Encounter characteristics | Prescription of ≥3 medicines in the encounter | Prescription of generic medicines in the encounter | Prescription of antibiotics in the encounter | Prescription of injections in the encounter | Prescription of essential medicines in the encounter | Prescription of TCPMs in the encounter | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
 | Adjusted OR (95% CI) | P | Adjusted OR (95% CI) | P | Adjusted OR (95% CI) | P | Adjusted OR (95% CI) | P | Adjusted OR (95% CI) | P | Adjusted OR (95% CI) | P |
Gender | ||||||||||||
 Female (ref) | ||||||||||||
 Male | 1.138 (1.017, 1.274) | 0.025 * | 1.001 (0.830, 1.205) | 0.996 | 1.078 (0.946, 1.228) | 0.259 | 1.331 (1.049, 1.688) | 0.019 * | 1.058 (0.954, 1.173) | 0.283 | 0.963 (0.872, 1.064) | 0.459 |
Age group | ||||||||||||
 0–14 (ref) | ||||||||||||
  15–24 | 0.879 (0.516, 1.498) | 0.636 | 1.369 (0.645, 2.903) | 0.413 | 0.824 (0.512, 1.327) | 0.425 | 0.963 (0.405, 2.292) | 0.932 | 1.771 (1.097, 2.859) | 0.019 * | 0.809 (0.496, 1.319) | 0.395 |
  25–44 | 0.647 (0.428, 0.979) | 0.039 * | 1.065 (0.592, 1.914) | 0.834 | 0.608 (0.419, 0.882) | 0.009 * | 0.642 (0.314, 1.312) | 0.224 | 1.319 (0.919, 1.893) | 0.133 | 0.839 (0.573, 1.227) | 0.365 |
  45–59 | 0.649 (0.431, 0.977) | 0.038 * | 1.039 (0.581, 1.856) | 0.898 | 0.479 (0.330, 0.695) | 0.000 * | 0.655 (0.323, 1.329) | 0.241 | 1.191 (0.833, 1.702) | 0.337 | 0.859 (0.590, 1.252) | 0.429 |
  ≥ 60 | 0.615 (0.407, 0.931) | 0.021 * | 1.193 (0.661, 2.153) | 0.559 | 0.464 (0.317, 0.677) | 0.000 * | 1.103 (0.545, 2.235) | 0.785 | 1.321 (0.920, 1.895) | 0.131 | 0.830 (0.568, 1.213) | 0.336 |
Reason for encounter | ||||||||||||
 Present with at least one symptom (ref) | ||||||||||||
  Regular follow up | 0.544 (0.430, 0.690) | 0.000 * | 1.391 (0.958, 2.019) | 0.082 | 0.236 (0.160, 0.348) | 0.000 * | 0.477 (0.289, 0.785) | 0.004 * | 0.960 (0.794, 1.160) | 0.672 | 0.222 (0.182, 0.270) | 0.000 * |
  Prescription refill without other complaint | 0.926 (0.805, 1.065) | 0.281 | 2.948 (2.215, 3.923) | 0.000 * | 0.212 (0.169, 0.265) | 0.000 * | 0.222 (0.150, 0.328) | 0.000 * | 1.754 (1.529, 2.012) | 0.000 * | 0.366 (0.324, 0.413) | 0.000 * |
  Other reasons | 0.144 (0.075, 0.274) | 0.000 * | 0.033 (0.024, 0.045) | 0.000 * | 0.277 (0.173, 0.443) | 0.000 * | 0.767 (0.441, 1.336) | 0.350 | 0.096 (0.068, 0.135) | 0.000 * | 0.042 (0.026, 0.066) | 0.000 * |
Insurance type | ||||||||||||
 PIIS (ref) | ||||||||||||
  EBMS | 1.279 (1.099, 1.489) | 0.002 * | 1.158 (0.855, 1.567)) | 0.343 | 0.960 (0.801, 1.150) | 0.657 | 1.173 (0.808, 1.704) | 0.402 | 0.870 (0.751, 1.008) | 0.064 | 1.201 (1.045, 1.380) | 0.010 * |
  NRCMS | 0.865 (0.749, 1.000) | 0.049 * | 0.553 (0.429, 0.713) | 0.000 * | 0.963 (0.816, 1.137) | 0.659 | 1.551 (1.119, 2.149) | 0.008 * | 0.812 (0.710, 0.928) | 0.002 * | 0.631 (0.556, 0.716) | 0.000 * |
  Other insurance | 1.092 (0.797, 1.498) | 0.583 | 0.864 (0.484, 1.542) | 0.620 | 0.905 (0.635, 1.290) | 0.583 | 1.392 (0.712, 2.724) | 0.334 | 0.831 (0.622, 1.112) | 0.213 | 0.899 (0.675, 1.196) | 0.464 |
  No insurance | 1.011 (0.757, 1.351) | 0.939 | 0.511 (0.343, 0.763) | 0.001 * | 0.936 (0.703, 1.246) | 0.650 | 2.470 (1.510, 4.040) | 0.000 * | 0.907 (0.702, 1.171) | 0.452 | 0.626 (0.488, 0.803) | 0.000 * |
First time visit | ||||||||||||
 No (ref) | ||||||||||||
  Yes | 0.945 (0.730, 1.223) | 0.666 | 0.523 (0.378, 0.723) | 0.000 * | 1.048 (0.820, 1.341) | 0.707 | 1.238 (0.798, 1.921) | 0.341 | 0.808 (0.651, 1.003) | 0.053 | 0.693 (0.557, 0.861) | 0.001 * |
Contracted patient | ||||||||||||
 No (ref) | ||||||||||||
  Yes | 1.159 (1.019, 1.320) | 0.025 * | 0.989 (0.802, 1.218) | 0.916 | 0.885 (0.766, 1.022) | 0.097 | 0.852 (0.652, 1.114) | 0.241 | 1.040 (0.927, 1.168) | 0.502 | 0.994 (0.889, 1.113) | 0.923 |
Chronic disease | ||||||||||||
 No (ref) | ||||||||||||
  Yes | 0.963 (0.832, 1.116) | 0.620 | 1.076 (0.853, 1.357) | 0.536 | 0.455 (0.382, 0.542) | 0.000 * | 1.215 (0.901, 1.640) | 0.202 | 1.296 (1.138, 1.475) | 0.000 * | 0.449 (0.396, 0.508) | 0.000 * |
Number of problems involved | ||||||||||||
 < 3(ref) | ||||||||||||
  ≥ 3 | 6.753 (5.806, 7.853) | 0.000 * | 2.074 (1.398, 3.077) | 0.000 * | 2.875 (2.361, 3.499) | 0.000 * | 0.773 (0.522, 1.145) | 0.199 | 2.089 (1.731, 2.520) | 0.000 * | 2.926 (2.511, 3.410) | 0.000 * |
Consultation time | ||||||||||||
 < 5 min (ref) | ||||||||||||
  5–10 min | 1.537 (1.347, 1.755) | 0.000 * | 2.271 (1.848, 2.790) | 0.000 * | 0.950 (0.814, 1.110) | 0.518 | 0.701 (0.536, 0.917) | 0.009 * | 1.630 (1.447, 1.836) | 0.000 * | 1.016 (0.905, 1.139) | 0.792 |
  > 10 min | 0.981 (0.827, 1.163) | 0.826 | 2.809 (2.127, 3.711) | 0.000 * | 0.858 (0.713, 1.031) | 0.102 | 0.562 (0.398, 0.792) | 0.001 * | 1.367 (1.182, 1.579) | 0.000 * | 0.819 (0.710, 0.945) | 0.006 * |