Table 2 Complaint rates, survival model, and PRONE-HP scoring system
From: Identification of practitioners at high risk of complaints to health profession regulators
Variable | Number of complaints1 | Person yearsa | Rate (per 1000 PY)a | Model HR (95% CI)b | PRONE-HP Scoreb |
|---|---|---|---|---|---|
Sex | |||||
Female | 15,119 | 1,712,922 | 8·8 | Ref· | 0 |
Male | 24,456 | 592,841 | 41·3 | 1·5 (1·4–1·5) | 2 |
Age in 2010 | |||||
≤ 25 years | 404 | 68,444 | 5·9 | 1·0 (0·9–1·2) | 0 |
26–35 years | 5021 | 576,296 | 8·7 | Ref· | 0 |
36–45 years | 9050 | 518,543 | 17·5 | 1·5 (1·5–1·6) | 3 |
46–55 years | 11,490 | 559,539 | 20·5 | 1·8 (1·7–1·9) | 4 |
56–65 years | 9489 | 474,202 | 20·0 | 1·8 (1·7–1·9) | 4 |
66–75 year | 4121 | 108,739 | 37·9 | 2·1 (2·0–2·2) | 4 |
Practice location | |||||
Major Cities of Australia | 29,960 | 1,721,291 | 17·4 | Ref· | 0 |
Inner/Outer Regional Australia | 9071 | 550,022 | 16·5 | 1·1 (1·1–1·2) | 1 |
Remote/Very Remote Australia | 544 | 34,450 | 15·8 | 1·3 (1·2–1·5) | 2 |
Profession/specialty | |||||
Doctor: General practice | 8031 | 106,846 | 75·2 | 11·2 (8·7–14·4) | 14 |
Doctor: Surgery | 3704 | 33,082 | 112·0 | 13·3 (10·3–17·2) | 16 |
Doctor: Obstetrics and gynaecology | 943 | 7599 | 124·1 | 16·2 (12·5–21·1) | 17 |
Doctor: Physician | 2377 | 46,524 | 51·1 | 9·3 (7·2–12·1) | 13 |
Doctor: Psychiatry | 1656 | 13,426 | 123·3 | 16·1 (12·4–20·8) | 17 |
Doctor: Anaesthesia | 507 | 20,914 | 24·2 | 5·1 (3·8–6·7) | 10 |
Doctor: Radiology | 365 | 11,636 | 31·4 | 6·2 (4·7–8·2) | 11 |
Doctor: Emergency and ICU | 252 | 9981 | 25·2 | 5·3 (4·0–7·1) | 10 |
Doctor: Non-clinical | 209 | 9092 | 23·0 | 4·7 (3·4–6·4) | 9 |
Doctor: Non-specialist | 3536 | 142,058 | 24·9 | 7·0 (5·5–9·1) | 12 |
Nurse: Registered nurse | 6316 | 1,068,170 | 5·9 | 1·8 (1·4–2·3) | 4 |
Nurse: Enrolled nurse | 1312 | 210,213 | 6·2 | 1·8 (1·4–2·3) | 4 |
Midwife | 439 | 129,974 | 3·4 | 1·0 (0·8–1·3) | 0 |
Dental: Dentists and Dental Prosthetist | 3927 | 60,152 | 65·3 | 11·5 (8·9–14·9) | 15 |
Dental: Other dental practitioners | 120 | 12,231 | 9·8 | 3·1 (2·2–4·3) | 7 |
Psychologist | 2061 | 90,962 | 22·7 | 6·0 (4·7–7·8) | 11 |
Pharmacist | 2038 | 102,477 | 19·9 | 5·6 (4·3–7·2) | 10 |
ATSI practitioner | 17 | 983 | 17·3 | 4·6 (2·7–7·8) | 9 |
Chinese medicine practitioner | 119 | 9139 | 13·0 | 3·0 (2·1–4·2) | 7 |
Chiropractor | 447 | 15,352 | 29·1 | 6·5 (4·9–8·6) | 11 |
Medical radiation practitioner | 123 | 39,520 | 3·1 | Ref· | 0 |
Occupational Therapist | 149 | 39,741 | 3·7 | 1·5 (1·1–2·0) | 2 |
Optometrist | 234 | 18,053 | 13·0 | 3·1 (2·3–4·2) | 7 |
Osteopath | 60 | 6289 | 9·5 | 2·6 (1·8–3·9) | 6 |
Physiotherapist | 420 | 86,599 | 4·8 | 1·6 (1·2–2·1) | 3 |
Podiatrist | 213 | 14,750 | 14·4 | 4·2 (3·1–5·7) | 9 |
Number of prior complaints | |||||
0 | 27,612 | 2,226,534 | 12·4 | Ref· | 0 |
1 | 6837 | 63,670 | 107·4 | 2·6 (2·5–2·8) | 6 |
2 | 2430 | 10,681 | 227·5 | 4·0 (3·7–4·3) | 8 |
3 | 1087 | 2857 | 380·5 | 5·1 (4·6–5·6) | 10 |
4 | 580 | 994 | 583·7 | 6·8 (6·0–7·7) | 12 |
5 | 328 | 475 | 690·1 | 6·7 (5·7–7·9) | 12 |
6 | 197 | 236 | 836·0 | 7·9 (6·4–9·6) | 12 |
≥ 7 | 504 | 316 | 1593·4 | 12·0 (9·8–14·8) | 15 |
Complaint issue (last 12 months) | |||||
Health: Physical health (Ref· = No) | 73 | 327 | 223·2 | 1·7 (1·2–2·4) | 3 |
Health: Mental health (Ref· = No) | 292 | 860 | 339·4 | 3·3 (2·7–4·0) | 7 |
Health: Substance use (Ref· = No) | 360 | 909 | 396·0 | 4·2 (3·5–5·1) | 9 |
Conduct: Records & reports (Ref· = No) | 597 | 1760 | 339·2 | 1·6 (1·4–1·7) | 3 |
Conduct: Use or supply of medications (Ref· = No) | 247 | 825 | 299·5 | 2·2 (1·9–2·7) | 5 |
Conduct: Honesty (Ref· = No) | 156 | 395 | 394·4 | 3·6 (2·6–5·0) | 8 |
Conduct: Fees and servicing (Ref· = No) | 328 | 941 | 348·5 | 1·7 (1·4–2·0) | 3 |
Conduct: Interpersonal behaviour (Ref· = No) | 886 | 2865 | 309·3 | 1·8 (1·6–2·0) | 3 |
Conduct: Sexual boundaries (Ref· = No) | 401 | 836 | 479·5 | 2·4 (2·0–2·8) | 5 |
Conduct: Compliance with conditions (Ref· = No) | 164 | 303 | 540·8 | 1·4 (1·1–1·9) | 2 |
Conduct: Other conduct issues (Ref· = No) | 786 | 2675 | 293·8 | 2·0 (1·8–2·3) | 4 |
Performance: Prescribing or dispensing (Ref· = No) | 417 | 1750 | 238·3 | 1·6 (1·4–1·9) | 3 |
Performance: Procedures (Ref· = No) | 665 | 1859 | 357·6 | 1·5 (1·4–1·7) | 3 |
Performance: Treatment, communication and other clinical issues (Ref· = No) | 3110 | 13,444 | 231·3 | 1·4 (1·3–1·5) | 2 |
Survival model, intercept (95% C) | 0·0020 (0·0015–0·0025) | ||||
Survival model, shape parameter p (95% CI) | 0·9616 (0·9498–0·9736) | ||||
C-index (95% CI) | 0·77 (0·76–0·78) | 0·77 (0·76–0·77) | |||