Background
Methods
Statistics
Results
Study base* (n = 28,535) | Responders (n = 1160) | |
---|---|---|
n (%) | n (%) | |
Gender
| ||
Male | 13,234 (46.4%) | 484 (45.5%) |
Female | 15,288 (53.6%) | 579 (54.5%) |
Total | 28,522 (100%) | 1063 (100%) |
missing
|
13 (0.05%)
|
97 (8.4%)
|
Age
#
| ||
0–20 | 7469 (30.0%) | 282 (25.1%) |
21–40 | 6548 (26.3%) | 203 (18.1%) |
40–60 | 5203 (20.9%) | 242 (21.5%) |
>60 | 5677 (22.8%) | 396 (35.3%) |
Total | 24,897 (100%) | 1123 (100%) |
missing
|
15 (0.06%)
|
37 (3.2%)
|
Insurance
| ||
Public | 21,875 (78.1%) | 865 (76.2%) |
Private | 6,960 (21.9%) | 270 (23.8%) |
Total | 27,625 (100%) | 1135 (100%) |
missing
|
910 (3.2%)
|
25 (2.2%)
|
Telephone advice | Consultation at the cooperative | Home visits | ||||
---|---|---|---|---|---|---|
Study base* (n = 5838) | Responders (n = 366) | Study base* (n = 4863) | Responders (n = 392) | Study base* (n = 1305) | Responders (n = 402) | |
n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | |
Age | ||||||
0–20 years | 1786 (30.6%) | 127 (35.5%) | 1789 (36.8%) | 146 (39.0%) | 48 (3.7%) | 9 (2.3%) |
21–40 years | 1587 (27.2%) | 96 (26.8%) | 1332 (27.4%) | 81 (21.7%) | 81 (6.1%) | 26 (6.6%) |
40–60 years | 1226 (21.0%) | 67 (18.7%) | 1099 (22.6%) | 82 (21.9%) | 231 (17.7%) | 93 (23.8%) |
>60 years | 1237 (21.2%) | 68 (19.0%) | 642 (13.2%) | 65 (17.4%) | 944 (72.4%) | 263 (67.3%) |
Total
| 5836 (100%) | 358 (100%) | 4862 (100%) | 374 (100%) | 1304 (100%) | 391 (100%) |
missing
|
2 (0.03%)
|
8 (2.0%)
|
1 (0.02%)
|
18 (4.6%)
|
1 (0.08%)
|
11 (2.7%)
|
Overall
Telephone advice | Consultation at the GP cooperative | Home visits | Total | |
---|---|---|---|---|
n (%) | n (%) | n (%) | n (%) | |
Referred or advised by GP | 62 (40.0) | 60 (46.5) | 44 (38.6) | 166 (41.7) |
Worsening of complaint | 38 (24.5) | 30 (23.3) | 23 (20.2) | 91 (22.9) |
Wrong advice or treatment | 11 (7.1) | 6 (4.7) | 3 (2.6) | 20 (5.0) |
Worried | 26 (16.8) | 15 (11.6) | 26 (22.8) | 67 (16.8) |
Other reasons | 18 (11.6) | 18 (14.0) | 18 (15.8) | 54 (13.6) |
Total | 155 (100.0) | 129 (100.0) | 114 (100.0) | 398 (100.0) |
Telephone advice (n = 234) | Consultation at the GP cooperative (n = 250) | Home visits (n = 184) | Total (n = 668) | |
---|---|---|---|---|
n (%) | n (%) | n (%) | n (%) | |
Gender | ||||
Male | 92 (40.9) | 98 (48.5) | 87 (49.2) | 277 (45.9) |
Female | 133 (59.1) | 104 (51.5) | 90 (50.8) | 327 (54.1) |
