Figure 1.

Prescription of chronic medication_
| Organisational structure of practice | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Single practice (n=409) | Group practice (n=414) | PHCunit (n=322) | Total (n=1145) | χ2 or LR | df | p | |||||
| n | % | n | % | n | % | n | % | ||||
| Antibiotics | 5 | 1.2 | 1 | 0.2 | 0 | 0.0 | 6 | 0.5 | 6.955 | 2 | 0.031 |
| Analgesics | 44 | 10.8 | 27 | 6.5 | 29 | 9.0 | 100 | 8.7 | 4.674 | 2 | 0.097 |
| Antihypertensives | 137 | 33.5 | 110 | 26.6 | 60 | 18.6 | 307 | 26.8 | 20.300 | 2 | <0.001 |
| Gastrointestinal | 68 | 16.6 | 29 | 7.0 | 23 | 7.1 | 120 | 10.5 | 25.618 | 2 | <0.001 |
| Statins | 55 | 13.4 | 58 | 14.0 | 37 | 11.5 | 150 | 13.1 | 1.077 | 2 | 0.584 |
| Hormones | 46 | 11.2 | 44 | 10.6 | 26 | 8.1 | 116 | 10.1 | 2.167 | 2 | 0.338 |
| Psychopharmacological | 78 | 19.1 | 51 | 12.3 | 52 | 16.1 | 181 | 15.8 | 7.087 | 2 | 0.029 |
| Anticoagulants | 65 | 15.9 | 43 | 10.4 | 32 | 9.9 | 140 | 12.2 | 7.999 | 2 | 0.018 |
| Pulmonary | 19 | 4.6 | 20 | 4.8 | 11 | 3.4 | 50 | 4.4 | 0.986 | 2 | 0.611 |
| Antidiabetic | 36 | 8.8 | 33 | 8.0 | 18 | 5.6 | 87 | 7.6 | 2.776 | 2 | 0.250 |
| Ointments | 18 | 4.4 | 3 | 0.7 | 6 | 1.9 | 27 | 2.4 | 12.553 | 2 | 0.002 |
| Nutritional supplements | 66 | 16.1 | 42 | 10.1 | 42 | 13.0 | 150 | 13.1 | 6.490 | 2 | 0.039 |
| Biological medicines | 4 | 1.0 | 18 | 4.3 | 4 | 1.2 | 26 | 2.3 | 12.663 | 2 | 0.002 |
| Anti-rheumatic drugs | 23 | 5.6 | 17 | 4.1 | 8 | 2.5 | 48 | 4.2 | 4.432 | 2 | 0.109 |
Chronic diseases and conditions_
| Organisational structure of practice | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Single practice (n=409) | Group practice (n=414) | PHCunit (n=322) | Total (n=1223) | χ2 or LR | df | p | |||||
| n | % | n | % | n | % | n | % | ||||
| 0 Chronic conditions (No Illness) ** | 92 | 22.5 | 134 | 32.4 | 78 | 24.2 | 304 | 26.6 | 41,781 | 14 | <0.001 |
| A General and non-specific | 28 | 6.8 | 10 | 2.4 | 20 | 6.2 | 58 | 5.1 | |||
| B Blood, blood-forming organs, immune system | 33 | 8.1 | 21 | 5.1 | 14 | 4.3 | 68 | 5.9 | |||
| D Digestive system** | 93 | 22.7 | 48 | 11.6 | 36 | 11.2 | 177 | 15.5 | |||
| F Eye | 14 | 3.4 | 6 | 1.4 | 12 | 3.7 | 32 | 2.8 | |||
| H Ear | 11 | 2.7 | 9 | 2.2 | 12 | 3.7 | 32 | 2.8 | |||
| K Cardiovascular System** | 174 | 42.5 | 119 | 28.7 | 97 | 30.1 | 390 | 34.1 | |||
| L Locomotor System** | 136 | 33.3 | 88 | 21.3 | 83 | 25.8 | 307 | 26.8 | |||
| N Neurology** | 45 | 11.0 | 45 | 10.9 | 31 | 9.6 | 121 | 10.6 | |||
| P Mental Health** | 71 | 17.4 | 72 | 17.4 | 58 | 18.0 | 201 | 17.6 | |||
| R Respiratory System** | 46 | 11.2 | 26 | 6.3 | 35 | 10.9 | 107 | 9.3 | |||
| S Skin | 35 | 8.6 | 18 | 4.3 | 32 | 9.9 | 85 | 7.4 | |||
| T Endocrine, metabolic, nutritional** | 137 | 33.5 | 137 | 33.1 | 111 | 34.5 | 385 | 33.6 | |||
| U Urology | 24 | 5.9 | 20 | 4.8 | 19 | 5.9 | 63 | 5.5 | |||
| W Pregnancy, childbirth, family planning | 0 | 0.0 | 2 | 0.5 | 4 | 1.2 | 6 | 0.5 | |||
| X Gynaecology | 4 | 1.0 | 10 | 2.4 | 13 | 4.0 | 27 | 2.4 | |||
| Y Andrology | 21 | 5.1 | 17 | 4.1 | 19 | 5.9 | 57 | 5.0 | |||
| Z Social problem | 0 | 0.0 | 1 | 0.2 | 1 | 0.3 | 2 | 0.2 | |||
Inclusion and exclusion criteria_
| Inclusion criteria | Exclusion criteria |
|---|---|
| GPs working in single practices | GPs working primarily in hospitals |
| GPs working in group practices | GPs working in social or institutional settings |
| GPs working in PHC (Primary Health Care) units | GPs without a health insurance contract |
