Univariate | Multivariable | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Variable | Class | Term 1 vs Term 3 | Term 2 vs Term 3 | Term 1 vs Term 3 | Term 2 vs Term 3 | |||||
OR (95% CI) | p | OR (95% CI) | P | OR (95% CI) | p | OR (95% CI) | p | |||
Registrar term level | ||||||||||
Registrar and practice variables – (registrar round level data) | ||||||||||
Registrar Full Time or Part Time | Part-time | 0.63 (0.54, 0.72) | < .0001 | 0.53 (0.46, 0.60) | < .0001 | 0.66 (0.57, 0.77) | < .0001 | 0.55 (0.48, 0.64) | < .0001 | |
Qualified as doctor in Australia | Yes | 0.90 (0.82, 1.00) | 0.0501 | 0.96 (0.87, 1.05) | 0.3293 | 0.90 (0.79, 1.02) | 0.0926 | 0.99 (0.88, 1.11) | 0.8493 | |
Registrar age | 0.98 (0.98, 0.99) | < .0001 | 0.99 (0.98, 1.00) | 0.0002 | 0.98 (0.97, 0.99) | < .0001 | 0.99 (0.99, 1.00) | 0.0172 | ||
Practice size | Small | 1.32 (1.15, 1.51) | < .0001 | 1.03 (0.91, 1.18) | 0.6157 | 1.22 (1.06, 1.41) | 0.0071 | 0.94 (0.81, 1.08) | 0.3938 | |
Practice routinely bulk bills | Yes | 1.30 (1.13, 1.50) | 0.0003 | 1.22 (1.06, 1.41) | 0.0046 | 0.86 (0.72, 1.03) | 0.0999 | 0.95 (0.80, 1.13) | 0.5884 | |
Rurality | Inner regional | 1.05 (0.93, 1.18) | 0.4021 | 0.98 (0.88, 1.10) | 0.7505 | 1.30 (1.09, 1.55) | 0.0041 | 1.09 (0.92, 1.29) | 0.3009 | |
Referent: Major City | Outer regional/remote/ very remote | 1.46 (1.24, 1.70) | < .0001 | 1.30 (1.12, 1.50) | 0.0005 | 1.69 (1.32, 2.16) | < .0001 | 1.31 (1.03, 1.65) | 0.0251 | |
Geographic region | Subregion 2 | 1.09 (0.93, 1.28) | 0.2814 | 1.20 (1.04, 1.38) | 0.0146 | 0.92 (0.75, 1.13) | 0.4421 | 1.02 (0.85, 1.24) | 0.8068 | |
Referent: Subregion 1 | Subregion 3 | 0.95 (0.85, 1.05) | 0.2988 | 0.94 (0.85, 1.03) | 0.1767 | 0.69 (0.59, 0.81) | < .0001 | 0.74 (0.64, 0.86) | < .0001 | |
Subregion 4 | 1.04 (0.96, 1.13) | 0.3518 | 1.02 (0.94, 1.09) | 0.6779 | 1.20 (1.05, 1.37) | 0.0070 | 0.95 (0.84, 1.07) | 0.4112 | ||
Subregion 5 | 3.96 (2.37, 6.63) | < .0001 | 3.85 (2.29, 6.47) | < .0001 | 2.78 (1.50, 5.16) | 0.0012 | 2.86 (1.51, 5.40) | 0.0012 | ||
Subregion 6 | 2.48 (2.13, 2.88) | < .0001 | 2.14 (1.86, 2.46) | < .0001 | 3.01 (2.47, 3.66) | < .0001 | 2.20 (1.82, 2.66) | < .0001 | ||
Socioeconomic Index for Area-IRSD index | 0.94 (0.92, 0.96) | < .0001 | 0.97 (0.95, 0.99) | 0.0055 | 0.95 (0.92, 0.97) | < .0001 | 0.98 (0.95, 1.00) | 0.1005 | ||
Encounter Level | ||||||||||
Patient variables (adjusted for above registrar and practice variable) | ||||||||||
Patient age group | 0–14 | 0.99 (0.95, 1.03) | 0.5991 | 1.04 (0.99, 1.09) | 0.0922 | 0.98 (0.93, 1.03) | 0.3893 | 1.05 (1.00, 1.10) | 0.0460 | |
