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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