Table 2.
Association between walk-in open access and burnout, consultation time, working hours, job satisfaction, and participation in CME activities.
| N | Open access (%) | Univariate | Multivariate | |||||
|---|---|---|---|---|---|---|---|---|
| OR | 95% CI | P value | ORa | 95% CI | P value | |||
| Burnout (Maslach score) | ||||||||
| No | 240 | 5.9 | 1 | (Ref) | 1 | (Ref) | ||
| Yes (EE > 26 and/or DP > 9) | 66 | 15.4 | 2.9 | 1.3–6.5 | 0.009 | 3.1 | 1.1–8.8 | 0.035 |
| Minutes typically used per consultation | ||||||||
| ≥13 min | 253 | 6.0 | 1 | (Ref) | 1 | (Ref) | ||
| <13 min | 58 | 17.1 | 3.3 | 1.5–7.3 | 0.004 | 3.1 | 0.9–10.1 | 0.066 |
| Weekly working hours | ||||||||
| <37 | 43 | 8.5 | 1 | (Ref) | 1 | (Ref) | ||
| 37–41 | 83 | 5.7 | 0.6 | 0.2–2.5 | 0.533 | 0.7 | 0.2–2.8 | 0.662 |
| 42–46 | 86 | 7.5 | 0.9 | 0.2–3.2 | 0.838 | 1.2 | 0.3–4.1 | 0.793 |
| 47–51 | 57 | 8.1 | 0.9 | 0.2–3.7 | 0.933 | 1.2 | 0.3–4.6 | 0.747 |
| >51 | 42 | 14.3 | 1.8 | 0.5–6.6 | 0.379 | 3.1 | 0.9–10.6 | 0.077 |
| CME group | ||||||||
| Member of both CME and supervision group | 59 | 9.2 | 1.4 | 0.5–3.6 | 0.521 | 1.5 | 0.4–5.3 | 0.539 |
| Member of either CME or supervision group | 230 | 6.9 | 1 | (Ref) | 1 | (Ref) | ||
| Neither member of CME nor supervision group | 22 | 18.5 | 3.1 | 1.0–9.1 | 0.043 | 4.0 | 1.4–10.8 | 0.007 |
| CME days spent in 2 years on GP-relevant activities | ||||||||
| 0–5 days | 55 | 3.5 | 4.4 | 0.8–25.6 | 0.099 | 8.2 | 1.6–43.1 | 0.013 |
| 6–9 days | 25 | 13.8 | 1 | (Ref) | 1 | (Ref) | ||
| 10–17 days | 161 | 9.0 | 2.7 | 0.6–12.3 | 0.189 | 4.1 | 1.1–15.1 | 0.032 |
| >17 days | 67 | 6.9 | 2.1 | 0.4–11.0 | 0.401 | 2.9 | 0.6–13.2 | 0.177 |
| Job satisfaction (Warr-Cook-Wall) | ||||||||
| >6.0 | 60 | 11.8 | 1 | (Ref) | 1 | (Ref) | ||
| 5.6–6.0 | 98 | 3.0 | 0.2 | 0.1–0.9 | 0.035 | 0.2 | 0.0–1.1 | 0.071 |
| 5.1–5.5 | 84 | 10.6 | 0.9 | 0.3–2.4 | 0.822 | 0.7 | 0.2–2.7 | 0.648 |
| 1.0–5.0 | 69 | 9.2 | 0.8 | 0.3–2.2 | 0.617 | 0.5 | 0.1–1.8 | 0.301 |
ORa: adjusted odds ratio including sex, age, practice organisation, number of enrolled patients per GP, weekly working hours, number of consultations provided per GP, and participation in CME, corrected for clusters of GPs within the same practice.