Missing
|
3.8%
|
19.2%
|
2.7%
|
9.6%
|
Age (years) | 30.7 (SD 24.2) | 29.0 (SD 23.8) | 63.5 (SD 19.1) | 39.2 (SD 27.3) |
Missing
|
2.1%
|
6.4%
|
2.7%
|
3.9%
|
Education level | ||||
Low | 55 (25.2) | 49 (21.0) | 79 (48.8) | 183 (29.9) |
Average | 111 (50.9) | 125 (53.6) | 60 (37.0) | 296 (48.3) |
High | 52 (23.9) | 59 (25.3) | 23 (14.2) | 134 (21.9) |
Missing
|
6.8%
|
6.8%
|
12.0%
|
8.2%
|
Health insurance | ||||
Public | 165 (71.1) | 182 (74.3) | 151 (83.4) | 498 (75.7) |
Private | 67 (28.9) | 63 (25.7) | 30 (16.6) | 160 (24.3) |
Missing
|
0.9%
|
2.0%
|
1.6%
|
1.5%
|
Received type of consultation as expected | ||||
Yes | 84 (38.0) | 206 (84.8) | 151 (85.8) | 441 (68.9) |
No | 137 (62.0) | 37 (15.2) | 25 (14.2) | 199 (31.1) |
Missing
|
5.6%
|
2.8%
|
4.3%
|
4.2%
|
Patient's perceived severity of complaint | ||||
Not severe | 87 (37.8) | 85 (34.7) | 9 (5.1) | 181 (27.8) |
Severe | 143 (62.2) | 160 (65.3) | 168 (94.9) | 471 (72.2) |
Missing
|
1.7%
|
2.0%
|
3.8%
|
2.4%
|
Patient's perceived urgency of complaint | ||||
Not urgent | 80 (35.4) | 62 (25.4) | 13 (7.4) | 155 (24.0) |
Urgent | 146 (64.6) | 182 (74.6) | 162 (92.6) | 490 (76.0) |
Missing
|
3.4%
|
2.4%
|
4.9%
|
3.4%
|
Patient's worry about complaint | ||||
Not worried | 36 (15.5) | 43 (17.7) | 16 (9.1) | 95 (14.6) |
Worried | 196 (84.5) | 200 (82.3) | 159 (90.9) | 555 (85.4) |
Missing
|
0.9%
|
2.8%
|
4.9%
|
2.7%
|
Patient's perceived correctness of diagnosis | ||||
Not correct | 47 (22.4) | 25 (10.5) | 18 (12.0) | 90 (15.0) |
Correct | 163 (77.6) | 214 (89.5) | 132 (88.0) | 509 (85.0) |
Missing
|
10.3%
|
4.4%
|
18.5%
|
10.3%
|
Patient satisfaction | 2.43 (SD 0.96) | 2.03 (SD 0.70) | 1.99 (SD 0.87) | 2.16 (SD 0.87) |
Missing
|
0.9%
|
0%
|
1.1%
|
0.6%
|
Performance score | 6.7 (SD 2.0) | 7.7 (SD 1.4) | 7.6 (SD 1.8) | 7.3 (SD 1.8) |
Missing
|
5.6%
|
2.8%
|
4.3%
|
4.2%
|
TOTAL GROUP
| B | S.E. | Wald | df | Sig. | Odds ratio Exp(B) (90% C.I.) |
---|---|---|---|---|---|---|
INITIAL MODEL*
| ||||||
Diagnosis | -1.481 | 0.329 | 20.200 | 1 | 0.000 | 0.228 (0.132–0.391) |
Expectation | -0.440 | 0.232 | 3.586 | 1 | 0.058 | 0.644 (0.439–0.944) |
Health insurance | 0.579 | 0.292 | 3.942 | 1 | 0.047 | 1.784 (1.104–2.882) |
Gender | -0.123 | 0.214 | 0.326 | 1 | 0.568 | 0.885 (0.622–1.259) |
Age | 0.001 | 0.005 | 0.020 | 1 | 0.889 | 1.001 (0.993–1.008) |
Patient satisfaction | 0.112 | 0.225 | 0.248 | 1 | 0.619 | 1.118 (0.773–1.619) |
