |
---|---|---|---|
Metric analysis (scores) | |||
Depressive symptoms - PHQ-9 (34) | 5.2 (4.9) | 5.0 (4.8) | 0.64 |
Somatoform symptoms - PHQ-15 (34) | 6.8 (5.2) | 6.8 (4.8) | 0.96 |
Somatic symptom disorder – SSD-12 (39) | 11.6 (8.7) | 11.3 (9.3) | 0.43 |
Generalized anxiety symptoms - GAD-7 (70) | 4.1 (4.3) | 3.7 (3.9) | 0.32 |
Categorical analysis | |||
Major depression - PHQ-9 (34) | 19 (8%) | 17 (7%) | 0.731 |
Minor depression - PHQ-9 (34) | 30 (13%) | 9 (4%) | < 0.001 |
Somatoform disorder - PHQ-15 (70) | 34 (16%) | 34 (16%) | 1.00 |
Generalized anxiety disorder - GAD-7 (34) | 24 (10%) | 21 (9%) | 0.64 |
At least one mental disorder suspected* | 71 (28%) | 52 (21%) | 0.06 |
Variable | β | p-value | OR (95%-CI) |
---|---|---|---|
Age (per year) | −0.03 | < 0.001 | 0.97 (0.96; 0.99) |
Male gender | 0.56 | 0.01 | 1.75 (1.14; 2.69) |
At least one chronic disease | −0.55 | 0.02 | 0.58 (0.36; 0.91) |
Screened positive for at least one mental disorder | 0.55 | 0.03 | 1.73 (1.07; 2.79) |
Openness for experience | −0.31 | 0.04 | 0,73 (0.54; 0.99) |
Urgency (physician rating) | −0.38 | < 0.001 | 0.68 (0.56; 083) |
ICPC category respiratory | 0.63 | 0.03 | 1.89 (1.08; 3.30) |
ICPC category digestive | 0.82 | 0.06 | 2.72 (0.98; 5.28) |
ICPC category musculoskeletal | 0.57 | 0.04 | 1.77 (1.02; 3.05) |
ICPC category process codes | −0.83 | 0.03 | 0.44 (0.21; 0.91) |