Table 2.
Association of organizational characteristics with patient-reported first-contact accessibility
| Organizational characteristics | OR | CI 95% | p-value | Adjusted OR* | CI 95%* | p-value* |
|---|---|---|---|---|---|---|
| Human resources | ||||||
| Number of family practitioners in the clinica | 1.00 | (0.97–1.03) | 0.89 | 0.96 | (0.89–1.03) | 0.27 |
| Number of physicians from other disciplines in the clinica | 1.05 | (0.996–1.10) | 0.07 | 1.13 | (1.03–1.24) | 0.01 |
| Technical and material resources | ||||||
| Presence of specific equipment in the clinicc | 0.98 | (0.95–1.00) | 0.08 | 0.89 | (0.83–0.96) | 0.002 |
| Use of information technology for different tasks in the clinicd | 0.98 | (0.94–1.02) | 0.37 | 1.02 | (0.92–1.14) | 0.67 |
| Schedule and opening hours | ||||||
| Typical amount of time scheduled for a regular visit with the family practitioner (in minutes)a | 1.00 | (0.98–1.02) | 0.89 | 1.03 | (0.99–1.07) | 0.21 |
| Number of opening hours per daya | 1.01 | (0.97–1.05) | 0.54 | 1.10 | (0.96–1.26) | 0.18 |
| Percentage of visits with a scheduled appointmenta | 1.00 | (0.999–1.01) | 0.12 | 1.00 | (0.98–1.01) | 0.66 |
| Possibility to obtain a same-day appointment or to walk-in the clinic without an appointmentb | 1.66 | (1.01–2.74) | 0.04 | 2.94 | (1.15–7.51) | 0.02 |
| Type and scope of services | ||||||
| Number of hours worked per week by the family practitionera | 1.00 | (0.99–1.01) | 0.39 | 1.03 | (1.00–1.06) | 0.03 |
| Number of hours per week worked by the family practitioner in this clinica | 1.00 | (0.99–1.01) | 0.56 | 0.99 | (0.97–1.01) | 0.26 |
| Number of contacts with patients by the family practitioner in a typical daya | 0.99 | (0.98–1.00) | 0.30 | 0.99 | (0.97–1.01) | 0.42 |
| Integration of services | ||||||
| Primary care services offered independently by a nurse in the clinice | 1.03 | (0.90–1.18) | 0.69 | 1.03 | (0.90–1.18) | 0.69 |
*Results are adjusted for patients and family practitioners characteristics
OR superior to 1 indicates an increase in first-contact accessibility
aDifference with every increase of one unit for these continuous variables (number of family practitioners, physicians, minutes)
bDifference between the presence or the absence of this characteristic
cDifference with every additional equipment present in the clinic
dDifference with every additional task performed with information technology
eDifference with every additional service provided independently by a nurse