Performance score | -0.024 | 0.107 | 0.049 | 1 | 0.824 | 0.977 (0.819–1.164) |
Severity | 0.486 | 0.303 | 2.567 | 1 | 0.109 | 1.625 (0.987–2.676) |
Urgency | -0.272 | 0.291 | 0.875 | 1 | 0.349 | 0.762 (0.472–1.229) |
Worried | 0.399 | 0.332 | 1.441 | 1 | 0.230 | 1.491 (0.863–2.576) |
Education Low | 1.142 | 2 | 0.565 | |||
Middle | -0.249 | 0.253 | 0.964 | 1 | 0.326 | 0.780 (0.514–1.183) |
High | -0.177 | 0.302 | 0.345 | 1 | 0.557 | 0.838 (0.510–1.376) |
Constant | -0.134 | 1.372 | 0.010 | 1 | 0.922 | 0.874 |
FINAL MODEL
#
| ||||||
Diagnosis a
| -1.758 | 0.289 | 37.078 | 1 | 0.000 | 0.172 (0.107–0.277) |
Health insurance b
| 0.422 | 0.232 | 3.320 | 1 | 0.068 | 1.525 (1.042–2.232) |
Patient satisfaction c
| 0.218 | 0.121 | 3.236 | 1 | 0.072 | 1.243 (1.019–1.517) |
Severity d
| 0.554 | 0.222 | 6.202 | 1 | 0.013 | 1.740 (1.207–2.510) |
Constant | -0.403 | 0.519 | 0.602 | 1 | 0.438 | 0.669 |
Telephone advice
B | S.E. | Wald | df | Sig. | Odds ratio Exp(B) (90% C.I.) | |
---|---|---|---|---|---|---|
INITIAL MODEL*
| ||||||
Diagnosis | -2.471 | 0.617 | 16.036 | 1 | 0.000 | 0.085 (0.031–0.233) |
Expectation | -0.012 | 0.407 | 0.001 | 1 | 0.977 | 0.988 (0.506–1.929) |
Health insurance | 1.015 | 0.453 | 5.030 | 1 | 0.025 | 2.760 (1.311–5.810) |
Gender | -0.571 | 0.388 | 2.165 | 1 | 0.141 | 0.565 (0.298–1.070) |
Age | -0.006 | 0.009 | 0.410 | 1 | 0.522 | 0.994 (0.980–1.009) |
Patient satisfaction | -0.353 | 0.374 | 0.887 | 1 | 0.346 | 0.703 (0.380–1.301) |
Performance score | -0.286 | 0.176 | 2.637 | 1 | 0.104 | 0.752 (0.563–1.004) |
Severity | 0.614 | 0.465 | 1.743 | 1 | 0.187 | 1.848 (0.860–3.970) |
Urgency | -0.189 | 0.506 | 0.140 | 1 | 0.708 | 0.827 (0.360–1.902) |
Worried | -0.170 | 0.531 | 0.103 | 1 | 0.748 | 0.844 (0.352–2.019) |
Education Low | 1.724 | 2 | 0.422 | |||
Middle | -0.567 | 0.451 | 1.585 | 1 | 0.208 | 0.567 (0.270–1.190) |
High | 0.036 | 0.473 | 0.006 | 1 | 0.939 | 1.037 (0.476–2.258) |
Constant | 4.101 | 2.355 | 3.031 | 1 | 0.082 | 60.372 |
FINAL MODEL
#
| ||||||
Diagnosis a
| -2.749 | 0.478 | 33.081 | 1 | 0.000 | 0.064 (0.029–0.140) |
Health Insurance b
| 0.860 | 0.388 | 4.905 | 1 | 0.027 | 2.363 (1.248–4.476) |
Severity c
| 0.578 | 0.349 | 2.734 | 1 | 0.098 | 1.782 (1.003–3.166) |
Constant | 0.863 | 0.573 | 2.266 | 1 | 0.132 | 2.369 |
Consultation at the GP cooperative
CONSULTATION AT GP COOPERATIVE | B | S.E. | Wald | df | Sig. | Odds ratio Exp(B) (90% C.I.) |
