Table 3.
Clinical process measures
| Clinical process measure | PA (n=2381) |
FY2 doctor (n=6435) |
Total (n=8816) |
Unadjusted OR (95% CI) and p value (PA relative to FY2 doctor-in-training) in rate of re-attendance | Adjusted OR (95% CI) and p value (PA relative to FY2 doctor-in-training) in rate of re-attendancee* |
| X-ray investigations performed | |||||
| No | 559 (49.4%) | 1701 (82.3%) | 2260 (70.7%) | 4.76 (4.04 to 5.59) p<0.001 | 2.70 (1.72 to 4.24) p<0.001 |
| Yes | 572 (50.6%) | 366 (17.7%) | 938 (29.3%) | ||
| Unknown | 1250 | 4368 | 5618 | – | – |
| Prescriptions given in the ED | |||||
| No | 174 (58.0%) | 157 (51.8%) | 331 (54.9%) | 0.79 (0.56 to 1.07) p=0.127 | 1.35 (0.08 to 23.5) p=0.838 |
| Yes | 126 (42.0%) | 146 (48.2%) | 272 (45.1%) | ||
| Unknown | 2081 | 6132 | 8213 | ||
| Admitted as an inpatient from the ED | |||||
| No | 883 (78.2%) | 1436 (70.1%) | 2319 (73.0%) | 0.65 (0.55 to 0.77) p<0.001 | 0.78 (0.55 to 1.1) p=0.158 |
| Yes | 246 (21.8%) | 613 (29.9%) | 859 (27.0%) | ||
| Unknown | 1762 | 3876 | 5638 | ||
| Discharge summary completed | |||||
| No | 86 (42.4%) | 71 (34.6%) | 157 (38.5%) | 0.72 (0.48 to 1.08) p=0.109 | 1.57 (0.93 to 2.66) p=0.09 |
| Yes | 117 (57.6%) | 134 (65.4%) | 251 (61.5%) | ||
| Unknown | 2178 | 6230 | 8408 | ||
*Adjustment made for MTS (as a measure of acuity), age band, sex and site, and for clustering where the ICC (and p value) is significant: X-ray 0.04 (p<0.001), prescriptions 0.73 (p<0.001), admitted 0.02 (p=0.001), discharge summary <0.001 (p=0.498).
FY2, foundation year two; ICC, intraclass correlation coefficient; PA, physician associates.