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Table 4 Consultation Knowledge Outcomes by Case and Cadre

From: Can task-shifting work at scale?: Comparing clinical knowledge of non-physician clinicians to physicians in Nigeria

 

N

Consultation Processa

Diagnosisb

Treatmentb

N

mean

CI

%

CI

%

CI

Cadre

Medical Officer

106

56.8

(50.6–63.0)

72.2

(64.6–79.7)

43.5

(36.3–50.8)

CHO

253

35.1c

(32.2–38.1)

53.3c

(48.2–58.3)

25.1c

(22.0–28.2)

Nurse Officer

494

35.7c

(33.6–37.8)

57.1c

(53.7–60.5)

27.0c

(24.3–29.8)

Nurse Midwife

168

34.3c

(30.8–37.8)

56.9c

(51.6–62.2)

26.2c

(20.7–31.7)

CHEW

1886

29.2c

(28.2–30.3)

46.4c

(44.9–47.8)

20.6c

(19.4–21.9)

JCHEW

799

27.2c

(25.9–28.4)

43.1c

(40.8–45.4)

19.3c

(17.5–21.1)

Env Hlth Off/Ass

110

26.0c

(22.1–29.8)

43.4c

(35.8–51.0)

18.1c

(13.0–23.3)

Comm Hlth Ass

92

19.8c

(16.1–23.5)

31.3c

(25.7–36.8)

13.8c

(10.0–17.7)

Hlth Att/AuxNurse

167

18.3c

(15.8–20.8)

30.3c

(26.7–33.9)

12.0c

(9.4–14.6)

Dental Off/Nur/Tech

36

24.0c

(17.6–30.4)

47.0c

(37.6–56.3)

21.9c

(16.6–27.2)

All

4111

30.1c

(29.4–30.8)

47.5c

(46.4–48.6)

21.7c

(20.8–22.6)

  1. Note: Means presented here are weighted for the inverse probability of selection of each health worker
  2. aThe mean for consultation process is calculated as the average percentage history taking and physical examination questions asked by each type of health worker, across 5 cases
  3. b For each cadre, the % correct diagnoses and the %correct treatment is calculated as the average percentage of the 5 cases that was correctly diagnosed or treated by each type of health worker
  4. c t-test difference of outcome mean compared to Medical Officers p < 0.05