Skip to main content

Table 4 Patient, GP, and consultation-related factors associated with GP referral to physiotherapists, podiatrists, or nurses

From: To which non-physician health professionals do French general practitioners refer their patients to and what factors are associated with these referrals? Secondary analysis of the French national cross-sectional ECOGEN study

  Referrals to physiotherapists Referrals to podiatrists Referrals to nurses
Consultations with referral to a physiotherapist (n = 927) Consultations without referral to a physiotherapist (n = 19,686) p-value Consultations with referral to a podiatrist (n = 172) Consultations without referral to a podiatrist (n = 20,441) p-value Consultations with referral to a nurse (n = 142) Consultations without referral to a nurse (n = 20,471) p-value
Patient characteristics
 Age: mean (SD) 51.7 (23.2) 46.4 (25.8) < 0.001* 52.9 (21.8) 46.5 (25.7) < 0.001* 70.3 (20.7) 46.4 (25.7) < 0.001*
 Female: number (%) 603 (65.0) 11,392 (57.9) < 0.001* 101 (58.7) 11,894 (58.2) 0.89 90 (63.4) 11,905 (58.2) 0.21
 Socio-occupational category : number (%)    < 0.001*    0.03    < 0.001*
  Employee 218 (23.5) 3754 (19.1)   32 (18.6) 3940 (19.3)   10 (7.0) 3962 (19.4)  
  Manual worker 47 (5.1) 768 (3.9) 4 (2.3) 811 (4.0) 5 (3.5) 810 (4.0)
  Other professional activitya 137 (14.8) 2773 (14.1) 29 (16.9) 2881 (14.1) 6 (4.2) 2904 (14.3)
  No professional activityb 191 (20.6) 5959 (30.3) 37 (21.5) 6113 (29.9) 21 (14.8) 6129 (29.9)
  Retired 334 (36.0) 6432 (32.7) 70 (40.7) 6696 (32.8) 100 (70.4) 6666 (32.6)
 Regular patients: number (%) 897 (96.8) 18,576 (94.4) 0.002 165 (95.9) 19,308 (94.5) 0.40 136 (95.8) 19,337 (94.5) 0.50
GP characteristics
 Age: mean (SD) 52.5 (7.7) 53.0 (7.5) 0.04 51.7 (7.5) 53.0 (7.5) 0.025 53.3 (7.5) 53.0 (7.5) 0.60
 Female: number (%) 394 (42.5) 6669 (33.9) < 0.001* 68 (39.5) 6995 (34.2) 0.14 41 (28.9) 7022 (34.3) 0.17
 Location: number (%)    < 0.001*    0.10    < 0.001*
  Rural 159 (17.2) 4004 (20.3)   33 (19.2) 4130 (20.2)   54 (38.0) 4109 (20.1)  
  Semi-rural 172 (18.6) 5094 (25.9) 33 (19.2) 5233 (25.6)   27 (19.0) 5239 (25.6)
  Urban 596 (64.3) 10,588 (53.8) 106 (61.6) 11,078 (54.2)   61 (43.0) 11,123 (54.3)
 Practice type: number (%)    0.46    0.003    0.01
  Solo 214 (23.1) 4116 (20.9)   28 (16.3) 4302 (21.0)   24 (16.9) 4306 (21.0)  
   Group 530 (57.2) 11,619 (59.0) 90 (52.3) 12,059 (59.0)   98 (69.0) 12,051 (58.9)  
  Multi-professional centre 183 (19.7) 3951 (20.1) 54 (31.4) 4083 (20.0)   20 (14.1) 4114 (20.1)  
 Annual number of consultations: mean (SD) 5071 (1693) 5166 (1752) 0.11 5004 (1642) 5163 (1750) 0.24 5619 (1825) 5158 (1748) 0.002
Consultation characteristics
 Mean duration: minutes (SD) 19.0 (8.3) 16.6 (8.3) < 0.001* 19.3 (8.6) 16.7 (8.3) < 0.001* 20.5 (9.6) 16.7 (8.3) < 0.001*
 Number of consultation results: mean (SD) 2.74 (1.73) 2.16 (1.42) < 0.001* 2.92 (1.53) 2.18 (1.44) < 0.001* 2.76 (1.8) 2.18 (1.44) < 0.001*
 Number of consultation results: number (%)    < 0.001*    < 0.001*    < 0.001*
  1 consultation result: number (%) 252 (27.2) 8315 (42.2)   24 (14.0) 8543 (41.8)   34 (23.9) 8533 (41.7)  
  2 consultation results: number (%) 258 (27.8) 5386 (27.4) 58 (33.7) 5586 (27.3)   41 (28.9) 5603 (27.4)
  3 consultation results: number (%) 176 (19.0) 3074 (15.6) 42 (24.4) 3208 (15.7)   31 (21.8) 3219 (15.7)
  4 consultation results: number (%) 102 (11.0) 1512 (7.7) 23 (13.4) 1591 (7.8)   22 (15.5) 1592 (7.8)
  5+ consultation results: number (%) 139 (15.0) 1399 (7.1) 25 (14.5) 1513 (7.4)   14 (9.9) 1524 (7.4)
  1. *Indicates statistically significant results
  2. aIncludes professions such as farmers, retailers, craftspeople, and senior managers
  3. bIncludes children, unemployed people, stay at home parents, students etc. but does not include retired people