Referent: 15–34 | 35–64 | 1.04 (1.00, 1.07) | 0.0449 | 1.04 (1.00, 1.08) | 0.0318 | 1.04 (1.00, 1.08) | 0.0292 | 1.04 (1.00, 1.08) | 0.0448 | |
65 + | 1.01 (0.95, 1.07) | 0.8184 | 1.03 (0.97, 1.10) | 0.3104 | 1.00 (0.93, 1.06) | 0.9020 | 1.00 (0.94, 1.07) | 0.8999 | ||
Non-English speaking background | Yes | 1.47 (1.31, 1.66) | < .0001 | 1.23 (1.09, 1.38) | 0.0008 | 1.24 (1.10, 1.40) | 0.0004 | 1.18 (1.04, 1.33) | 0.0094 | |
Patient/practice status | New to registrar | 1.42 (1.35, 1.48) | < .0001 | 0.96 (0.91, 1.00) | 0.0778 | 1.48 (1.41, 1.55) | < .0001 | 0.96 (0.91, 1.01) | 0.1297 | |
Referent: Existing patient | New to practice | 1.38 (1.28, 1.47) | < .0001 | 0.95 (0.88, 1.02) | 0.1348 | 1.34 (1.25, 1.44) | < .0001 | 0.90 (0.83, 0.96) | 0.0032 | |
Consultation variables (adjusted for above registrar, practice and patient variables) – (consultation level data) | ||||||||||
Chronic problem | Yes | 0.96 (0.93, 1.00) | 0.0360 | 0.98 (0.94, 1.01) | 0.1822 | 0.88 (0.85, 0.92) | < .0001 | 0.96 (0.92, 0.99) | 0.0111 | |
Sought help any source | Yes | 2.23 (2.10, 2.36) | < .0001 | 1.40 (1.32, 1.48) | < .0001 | 2.04 (1.91, 2.18) | < .0001 | 1.35 (1.27, 1.44) | < .0001 | |
Consultation duration | 1.02 (1.02, 1.03) | < .0001 | 1.01 (1.01, 1.01) | < .0001 | 1.02 (1.02, 1.02) | < .0001 | 1.01 (1.01, 1.01) | < .0001 | ||
Number of problems | 1.07 (1.05, 1.10) | < .0001 | 0.99 (0.96, 1.01) | 0.2469 | 1.02 (0.99, 1.05) | 0.2421 | 0.96 (0.93, 0.98) | 0.0020 | ||
Consultation outcome variables (adjusted for above registrar, practice, patient and consultation variables) – (consultation level data) | ||||||||||
Imaging ordered | Yes | 1.12 (1.08, 1.16) | < .0001 | 1.06 (1.02, 1.10) | 0.0014 | 0.94 (0.90, 0.98) | 0.0056 | 0.99 (0.95, 1.04) | 0.7528 | |
Pathology ordered | Yes | 1.06 (1.03, 1.09) | 0.0003 | 1.01 (0.98, 1.04) | 0.3635 | 0.89 (0.86, 0.92) | < .0001 | 1.00 (0.96, 1.03) | 0.9393 | |
Learning goalsa generated | Yes | 2.18 (2.04, 2.32) | < .0001 | 1.45 (1.36, 1.53) | < .0001 | 1.83 (1.70, 1.97) | < .0001 | 1.36 (1.27, 1.45) | < .0001 | |
Follow-up ordered | Yes | 1.10 (1.05, 1.16) | < .0001 | 1.03 (0.98, 1.07) | 0.2299 | 0.94 (0.89, 1.00) | 0.0467 | 0.94 (0.89, 0.99) | 0.0172 | |
Medication prescribed | Yes | 1.08 (1.04, 1.11) | < .0001 | 0.97 (0.94, 1.00) | 0.0546 | 1.03 (1.00, 1.07) | 0.0758 | 0.98 (0.95, 1.01) | 0.2019 | |
Procedure performed | Yes | 1.14 (1.08, 1.20) | < .0001 | 0.84 (0.80, 0.89) | < .0001 | 1.13 (1.07, 1.20) | < .0001 | 0.87 (0.82, 0.92) | < .0001 |