Table 3

Clinical process measures

Clinical process measurePA
(n=2381)
FY2 doctor
(n=6435)
Total
(n=8816)
Unadjusted OR (95% CI) and p value (PA relative to FY2 doctor-in-training) in rate of re-attendanceAdjusted OR (95% CI) and p value (PA relative to FY2 doctor-in-training) in rate of re-attendancee*
X-ray investigations performed
 No559 (49.4%)1701 (82.3%)2260 (70.7%)4.76 (4.04 to 5.59) p<0.0012.70 (1.72 to 4.24) p<0.001
 Yes572 (50.6%)366 (17.7%)938 (29.3%)
 Unknown125043685618
Prescriptions given in the ED
 No174 (58.0%)157 (51.8%)331 (54.9%)0.79 (0.56 to 1.07) p=0.1271.35 (0.08 to 23.5) p=0.838
 Yes126 (42.0%)146 (48.2%)272 (45.1%)
 Unknown208161328213
Admitted as an inpatient from the ED
 No883 (78.2%)1436 (70.1%)2319 (73.0%)0.65 (0.55 to 0.77) p<0.0010.78 (0.55 to 1.1) p=0.158
 Yes246 (21.8%)613 (29.9%)859 (27.0%)
 Unknown176238765638
Discharge summary completed
 No86 (42.4%)71 (34.6%)157 (38.5%)0.72 (0.48 to 1.08) p=0.1091.57 (0.93 to 2.66) p=0.09
 Yes117 (57.6%)134 (65.4%)251 (61.5%)
 Unknown217862308408
  • *Adjustment made for MTS (as a measure of acuity), age band, sex and site, and for clustering where the ICC (and p value) is significant: X-ray 0.04 (p<0.001), prescriptions 0.73 (p<0.001), admitted 0.02 (p=0.001), discharge summary <0.001 (p=0.498).

  • FY2, foundation year two; ICC, intraclass correlation coefficient; PA, physician associates.