---|---|---|---|---|---|---|
INITIAL MODEL*
| ||||||
Diagnosis | -1.934 | 0.662 | 8.525 | 1 | 0.004 | 0.145 (0.049–0.430) |
Expectation | 0.502 | 0.660 | 0.577 | 1 | 0.447 | 1.652 (0.557–4.894) |
Health insurance | -0.038 | 0.555 | 0.005 | 1 | 0.945 | 0.962 (0.386–2.397) |
Gender | -0.079 | 0.418 | 0.036 | 1 | 0.850 | 0.924 (0.464–1.839) |
Age | 0.003 | 0.010 | 0.106 | 1 | 0.745 | 1.003 (0.987–1.020) |
Patient satisfaction | 0.211 | 0.486 | 0.188 | 1 | 0.664 | 1.235 (0.555–2.745) |
Performance score | 0.035 | 0.239 | 0.021 | 1 | 0.884 | 1.035 (0.699–1.534) |
Severity | 0.549 | 0.549 | 0.999 | 1 | 0.318 | 1.732 (0.701–4.274) |
Urgency | -0.531 | 0.513 | 1.072 | 1 | 0.300 | 0.588 (0.253–1.367) |
Worried | 1.014 | 0.689 | 2.165 | 1 | 0.141 | 2.757 (0.887–8.566) |
Education Low | 0.341 | 2 | 0.843 | |||
Middle | 0.244 | 0.510 | 0.229 | 1 | 0.632 | 1.277 (0.551–2.957) |
High | -0.130 | 0.565 | 0.053 | 1 | 0.818 | 0.878 (0.347–2.223) |
Constant | -1.564 | 3.021 | 0.268 | 1 | 0.605 | 0.209 |
FINAL MODEL
#
| ||||||
Diagnosis a
| -2.075 | 0.484 | 18.359 | 1 | 0.000 | 0.126 (0.057–0.279) |
Worried b
| 1.073 | 0.520 | 4.266 | 1 | 0.039 | 2.925 (1.244–6.876) |
Constant | -0.083 | 0.651 | 0.016 | 1 | 0.899 | 0.920 |
Home visits
HOME VISITS
| B | S.E. | Wald | df | Sig. | Odds ratio Exp(B) (90% C.I.) |
---|---|---|---|---|---|---|
INITIAL MODEL*
| ||||||
Diagnosis | 0.468 | 0.752 | 0.388 | 1 | 0.533 | 1.597 (0.464–5.503) |
Expectation | -1.134 | 0.631 | 3.228 | 1 | 0.072 | 0.322 (0.114–0.909) |
Health insurance | 0.507 | 0.749 | 0.458 | 1 | 0.499 | 1.661 (0.484–5.695) |
Gender | 0.550 | 0.440 | 1.567 | 1 | 0.211 | 1.734 (0.841–3.572) |
Age | -0.001 | 0.012 | 0.003 | 1 | 0.959 | 0.999 (0.980–1.019) |
Patient satisfaction | 0.990 | 0.508 | 3.801 | 1 | 0.051 | 2.691 (1.167–6.202) |
Performance score | 0.491 | 0.252 | 3.801 | 1 | 0.051 | 1.634 (1.080–2.473) |
Severity | 0.881 | 1.228 | 0.515 | 1 | 0.473 | 2.414 (0.320–18.198) |
Urgency | 1.007 | 0.944 | 1.139 | 1 | 0.286 | 2.738 (0.580–12.932) |
Worried | 0.320 | 0.813 | 0.155 | 1 | 0.694 | 1.377 (0.362–5.240) |
Education Low | 3.522 | 2 | 0.172 | |||
Middle | -0.161 | 0.455 | 0.125 | 1 | 0.724 | 0.851 (0.402–1.801) |
High | -1.868 | 0.999 | 3.496 | 1 | 0.062 | 0.154 (0.030–0.799) |
Constant | -9.070 | 3.334 | 7.402 | 1 | 0.007 | 0.000 |
FINAL MODEL
| ||||||
- | - | - | - | - | - | - |