Table 3.
Direct FP access to advice from other specialists and diagnostic investigations, by province
| QUESTION | FULL SAMPLE, N (%) (N=1054)* | PROVINCIAL COMPARISONS | FDR P VALUE | LOGISTIC REGRESSION | ||||
|---|---|---|---|---|---|---|---|---|
|
|
|
|||||||
| ONTARIO, N (%) (N=597)* | MANITOBA, N (%) (N=228)* | BRITISH COLUMBIA, N (%) (N=229)* | ONTARIO, OR (REFERENCE) | MANITOBA, OR (95% CI) | BRITISH COLUMBIA, OR (95% CI) | |||
| Can you obtain specialist advice in less than 48 h regarding [strongly agree or agree] ... | ||||||||
| • investigations for suspected cancers? | 562 (54.1) | 298 (51.3) | 109 (47.8) | 155 (67.7) | < .001 | 1.00 | 1.05 (0.74–1.49) | 2.44 (1.72–3.46) |
| • potential referrals to secondary care or specialist cancer services for suspected cancer? | 504 (48.5) | 258 (44.3) | 103 (45.2) | 143 (62.5) | < .001 | 1.00 | 1.26 (0.88–1.78) | 2.52 (1.80–3.52) |
| Do you have direct access to [yes] ... | ||||||||
| • all blood tests needed for cancer diagnosis? | 815 (78.4) | 470 (80.6) | 158 (69.3) | 187 (81.7) | .002 | 1.00 | 0.67 (0.46–0.99) | 1.20 (0.80–1.80) |
| • endoscopy? | ||||||||
| -upper GI endoscopy | 162 (15.6) | 114 (19.5) | 31 (13.8) | 17 (7.5) | .0003 | 1.00 | 0.48 (0.29–0.80) | 0.30 (0.17–0.52) |
| -flexible sigmoidoscopy | 163 (16.1) | 103 (18.1) | 30 (13.6) | 30 (13.3) | .2 | 1.00 | 0.62 (0.38–1.02) | 0.68 (0.43–1.07) |
| -colonoscopy | 179 (17.2) | 131 (22.2) | 30 (13.3) | 18 (8.0) | < .001 | 1.00 | 0.45 (0.28–0.74) | 0.29 (0.17–0.49) |
| • imaging? | ||||||||
| -x-ray scan (full body) | 1012 (96.4) | 581 (98.0) | 211 (92.5) | 220 (96.1) | .002 | 1.00 | 0.30 (0.13–0.69) | 0.53 (0.21–1.33) |
| -CT (full body) | 973 (92.9) | 564 (95.1) | 197 (86.4) | 212 (93.8) | .0002 | 1.00 | 0.46 (0.25–0.83) | 0.90 (0.46–1.77) |
| -MRI (full body) | 852 (84.2) | 539 (91.7) | 170 (74.6) | 143 (73.0) | < .001 | 1.00 | 0.37 (0.23–0.58) | 0.27 (0.17–0.42) |
| -ultrasound (full body) | 971 (92.6) | 566 (95.5) | 192 (84.2) | 213 (93.4) | < .001 | 1.00 | 0.31 (0.17–0.56) | 0.74 (0.38–1.45) |
CT—computed tomography, FDR—false discovery rate, GI—gastrointestinal, MRI—magnetic resonance imaging, OR—odds ratio.
*
Not all respondents answered all questions. Proportions are calculated based on the number of responses to the question.