Associations between GP job stress, practice organisation, and characteristics, ordered logistic regression
| Characteristics | na | Single independent variables | Multiple variable analysis final model (N= 10 627) | ||
|---|---|---|---|---|---|
| OR | (95% CI) | OR | (95% CI) | ||
| Physician characteristics | |||||
| GP sex (ref: male) | 6695 | ||||
| Female | 5290 | 1.28 | (0.98 to 1.66) | 1.41 | (1.15 to 1.71) |
| GP age, years (ref:<35) | 1156 | ||||
| 35–44 | 2908 | 1.23 | (1.05 to 1.43) | 1.22 | (1.03 to 1.43) |
| 45–54 | 3138 | 1.43 | (1.14 to 1.79) | 1.35 | (1.07 to 1.70) |
| 55–64 | 3542 | 1.23 | (0.98 to 1.55) | 1.20 | (0.92 to 1.56) |
| ≥65 | 1223 | 0.57 | (0.45 to 0.71) | 0.67 | (0.49 to 0.92) |
| Rural/urban area (ref: rural) | 5045 | ||||
| Urban | 6868 | 1.16 | (1.07 to 1.26) | 1.23 | (1.15 to 1.31) |
| Practice organisational and functioning features | |||||
| General organisation and workload | |||||
| FTE GPs (ref:<3) | 4501 | — | |||
| 3–5 | 4009 | 1.04 | (0.89 to 1.21) | ||
| >5 | 3125 | 0.96 | (0.76 to 1.21) | ||
| Workload, hours/week (ref: ≤40) | 6123 | ||||
| 41–50 | 3437 | 1.62 | (1.42 to 1.85) | 1.66 | (1.41 to 1.96) |
| >50 | 2304 | 2.75 | (2.30 to 3.29) | 2.88 | (2.38 to 3.50) |
| Administrative task (% total workload) (ref:≤10%) | 4031 | ||||
| 11–20 | 3945 | 1.26 | (1.07 to 1.47) | 1.19 | (1.04 to 1.36) |
| >20 | 3820 | 1.94 | (1.64 to 2.28) | 1.65 | (1.44 to 1.89)) |
| Consultation length, minutes (ref: <10 minutes) | 2423 | ||||
| 10–20 | 6928 | 0.89 | (0.80 to 0.98) | 0.88 | (0.77 to 1.00) |
| >20 | 2532 | 0.63 | (0.55 to 0.73) | 0.64 | (0.53 to 0.76) |
| Same-day appointment, % (ref: >50%) | 7650 | ||||
| About 50 | 1602 | 1.22 | (1.04 to 1.42) | 1.25 | (1.05 to 1.50) |
| 20–40 | 1271 | 1.41 | (1.25 to 1.60) | 1.49 | (1.29 to 1.70) |
| <20 | 1041 | 1.82 | (1.22 to 2.69) | 1.74 | (1.18 to 2.56) |
| Home visit (ref: Yes, frequently) | 4080 | — | |||
| Yes occasionally | 5917 | 0.92 | (0.82 to 1.04) | ||
| No | 1907 | 0.83 | (0.66 to 1.05) | ||
| Coordination | |||||
| Contact with home care providers (ref: No and occasionally) | 6062 | — | |||
| Routinely | 5243 | 1.08 | (0.92 to 1.26) | ||
| Involved in coordinated care with hospital (ref: No) | 1744 | — | |||
| Yes | 10 139 | 1.04 | (0.93 to 1.17) | ||
| Inter-visit contacts with patients (ref: No) | 1493 | — | |||
| Yes | 10 427 | 0.98 | (0.84 to 1.14) | ||
| Case manager (ref: Yes, inside) | 6407 | ||||
| Yes, outside | 2562 | 1.11 | (0.97 to 1.28) | 1.13 | (0.99 to 1.30) |
| No | 2895 | 1.14 | (0.92 to 1.40) | 1.22 | (1.04 to 1.44) |
| Delay in receiving discharge information (ref: ≤2 days) | 3737 | ||||
| 2 days–2 weeks | 6438 | 1.20 | (1.10 to 1.32) | 1.19 | (1.09 to 1.28) |
| 3–4 weeks | 956 | 1.65 | (1.41 to 1.92) | 1.58 | (1.41 to 1.78) |
| >1 month or never | 554 | 1.26 | (0.90 to 1.76) | 1.26 | (1.03 to 1.55) |
| Quality of care indicator | |||||
| Clinical outcomes (ref: No) | 5771 | — | |||
| Yes | 6118 | 0.96 | (0.84 to 1.10) | ||
| Surveys of patient satisfaction (ref: No) | 6046 | — | |||
| Yes | 5848 | 1.00 | (0.88 to 1.13) | ||
| Information about hospital admissions and emergency visits (ref: No) | 7441 | — | |||
| Yes | 4375 | 1.00 | (0.92 to 1.09) | ||
| Preventive targets to reach (ref: No) | 8056 | 1.02 | (0.89 to 1.18) | — | |
| Yes | 3732 | ||||
| Performance reviewed against targets (ref: No) | 5742 | ||||
| Yes | 6098 | 1.20 | (1.07 to 1.35) | 1.15 | (1.05 to 1.24) |
| Information on clinical performance of your practice compared with other practices (ref: No) | 3198 | — | |||
| Yes, occasionally | 3533 | 1.10 | (0.91 to 1.34) | ||
| Yes, routinely | 4495 | 1.07 | (0.83 to 1.38) | ||
| Use of electronic tools | |||||
| Use of EHR (ref: No) | 1621 | — | |||
| Yes | 10 364 | 1.18 | (1.03 to 1.36) | ||
| Use of E-alert drug prescription (ref: No) | 2472 | ||||
| Yes, occasionally | 1338 | 1.31 | (1.14 to 1.51) | 1.18 | (1.12 to 1.25) |
| Yes, routinely | 7999 | 1.37 | (1.18 to 1.60) | 1.29 | (1.09 to 1.53) |
| Country variance | 0.32 | ||||
↵a Missing data in each category. EHR=electronic health record. FTE = full-time equivalent. OR = odds ratio.