Comparison of models based on verbalised and documented safety-netting advicea
| Codes from observing consultation/linked data | Verbalised problems (n= 465) | Documented problems (n= 415) | ||||
|---|---|---|---|---|---|---|
| SNA present, % | OR (95% CI) | P-value | SNA present, % | OR (95% CI) | P-value | |
| Acute/AoC problem | 52.8 | 2.14 (1.27 to 3.62) | 0.004 | 30.2 | 3.91 (1.78 to 8.61) | 0.001 |
| Chronic problem | 36.1 | 11.0 | ||||
| First presentation | 53.1 | 0.97 (0.54 to 1.76) | 0.92 | 35.6 | 1.97 (0.93 to 4.20) | 0.078 |
| Not first | 44.4 | 19.2 | ||||
| Single problem in consultationb | 61.8 | 2.58 (1.51 to 4.43) | 0.001 | 30.9 | 2.11 (1.07 to 4.18) | 0.032 |
| Multiple problems in consultation | 39.3 | 17.4 | ||||
| Follow-up presentb | 43.8 | 0.69 (0.42 to 1.14) | 0.15 | 19.1 | 0.42 (0.22 to 0.80) | 0.009 |
| No follow-up | 51.7 | 29.1 | ||||
| GP aged <50 years | 53.9 | 2.88 (1.60 to 5.16) | <0.001 | 29.0 | 3.77 (1.16 to 12.30) | 0.028 |
| GP aged ≥50 years | 32.7 | 11.8 | ||||
| Patient age ≥65 years | 47.0 | 1.23 (0.68 to 2.22) | 0.50 | 22.7 | 1.30 (0.61 to 2.74) | 0.50 |
| Patient age 18–64 years | 45.9 | 22.6 | ||||
| Patient sex: female | 46.3 | 0.84 (0.50 to 1.40) | 0.50 | 22.7 | 1.20 (0.61 to 2.36) | 0.59 |
| Patient sex: male | 46.1 | 22.6 | ||||
| Patient ethnicity: other | 54.8 | 1.15 (0.47 to 2.83) | 0.76 | 36.4 | 1.18 (0.35 to 3.95) | 0.79 |
| Patient ethnicity: white | 45.4 | 21.5 | ||||
| Index of Multiple Deprivation quintile | Wald test P = 0.59 | Wald test P = 0.57 | ||||
↵a Data from 274 consultations. Multivariable multilevel mixed-effects modelling to adjust for problems seen by the same GP and multiple problems raised by the same patient. Problems with missing data were excluded.
↵b Codes assessed separately based on model type, for example, if two problems discussed but only one documented, coded as single problem consultation in documentation model. AoC = acute on chronic. CI = confidence interval. OR = odds ratios. SNA = safety-netting advice.