Background
Methods
Design and setting
Data collection
Study population
Data management
Statistical analyses
Ethical approvals
Results
Telephone consultations | Clinic consultations | Home visits | |||||||
---|---|---|---|---|---|---|---|---|---|
Non-respondents n = 1899 (100%) | Respondents n = 1789 (100%) | P-valuea | Non-respondents n = 2521 (100%) | Respondents n = 3183 (100%) | P-valuea | Non-respondents n = 2619 (100%) | Respondents n = 2241 (100%) | P-valuea | |
n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | ||||
Gender | |||||||||
Male | 888 (46.8) | 825 (46.1) | 0.679 | 1236 (49.0) | 1541 (48.4) | 0.645 | 1233 (47.0) | 1124 (50.2) | <0.001 |
Female | 1011 (53.2) | 964 (53.9) | 1285 (51.0) | 1642 (51.6) | 1386 (53.0) | 1117 (49.8) | |||
Age groups (years) | |||||||||
0–4 | 329 (17.3) | 482 (26.9) | <0.001 | 580 (23.0) | 931 (29.3) | <0.001 | 170 (6.5) | 200 (8.9) | <0.001 |
5–18 | 257 (13.5) | 298 (16.7) | 439 (17.4) | 679 (21.3) | 140 (5.3) | 155 (6.9) | |||
19–50 | 817 (43.0) | 568 (31.8) | 1180 (46.8) | 947 (29.8) | 583 (22.3) | 405 (18.1) | |||
51–75 | 297 (15.6) | 337 (18.6) | 278 (11.0) | 549 (17.3) | 726 (27.8) | 832 (37.1) | |||
> 75 | 199 (10.5) | 104 (15.8) | 44 (1.7) | 77 (2.4) | 1000 (38.2) | 649 (29.0) | |||
Patient’s residence | |||||||||
Urban area | 939 (49.4) | 824 (46.1) | <0.001 | 1368 (54.3) | 1523 (47.9) | <0.001 | 1178 (45.0) | 871 (38.9) | <0.001 |
Rural area | 893 (47.0) | 918 (51.3) | 1049 (41.6) | 1569 (49.3) | 1409 (53.8) | 1357 (60.6) | |||
Missing data | 67 (3.5) | 47 (2.6) | 104 (4.1) | 91 (2.9) | 32 (1.2) | 57 (0.6) |
Telephone consultations | Clinic consultations | Home visits | P-valuea | ||||
---|---|---|---|---|---|---|---|
n | (%) | n | (%) | n | (%) | ||
Number of patient contacts (n = 7213) | 1789 | (100) | 3183 | (100) | 2241 | (100) | |
Overall satisfaction | |||||||
Satisfied | 1379 | (77.0) | 2656 | (83.4) | 1916 | (85.5) | <0.001 |
Dissatisfied | 152 | (8.5) | 192 | (6.0) | 98 | (4.3) | |
Neutral | 214 | (12.0) | 301 | (9.5) | 140 | (6.3) | |
Don’t know | 17 | (1.0) | 11 | (0.4) | 28 | (1.3) | |
Missing data | 27 | (1.5) | 23 | (0.7) | 59 | (2.6) | |
Organizational factor: | |||||||
Patient-perceived waiting time | |||||||
Acceptable waiting time | 1325 | (74.1) | 2279 | (71.8) | 1647 | (73.5) | <0.001 |
Unacceptable waiting time | 174 | (9.7) | 459 | (14.4) | 258 | (11.5) | |
Neutral | 231 | (12.9) | 387 | (12.2) | 252 | (11.2) | |
Don’t know | 31 | (1.7) | 24 | (0.8) | 38 | (1.7) | |
Missing data | 28 | (1.6) | 34 | (1.1) | 46 | (2.1) | |
Patient-related factors: | |||||||
Age groups (years) | |||||||
0–4 | 482 | (26.9) | 931 | (29.3) | 200 | (8.9) | <0.001 |
5–18 | 298 | (16.7) | 679 | (21.3) | 155 | (7.0) | |
19–50 | 568 | (31.8) | 947 | (30.0) | 405 | (18.1) | |
51–75 | 337 | (18.8) | 549 | (17.3) | 832 | (37.3) | |
> 75 | 104 | (5.8) | 77 | (2.4) | 649 | (29.0) | |
Gender | |||||||
Male | 825 | (46.1) | 1541 | (48.4) | 1124 | (50.2) | <0.001 |
Female | 964 | (53.8) | 1642 | (51.6) | 1117 | (49.8) | |
Patient’s residence | |||||||
Rural area | 918 | (51.3) | 1569 | (49.3) | 1357 | (60.6) | <0.001 |
Urban area | 824 | (46.1) | 1523 | (47.9) | 871 | (38.9) | |
Unknownb | 47 | (2.6) | 91 | (2.9) | 13 | (0.6) | |
Employment status | |||||||
Self-supporting | 1287 | (71.9) | 2563 | (80.5) | 1140 | (50.9) | <0.001 |
Pensioners and retirees | 171 | (9.6) | 244 | (7.7) | 682 | (30.4) | |
Not self-supporting | 247 | (13.8) | 325 | (10.2) | 373 | (16.6) | |
Missing data | 84 | (4.7) | 51 | (1.6) | 46 | (2.1) | |
General self-perceived healthc | |||||||
