Table 3.
The association between PCPs’ perceived patients’ trust, clinical practicing characteristics and conflicting patient and employer interests
| Perceived trust in clinical competence (0=seldom and sometimes; 1=often and always) OR (95% CI) | Worries about unnecessary medicine (0=seldom and sometimes; 1=often and always) OR (95% CI) | Worries about unnecessary test (0=seldom and sometimes; 1=often and always) OR (95% CI) | |
| Clinical practicing characteristics | |||
| Emotional support (continuous) | 1.23 (1.06 to 1.42)** | 0.94 (0.83 to 1.06) | 0.97 (0.86 to 1.09) |
| Diagnosis and treatment (continuous) | 1.35 (1.17 to 1.55)*** | 1.20 (1.08 to 1.34)*** | 1.22 (1.10 to 1.35)*** |
| Explanation and elaboration (continuous) | 1.17 (0.90 to 1.53) | 1.00 (0.81 to 1.23) | 0.90 (0.74 to 1.10) |
| Conflicting patient and employer interests (continuous) | 0.83 (0.64 to 1.07) | 1.35 (1.12 to 1.63)** | 1.29 (1.07 to 1.54)** |
| Certified general practitioner status | |||
| No | 1 | 1 | 1 |
| Yes | 2.01 (1.14 to 3.55)* | 0.96 (0.61 to 1.51) | 0.94 (0.60 to 1.45) |
| Practice year | |||
| 0–10 | 1 | 1 | 1 |
| 11–20 | 1.30 (0.69 to 2.42) | 0.69 (0.43 to 1.12) | 0.69 (0.43 to 1.10) |
| ≥21 | 1.38 (0.71 to 2.71) | 0.54 (0.32 to 0.90)* | 0.56 (0.34 to 0.93)* |
| Gender | |||
| Man | 1 | 1 | 1 |
| Woman | 0.86 (0.51 to 1.42) | 0.75 (0.51 to 1.11) | 0.84 (0.58 to 1.22) |
| Economic status of location | |||
| Less developed | 1 | 1 | 1 |
| Developed | 0.89 (0.54 to 1.45) | 1.32 (0.89 to 1.94) | 1.13 (0.78 to 1.64) |
| Education | |||
| Postsecondary or less | 1 | 1 | 1 |
| University or higher | 0.92 (0.54 to 1.56) | 0.77 (0.51 to 1.16) | 0.94 (0.62 to 1.42) |
| Income level (US$) | |||
| ≤11 814 | 1 | 1 | 1 |
| >11 814 | 1.29 (0.78 to 2.13) | 0.68 (0.46 to 1.01) | 0.82 (0.56 to 1.20) |
*P<0.05; **p<0.01; ***p<0.001.
PCPs, primary care physicians.