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Table 4 Correct nurse diagnosis and treatment of patient illnesses*

From: Baseline assessment of adult and adolescent primary care delivery in Rwanda: an opportunity for quality improvement

  

Nurse diagnosis n = 497

Nurse treatment n = 503

N

% (95% CI)‡

% (95% CI)

Total agreement

 

249

226

 

50.1% (45.7 - 54.5)

44.9% (40.6 - 49.3)

Back or joint pain

42

59.5% (44.7 - 74.4)

71.4% (57.8 - 85.1)

Cough or difficulty breathing

80

31.3% (21.1 - 41.4)

33.8% (23.4 - 44.1)

Diarrhea

30

70.0% (53.6 - 86.4)

36.7% (19.4 - 53.9)

Epigastric pain

59

90.0% (82.4 - 97.6)

18.6% (8.7 - 28.6)

Fever

49

8.2% (2.3 - 19.6)

78.6% (67.8 - 89.3)

Genitourinary symptoms

   

  Female

80

48.8% (38.0 - 59.6)

35.0% (24.6 - 45.5)

  Male

30

53.3% (35.5 - 71.1)

26.7% (10.8 - 42.5)

Headache or neurological condition

44

20.5% (8.5 - 32.4)

77.3% (64.9 - 89.7)

Mouth or throat problem

37

70.3% (55.5 - 85.0)

43.2% (27.3 - 59.2)

Skin problem or lump

31

83.9% (70.9 - 96.8)

45.2% (27.6 - 62.7)

  1. *Limited to complaints with n > 5 observations.
  2. ‡95% CI calculated using the exact binomial distribution.