Communication and management
|
Adjusted mean satisfaction | 66.1 | 61.4 to 70.8 | |
Patient characteristics |
Age | 1–4 | 1.0 | −3.1 to 5.1 | |
| 5–15 | 4.0 | −0.4 to 8.5 | |
| 16–29 | −0.9 | −5.4 to 3.6 | <0.0001 |
| 30–64 | 5.9 | 1.7 to 10.1 | |
| Over 65 | 8.2 | 3.7 to 12.7 | |
Female | 0.2 | −2.1 to 2.5 | 0.9 |
No access to car | −1.4 | −3.7 to 0.8 | 0.3 |
Non-white | −6.2 | −11.0 to −1.5 | 0.05 |
Service characteristics |
Deputising service | −7.7 | −11.4 to −4.0 | <0.0001 |
Non-principal deputy | 2.0 | −2.3 to 6.2 | 0.4 |
Delay (minutes) | −0.004 | −0.016 to 0.007 | 0.4 |
Night visit | −2.5 | −5.0 to 0.0 | 0.05 |
Care given |
Prescription given | 3.2 | 0.8 to 5.6 | 0.02 |
Outcome of care |
Visual analogue scale (mm) | 0.32 | 0.26 to 0.38 | <0.0001 |
Intracluster correlation (doctor) | 0.054 | | <0.0001 |
Doctor's attitude
|
Adjusted mean satisfaction | 71.1 | 65.8 to 76.3 | |
Patient characteristics |
Age | 1–4 | 1.1 | −3.4 to 5.6 | |
| 5–15 | 6.3 | 1.4 to 11.3 | |
| 16–29 | 1.8 | −3.3 to 6.8 | <0.0001 |
| 30–64 | 6.8 | 2.2 to 11.4 | |
| Over 65 | 10.9 | 5.9 to 15.8 | |
Female | 0.3 | −2.3 to 2.8 | 0.8 |
No access to car | −3.1 | −5.5 to −0.6 | 0.05 |
Non-white | −7.2 | −12.5 to −1.9 | 0.03 |
Service characteristics |
Deputising service | −6.7 | −11.0 to −2.4 | 0.008 |
Non-principal deputy | 1.9 | −2.9 to 6.8 | 0.4 |
Delay (minutes) | −0.0006 | −0.019 to 0.007 | 0.3 |
Night visit | −1.9 | −4.8 to 0.9 | 0.2 |
Care given |
Prescription given | 1.9 | −0.7 to 4.6 | 0.2 |
Outcome of care |
Visual analogue scale (mm) | 0.21 | 0.15 to 0.27 | <0.0001 |
Intracluster correlation (doctor) | 0.068 | | <0.0001 |
Continuity of care
|
Adjusted mean satisfaction | 61.6 | 57.2 to 66.0 | |
Patient characteristics |
Age | 1–4 | −1.8 | −5.8 to 2.2 | |
| 5–15 | 0.3 | −4.0 to 4.7 | |
| 16–29 | 0.9 | −3.5 to 5.4 | 0.2 |
| 30–64 | −1.4 | −5.5 to 2.7 | |
| Over 65 | −3.0 | −7.4 to 1.4 | |
Female | −3.9 | −6.1 to −1.6 | 0.001 |
No access to car | 0.3 | −1.9 to 2.4 | 1.0 |
Non-white | −3.6 | −8.3 to 1.0 | 0.3 |
Service characteristics |
Deputising service | 1.8 | −1.5 to 5.1 | 0.2 |
Non-principal deputy | −0.7 | −4.5 to 3.1 | 0.7 |
Delay (minutes) | −0.003 | −0.013 to 0.007 | 0.7 |
Night visit | 0.3 | 2.2 to 2.8 | 0.8 |
Care given |
Prescription given | −0.7 | −3.1 to 1.6 | 0.6 |
Outcome |
Visual analogue scale (mm) | 0.08 | 0.02 to 0.13 | 0.006 |
Intracluster correlation (doctor) | 0.023 | | 0.07 |
Delay until visit
