Table 2.
Predictors of desire for main domains of patient centredness in general practice consultations.* Scales derived from factors listed in table 1 (communication, partnership, health promotion) dichotomised to cut off at average question rating of strongly agree.
| No (%) who want it | No (%) who don't want it | Crude odds ratio (95% CI) | Adjusted odds ratio† (95% CI) | Likelihood ratio test χ2 (P value) | |
|---|---|---|---|---|---|
| Want good communication strongly | |||||
| High attender (⩾5 times/year) | 127 (50) | 112 (34) | 1.96 (1.40 to 2.74) | 1.70 (1.18 to 2.44) | 8.2 (0.004) |
| Female | 234 (71) | 269 (63) | 1.42 (1.04 to 1.93) | 1.14 (0.78 to 1.68) | 0.5 (0.50) |
| No paid work | 124 (48) | 128 (37) | 1.55 (1.11 to 2.14) | 1.84 (1.21 to 2.79) | 8.2 (0.004) |
| No disability benefit | 223 (93) | 295 (97) | 0.36 (0.15 to 0.84) | 0.52 (0.20 to 1.36) | 1.9 (0.17) |
| Not seeing regular doctor | 153 (48) | 229 (55) | 0.74 (0.55 to 0.98) | 0.89 (0.63 to 1.28) | 0.4 (0.54) |
| Feeling unwell: | |||||
| Very | 73 (22) | 42 (10) | 1 | 1 | 5.4 (0.07) |
| Moderately | 169 (52) | 262 (62) | 0.41 (0.26 to 0.66) | 0.55 (0.32 to 0.94) | |
| Slightly/not | 86 (26) | 120 (28) | 0.37 (0.24 to 0.57) | 0.57 (0.34 to 0.97) | |
| Feeling worried about the problem‡: | |||||
| Very | 117 (36) | 76 (18) | 1 | 1 | 19.6 (<0.001) |
| Moderately | 111 (34) | 221 (52) | 0.50 (0.34 to 0.74) | 0.56 (0.35 to 0.89) | |
| Slightly/not | 101 (31) | 130 (30) | 0.33 (0.23 to 0.47) | 0.39 (0.25 to 0.59) | |
| Age (years): | |||||
| 0-16 | 31 (12) | 31 (10) | 1 | 1 | 10.5 (0.015) |
| 17-40 | 103 (39) | 141 (41) | 0.78 (0.45 to 1.35) | 1.08 (0.56 to 2.07) | |
| 41-60 | 91 (35) | 104 (30) | 0.93 (0.53 to 1.64) | 1.41 (0.73 to 2.73) | |
| >60 | 37 (14) | 66 (19) | 0.60 (0.31 to 1.13) | 0.55 (0.27 to 1.10) | |
| Want partnership strongly | |||||
| High attender (⩾5 times/year) | 79 (50) | 162 (38) | 1.64 (1.14 to 2.37) | 1.43 (0.96 to 2.11) | 3.2 (0.08) |
| No paid work | 86 (52) | 170 (38) | 1.80 (1.26 to 2.59) | 1.80 (1.24 to 2.62) | 9.4 (0.002) |
| No disability benefit | 137 (92) | 383 (97) | 0.39 (0.17 to 0.87) | 0.55 (0.23 to 1.30) | 1.8 (0.18) |
| Feeling unwell: | |||||
| Very | 48 (23) | 69 (13) | 1 | 1 | 14.8 (<0.001) |
| Moderately | 48 (23) | 160 (29) | 0.43 (0.26 to 0.70) | 0.61 (0.38 to 0.99) | |
| Slightly/not | 116 (55) | 317 (58) | 0.53 (0.34 to 0.80) | 0.38 (0.23 to 0.62) | |
| Feeling worried about the problem: | |||||
| Very | 82 (38) | 114 (21) | 1 | 1 | 7.3 (0.026) |
| Moderately | 64 (30) | 167 (30) | 0.53 (0.36 to 0.80) | 0.47 (0.27 to 0.83) | |
| Slightly/not | 69 (32) | 268 (49) | 0.36 (0.24 to 0.53) | 0.71 (0.42 to 1.21) | |
| Want health promotion strongly | |||||
| High attender (⩾5 times/year) | 81 (53) | 163 (36) | 1.98 (1.37 to 2.87) | 1.81(1.25 to 2.64) | 9.7 (0.002) |
| Not seeing regular doctor | 88 (45) | 311 (54) | 0.72 (0.52 to 0.99) | 0.88 (0.60 to 1.29) | 0.4 (0.51) |
| Feeling unwell: | |||||
| Very | 40 (20) | 79 (13) | 1 | 1 | 1.8 (0.41) |
| Moderately | 46 (23) | 174 (29) | 0.52 (0.32 to 0.86) | 0.76 (0.43 to 1.37) | |
| Slightly/not | 113 (57) | 338 (57) | 0.66 (0.43 to 1.02) | 1.03 (0.59 to 1.81) | |
| Feeling worried about the problem: | |||||
| Very | 74 (37) | 130 (22) | 1 | 1 | 7.7 (0.02) |
| Moderately | 53 (27) | 187 (31) | 0.50 (0.33 to 076) | 0.57 (0.35 to 0.93) | |
| Slightly/not | 73 (37) | 280 (47) | 0.46 (0.31 to 0.67) | 0.56 (0.36 to 0.87) | |
| Medical problems: | |||||
| 0 | 9 (6) | 43 (10) | 1 | 1 | 2.8 (0.09) |
| 1 | 28 (19) | 107 (25) | 1.25 (0.55 to 2.87) | 1.20 (0.51 to 2.79) | |
| 2 | 30 (20) | 112 (26) | 1.28 (0.56 to 2.92) | 1.04 (0.45 to 2.43) | |
| ⩾3 | 81 (55) | 175 (40) | 2.21 (1.03 to 4.75) | 1.66 (0.75 to 3.69) | |
Variables tested were sex, seeing regular doctor, reason for visit (new problem, chronic problem, doctor asked patient to come), feeling unwell, feeling worried about problem, age, paid work, sickness certificates, disability benefits, married, paid work of partner, partner's job, number of medical problems, years in full time education, tablets taken, symptom or disease category (related to appropriate BNF chapter), state anxiety. Variables are listed for each logistic model if they were significant in either univariate or multivariate analysis.
Adjusted for variables that remained significant in logistic models.
Z trend P<0.001.