Crude and adjusted association of physicians’ perceptions and characteristics with intent to disclose*
| Delayed cancer diagnosis | Care coordination breakdown | |||
|---|---|---|---|---|
| Physician perceptions and characteristics | Crude mean difference (95% CI) | Adjusted mean difference (95% CI) | Crude mean difference (95% CI) | Adjusted mean difference (95% CI) |
| Event-level perceptions | ||||
| Beliefs about personal responsibility | 0.37 (0.22 to 0.51) | 0.26 (0.16 to 0.36) | 0.46 (0.40 to 0.53) | 0.25 (0.13 to 0.38) |
| Beliefs about event seriousness | 0.18 (0.12 to 0.23) | 0.10 (0.07 to 0.13) | 0.21 (0.18 to 0.24) | 0.14 (0.07 to 0.21) |
| Expectation patient will file lawsuit | 0.01 (−0.08 to 0.10) | 0.01 (−0.06 to 0.08) | 0.13 (0.11 to 0.15) | 0.04 (−0.02 to 0.09) |
| Physician-level perceptions | ||||
| Negative feelings about practice | −0.08 (−0.14 to −0.01) | −0.03 (−0.12 to 0.07) | −0.10 (−0.15 to −0.05) | −0.08 (−0.13 to −0.04) |
| Value patient-centred communication | 0.19 (0.11 to 0.26) | 0.16 (0.08 to 0.24) | 0.25 (0.17 to 0.34) | 0.20 (0.16 to 0.23) |
| Communication self-efficacy | 0.01 (−0.03 to 0.04) | 0.00 (−0.06 to 0.06) | −0.04 (−0.09 to 0.02) | −0.06 (−0.14 to 0.02) |
| Organisation-level perceptions | ||||
| Organisation values communication | 0.04 (−0.01 to 0.09) | −0.04 (−0.08 to 0.00) | 0.11 (0.02 to 0.20) | 0.04 (0.01 to 0.07) |
| Perceived time constraints | −0.12 (−0.14 to −0.10) | −0.10 (−0.16 to −0.05) | −0.10 (−0.16 to −0.04) | −0.07 (−0.17 to 0.03) |
| Physician characteristics | ||||
| Gender, % | ||||
| Male | Ref | Ref | Ref | Ref |
| Female | −0.07 (−0.13 to −0.01) | 0.01 (−0.05 to 0.07) | 0.10 (−0.08 to 0.29) | 0.12 (−0.09 to 0.32) |
| Years in practice, % | ||||
| <10 years | Ref | Ref | Ref | Ref |
| 10–20 years | 0.03 (−0.17 to 0.23) | −0.01 (−0.08 to 0.05) | 0.21 (0.13 to 0.29) | 0.24 (0.20 to 0.28) |
| >20 years | 0.15 (0.04 to 0.26) | 0.11 (0.07 to 0.14) | 0.10 (−0.01 to 0.21) | 0.15 (0.07 to 0.23) |
*Generalised estimating equation models.
Bold typeface indicates a result that is statistically significant at the 0.05 level.