Table 3.
Appropriateness of medical care
GP (n = 50) | MOC (n = 100) | UH (n = 100) | PCP (n = 250) | NHC (n = 200) | Absolute Difference | ||
n | n | n | n [%] | n [% ] | % [CI95%] | P-Value | |
Defining needs | 44 | 97 | 90 | 231 [92.4] | 158 [79] | 13.4% [6.9;19.9] | p < 0.0001 |
Medical history | 45 | 99 | 97 | 241 [96.4] | 174 [87] | 9.4% [4.2;14.6] | p = 0.0002 |
Clinical examination | 47 | 98 | 95 | 240 [96] | 170 [85] | 11% [5.5;16.5] | p < 0.0001 |
Complementary investigations | 50 | 99 | 95 | 244 [97.6] | 199 [99.5] | -1.9% [-4;0.2] | p = 0.1056 |
Referral | 50 | 100 | 96 | 246 [98.4] | 197 [98.5] | -0.1% [-2.3;2.2] | p = 0.9321 |
Access to treatment | 48 | 100 | 96 | 244 [97.6] | 198 [99] | -1.4% [-3.7;0.9] | p = 0.2641 |
Excessive medical care | 0 | 1 | 1 | 2 [0.8] | 3 [1.5] | -0.7% [-2.7;1.3] | p = 0.4815 |
Overall appropriateness | 42 | 97 | 90 | 229 [91.6] | 157 [78.5] | 13.1% [6.4;19.8] | p = 0.0001 |
GP: General Practitioners, MOC: Medical Outpatient Clinic, UH: University Hospital (emergency ward department), PCP: Primary Care Physician (GP+MOC+UH), NHC: Nurse Healthcare Centre.