|
Adjusted mean satisfaction | 51.8 | 57.2 to 66.0 | |
Patient characteristics |
Age | 1–4 | −2.0 | −6.9 to 3.0 | |
| 5–15 | 2.5 | −2.9 to 8.0 | |
| 16–29 | −4.7 | −10.2 to 0.8 | 0.001 |
| 30–64 | 1.7 | −3.4 to 6.8 | |
| Over 65 | 6.6 | 1.3 to 12.0 | |
Female | 3.3 | 0.6 to 6.0 | 0.01 |
No access to car | −1.3 | −3.9 to 1.4 | 0.4 |
Non-white | −6.8 | −12.7 to −0.9 | 0.07 |
Service characteristics |
Deputising service | −12.5 | −16.8 to −8.2 | <0.0001 |
Non-principal deputy | 1.1 | −3.7 to 5.9 | 0.6 |
Delay (minutes) | −0.046 | −0.059 to −0.033 | <0.0001 |
Night visit | −0.5 | −3.5 to 2.6 | 1.0 |
Care given |
Prescription given | 1.2 | −1.5 to 3.9 | 0.5 |
Outcome of care |
Visual analogue scale (mm) | 0.11 | 0.04 to 0.18 | 0.001 |
Intracluster correlation (doctor) | 0.061 | | <0.0001 |
Access to out of hours care
|
Adjusted mean satisfaction | 69.3 | 64.5 to 74.1 | |
Patient characteristics |
Age | 1–4 | 1.7 | −2.3 to 5.7 | |
| 5–15 | 5.0 | 0.6 to 9.3 | |
| 16–29 | 0.8 | −3.7 to 5.3 | 0.02 |
| 30–64 | 4.8 | 0.7 to 9.0 | |
| Over 65 | 5.2 | 0.7 to 9.8 | |
Female | 0.5 | −1.8 to 2.8 | 0.6 |
No access to car | −2.4 | −4.6 to 0.2 | 0.1 |
Non-white | −5.8 | −10.5 to −1.1 | 0.08 |
Service characteristics |
Deputising service | −2.4 | −6.1 to 1.3 | 0.2 |
Non-principal deputy | −1.3 | −5.0 to 2.4 | 0.5 |
Delay (minutes) | −0.014 | −0.027 to −0.002 | 0.02 |
Night visit | 2.6 | 0.0 to 5.1 | 0.03 |
Care given |
Prescription given | −0.9 | −3.3 to 1.5 | 0.5 |
Outcome of care |
Visual analogue scale (mm) | 0.07 | 0.01 to 0.12 | 0.02 |
Intracluster correlation (practice/service) | 0.032 | | <0.0001 |
Initial contact person
|
Adjusted mean satisfaction | 67.9 | 63.1 to 72.6 | |
Patient characteristics |
Age | 1–4 | 3.7 | −0.8 to 8.1 | |
| 5–15 | 5.7 | 0.9 to 10.4 | |
| 16–29 | 4.5 | −0.5 to 9.6 | 0.01 |
| 30–64 | 6.7 | 2.1 to 11.3 | |
| Over 65 | 7.8 | 2.8 to 12.9 | |
Female | 0.3 | −2.2 to 2.9 | 0.7 |
No access to car | −1.1 | −3.5 to 1.4 | 0.7 |
Non-white | −6.9 | −11.9 to −1.9 | 0.01 |
Service characteristics |
Deputising service | −4.7 | −8.0 to −1.4 | 0.02 |
Non-principal deputy | 1.7 | −2.2 to 5.6 | 0.4 |
Delay (minutes) | 0.012 | −0.026 to 0.002 | 0.09 |
Night visit | −0.9 | −3.7 to 1.9 | 0.6 |
Care given |
Prescription given | 0.0 | −2.7 to 2.7 | 0.9 |
Outcome of care |
Visual analogue scale (mm) | 0.01 | −0.06 to 0.07 | 0.04 |
Intracluster correlation (practice/service) | 0.001 | | 0.9 |