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Table 7 Binary logistic regression analysis of factors associate with the prescribing indicators (n = 7910)

From: Prescribing patterns of encounters in fourteen general practice clinics in rural Beijing: a cross-sectional study

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 *

  1. Abbreviation: TCPM Traditional Chinese patent medicine, PIIS Public institution insurance scheme, EBMS Employee basic medical scheme, NRCMS New rural cooperative medical scheme, OR Odds ratio, CI Confidence interval
  2. Encounters with missing values were excluded, 7910 encounters were analyzed; other reasons for encounter included check-up, transfusion and injection, sickness certificate, etc.
  3. *Significant in bold