Excellent | 112 | (10.9) | 179 | (11.1) | 72 | (3.8) | <0.001 |
Very good | 300 | (29.3) | 580 | (36.1) | 281 | (14.8) | |
Good | 333 | (32.5) | 521 | (32.4) | 582 | (30.7) | |
Poor | 186 | (18.2) | 244 | (15.2) | 626 | (33.0) | |
Very poor | 66 | (6.4) | 50 | (3.1) | 252 | (13.3) | |
Missing data | 28 | (2.7) | 34 | (2.1) | 84 | (4.4) | |
Self-reported chronic disease | |||||||
No chronic disease | 1292 | (72.2) | 2491 | (78.3) | 1049 | (46.8) | <0.001 |
Chronic diseased | 497 | (27.8) | 692 | (21.7) | 1192 | (53.2) | |
GP-related factors: | |||||||
GP-assessed severity of contact | |||||||
Potentially severe | 236 | (13.2) | 1209 | (38.0) | 1161 | (51.8) | <0.001 |
Not severe | 1486 | (83.0) | 1937 | (60.9) | 1061 | (47.3) | |
Don’t know | 67 | (3.8) | 37 | (1.2) | 17 | (0.8) | |
Missing data | 0 | (0.0) | 0 | (0) | 2 | (0.1) |
Telephone consultations | Clinic consultations | Home visits | ||||
---|---|---|---|---|---|---|
Crude OR (95% CI) n = 1,321a | Adjusted OR (95% CI) n= 698a | Crude OR (95% CI) n = 1,397a | Adjusted OR (95% CI) n = 1,158a | Crude OR (95% CI) n = 1,637a | Adjusted OR (95% CI) n = 1,394a | |
Residence | ||||||
Rural area (ref) | 1 | 1 | 1 | 1 | 1 | 1 |
Urban area |
1.58 (1.10–2.27)
|
1.65 (1.09–2.50)
b
| 1.16 (0.87–1.53) | 1.09 (0.73–1.64)b | 1.46 (0.92–2.30) | 1.42 (0.81–2.50)b |
General self-perceived health | ||||||
Good health (ref) | 1 | 1 | 1 | 1 | 1 | 1 |
Poor health |
3.22 (2.13–4.88)
|
3.35 (1.78–6.31)
c
| 1.35 (0.85–2.14) |
1.76 (1.02–3.04)
c
|
2.16 (1.36–3.42)
|
2.45 (1.33–4.50)
c
|
Self-reported chronic disease | ||||||
No chronic disease (ref) | 1 | 1 | 1 | 1 | 1 | 1 |
Chronic diseasef |
2.26 (1.67–3.07)
| 1.31 (0.81–2.01)d | 0.88 (0.60–1.29) | 0.78 (0.47–1.30)d | 1.28 (0.85–1.94) | 1.35 (0.74–2.46)d |
Employment status | ||||||
Self-supporting (ref) | 1 | 1 | 1 | 1 | 1 | 1 |
Pensioners and retirees | 1.07 (0.57–1.99) | 0.75 (0.34–1.67)e | 0.51(0.25-1.07) | 1.25 (0.47–3.34)e |
0.51 (0.29–0.90)
| 0.60 (0.29–1.24)e |
Not self-supporting |
2.27 (1.50–3.44)
| 1.02 (0.59–1.76)e | 1.37 (0.82–2.03) | 1.53 (0.93–2.52)e |
1.64 (1.08–2.49)
| 1.07 (0.57–2.00)e |
Telephone consultations | Clinic consultations | Home visits | ||||
---|---|---|---|---|---|---|
Crude OR (95% CI) n = 1,321a | Adjusted OR (95% CI) n= 698a | Crude OR (95% CI) n = 2,467a | Adjusted OR (95% CI) n = 1,157a | Crude OR (95% CI) n = 1,749a | Adjusted OR (95% CI) n = 1,395a | |
GP-related factors: | ||||||
GP gender | ||||||
Male (ref) | 1 | 1 | 1 | 1 | 1 | 1 |
Female | 1.23 (0.84–1.82) | 1.14 (0.67–1.94)b | 0.99 (0.67–1.47) | 1.18 (0.73–1.92)b | 0.68 (0.41–1.11) | 0.70 (0.41–1.20)b |
GP age (years) | ||||||
< 41 (ref) | 1 | 1 | 1 | 1 | 1 | 1 |
41–50 | 1.51 (0.94–2.43) | 1.25 (0.59–2.63)b |
2.16 (1.39–3.37)
| 1.03 (0.53–2.00)b | 1.06 (0.58–1.94) | 1.00 (0.48–2.05)b |
51–60 | 0.99 (0.65–1.51) | 1.30 (0.68–2.50)b |
2.01 (1.31–3.07)
| 1.33 (0.78–2.29)b | 1.31 (0.78–2.21) | 1.16 (0.60–2.27)b |
> 60 | 1.52 (1.00–2.31) |
1.96 (1.04–3.68)
b
| 1.46 (0.78–2.74) | 1.12 (0.51–2.45)b |
2.26 (1.03–4.98)
|
2.82 (1.24–6.40)
b
|
GP-assessed severity of contact | ||||||
Potentially severe (ref) | 1 | 1 | 1 | 1 | 1 | 1 |
Not severe |
2.41 (1.27–4.58)
|
7.15 (2.49–20.6)
c
| 1.47 (1.00–2.10) | 1.28 (0.79–2.09)c |
2.69 (1.72–4.02)
|
2.41 (1.38–4.21)
c
|
Organizational factor: | ||||||
Patient-perceived waiting time | ||||||
Acceptable waiting time (ref) | 1 | 1 | 1 | 1 | 1 | 1 |
Unacceptable waiting time |
3.28 (2.00–5.35)
|
3.25 (1.85–5.72)
d
|
2.75 (1.98–3.83)
|
3.21 (2.03–5.06)
d
|
4.08 (2.47–6.74)
|
3.83 (2.11–6.96)
d
|