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Table 3 Factors associated with not reporting interrogation, hypothesis and severity criteria in medical files (multivariable analysis, adjusted on patient’s characteristics, day and time of call, and RFE)

From: Factors affecting medical file documentation during telephone triage at an emergency call centre: a cross-sectional study of out-of-hours home visits by general practitioners in France

 

Interrogation not reported

Hypothesis not reported

Severity not reported

n = 16/748

n = 432/748

n = 449/748

aOR [95% CI]x

p +

aOR [95% CI]x

p +

aOR [95% CI]x

p +

Emergency call centre

 Workforce (triage), n

  Assistants

   3

Ref.

 

Ref.

 

Ref.

 

   > 3

0.6 [0.3–1.2]

ns

0.8 [0.7–1.0]

ns

1.2 [0.4–3.0]

ns

Workload

 Incoming calls (monthly), n

  Assistants

   ≤ 30,000

Ref.

 

Ref.

 

Ref.

 

   > 30,000

1.5 [0.4–6.7]

ns

1.0 [0.7–1.4]

ns

1.3 [0.9–2.0]

ns

  Physicians

   ≤ 9700

Ref.

 

Ref.

 

Ref.

 

   > 9700

2.0 [0.5–8.0]

ns

0.8 [0.6–1.2]

ns

1.3 [1.1–1.5]

ns

 Call duration, s (mean)

  Assistants

   ≤ 48

Ref.

 

Ref.

 

Ref.

 

   > 48

12.9 [2.3–72.5]

*

2.1 [1.2–3.7]

*

1.8 [1.1–3.1]

*

  Physicians

   ≤ 147

Ref.

 

Ref.

 

Ref.

 

   > 147

2.29 [0.7–11.5]

ns

1.3 [0.9–1.9]

ns

1.0 [0.7–1.4]

ns

Telephone occupation rate, %

  Assistants

   ≤ 26.1

Ref.

 

Ref.

 

Ref.

 

   > 26.1

1.7 [0.5–6.0]

ns

0.9 [0.7–1.3]

ns

1.8 [1.3–2.5]

**

  Physicians

   ≤ 33.7

Ref.

 

Ref.

 

Ref.

 

   > 33.7

0.3 [0.1–1.2]

ns

0.7 [0.5–1.1]

ns

1.1 [0.8–1.5]

ns

  1. aOR adjusted odds ratio, x: logistic regression, +: Wald test
  2. RFE reasons for encounter; ns non significant, *: p < 0,05, **: p < 0,001