Table 3. Prevalence and factors associated with interest in performing point-of-care testing for TB in-house among private practitioners in Chennai.
Characteristic* | Interested in POC in-house or on-site (n = 117/228) n/total (%) | Unadjusted PR (95% CI) | P** | Adjusted PR (95% CI)* | P**‡ |
---|---|---|---|---|---|
Gender | |||||
Male | 75/160 (47) | 0.8 (0.6–0.9) | 0.01 | 0.9 (0.8–1.2) | 0.61 |
Female | 42/68 (62) | Ref | Ref | ||
Years practicing | |||||
≤20 years | 65/117 (56) | 1.2 (0.9–1.6) | 0.23 | 1.1 (0.9–1.4) | 0.33 |
>20 years | 52/111 (47) | Ref | Ref | ||
Practitioner level of training | |||||
MD (Chest/Pulmonary specialty) | 9/39 (23) | 0.4 (0.2–0.8) | <0.01 | 0.5 (0.2–0.9) | 0.03 |
MBBS/MS/MD (Non-chest specialty) | 108/139 (57) | Ref | Ref | ||
Type of facility | |||||
Private hospital or nursing home | 61/99 (62) | 1.4 (1.1–1.8) | <0.01 | 1.3 (1.1–1.7) | 0.01 |
Private standalone clinic or polyclinic† | 56/129 (43) | Ref | Ref | ||
Number of patients diagnosed with TB annually | |||||
>12 patients | 60/118 (51) | 1.0 (0.8–1.3) | 0.88 | 1.1 (0.8–1.4) | 0.59 |
≤12 patients | 57/110 (52) | Ref | Ref | ||
Point-of-care testing practices | |||||
Any POC diagnostic testing | 78/110 (71) | 2.1 (1.6–2.8) | <0.001 | 1.8 (1.4–2.4) | <0.001 |
No POC testing | 39/118 (33) | Ref | Ref | ||
Usage of sputum smear microscopy for TB | |||||
Orders at first patient visit for TB diagnosis | 54/115 (47) | 0.8 (0.6–1.1) | 0.23 | 0.9 (0.7–1.1) | 0.35 |
Not ordered at first patient visit | 63/113 (56) | Ref | Ref | ||
Knowledge of serological antibody test ban | |||||
Yes | 61/126 (48) | 0.9 (0.7–1.2) | 0.38 | 0.9 (0.7–1.2) | 0.56 |
No | 56/102 (55) | Ref | Ref | ||
Action for pulmonary TB diagnosis | |||||
Refer to RNTCP or PPM DOTS center | 70/131 (53) | 1.1 (0.9–1.4) | 0.46 | 1.2 (1.0–1.5) | 0.11 |
Treatment in private sector | 47/97 (49) | Ref | Ref |
POC, point-of-care; PR, prevalence ratio.
**P-values were calculated using Poisson regression models with robust standard errors to calculate prevalence ratios.
‡Adjusted for all other variables with data in this column.
†Includes practitioners who practice in government facilities with private practice in the evening.