| GPs with a valid contract with the national health insurance system |
Organizational structure of the practice and age of the GP_
| N | Minimum Age | Maximum Age | Median Age | Mean Age | SD | KW H | df | p | |
|---|---|---|---|---|---|---|---|---|---|
| Single practice | 17 | 39 | 68 | 51 | 53.7 | 9.8 | 2.428 | 2 | 0.297 |
| Group practice | 7 | 32 | 55 | 48 | 46.3 | 9.8 | |||
| PHC unit | 6 | 26 | 59 | 48 | 45.5 | 11.9 | |||
| Total | 30 | 26 | 68 | 49 | 50.3 | 10.6 |
Reason for doctor’s visit based on ICPC-2 categories_
| Organisational structure of practice | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Single practice | Group practice | PHC unit | Total | χ2 or LR | df | p | |||||
| n | % | n | % | n | % | n | % | ||||
| A General and non-specific | 121 | 29.6 | 137 | 33.1 | 55 | 17.1 | 313 | 27.3 | 55,189 | 32 | 0.007 |
| B Blood, blood-forming organs, immune system | 6 | 1.5 | 7 | 1.7 | 2 | 0.6 | 15 | 1.3 | |||
| D Digestive system | 24 | 5.9 | 29 | 7.0 | 19 | 5.9 | 72 | 6.3 | |||
| F Eye | 2 | 0.5 | 2 | 0.5 | 5 | 1.6 | 9 | 0.8 | |||
| H Ear | 10 | 2.4 | 9 | 2.2 | 4 | 1.2 | 23 | 2.0 | |||
| K Cardiovascular System | 29 | 7.1 | 19 | 4.6 | 15 | 4.7 | 63 | 5.5 | |||
| L Locomotor | 46 | 11.2 | 45 | 10.9 | 51 | 15.8 | 142 | 12.4 | |||
| N Neurology System | 9 | 2.2 | 12 | 2.9 | 14 | 4.3 | 35 | 3.1 | |||
| P Mental Health | 11 | 2.7 | 16 | 3.9 | 11 | 3.4 | 38 | 3.3 | |||
| R Respiratory | 95 | 23.2 | 93 | 22.5 | 98 | 30.4 | 286 | 25.0 | |||
| S Dermatology | 25 | 6.1 | 13 | 3.1 | 17 | 5.3 | 55 | 4.8 | |||
| T Endocrine, metabolic, nutritional | 17 | 4.2 | 17 | 4.1 | 17 | 5.3 | 51 | 4.5 | |||
| U Urology | 6 | 1.5 | 10 | 2.4 | 7 | 2.2 | 23 | 2.0 | |||
| W Pregnancy, childbirth, family planning | 0 | 0.0 | 0 | 0.0 | 2 | 0.6 | 2 | 0.2 | |||
| X Gynaecology | 3 | 0.7 | 1 | 0.2 | 2 | 0.6 | 6 | 0.5 | |||
| Y Andrology | 3 | 0.7 | 2 | 0.5 | 1 | 0.3 | 6 | 0.5 | |||
| Z Social problems | 2 | 0.5 | 2 | 0.5 | 2 | 0.6 | 6 | 0.5 | |||
| Total | 409 | 100.0 | 414 | 100.0 | 322 | 100.0 | 1145 | 100.0 | |||
Therapeutic procedures performed_
| Organisational structure of practice | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Single practice (n=409) | Group practice (n=414) | PHCunit (n=322) | Total (n=1145) | χ2 or LR | df | p | |||||
| n | % | n | % | n | % | n | % | ||||
| Counselling | 342 | 83.6 | 363 | 87.7 | 284 | 88.2 | 989 | 86.4 | 4.151a | 2 | 0.126 |
| Drug Prescription | 237 | 57.9 | 209 | 50.5 | 141 | 43.8 | 587 | 51.3 | 14.613a | 2 | 0.001 |
| Injection | 3 | 0.7 | 22 | 5.3 | 2 | 0.6 | 27 | 2.4 | 24.618a | 2 | <0.001 |
| Infiltration | 3 | 0.7 | 4 | 1.0 | 3 | 0.9 | 10 | 0.9 | 0.150 | 2 | 0.928 |
| Infusion | 10 | 2.4 | 14 | 3.4 | 6 | 1.9 | 30 | 2.6 | 1.713a | 2 | 0.425 |
| Vaccination | 25 | 6.1 | 17 | 4.1 | 2 | 0.6 | 44 | 3.8 | 14.824a | 2 | 0.001 |
| Manual Therapy | 3 | 0.7 | 3 | 0.7 | 3 | 0.9 | 9 | 0.8 | 0.118 | 2 | 0.943 |
| Minor Surgery | 2 | 0.5 | 1 | 0.2 | 2 | 0.6 | 5 | 0.4 | 0.680 | 2 | 0.7122 |
| Acute wound care | 10 | 2.4 | 7 | 1.7 | 5 | 1.6 | 22 | 1.9 | 0.944a | 2 | 0.624 |
| Chronic wound care | 5 | 1.2 | 2 | 0.5 | 2 | 0.6 | 9 | 0.8 | 1.540 | 2 | 0.463 |
| Other* | 6 | 1.5 | 13 | 3.1 | 22 | 6.8 | 41 | 3.6 | 15.386a | 2 | <0.001 |
Patients’ age according to organizational structure of the practice_
| Single practice | Group practice | PHC unit | Total | KW H | df | p | |
|---|---|---|---|---|---|---|---|
| n | 409 | 414 | 322 | 1145 | 2.203 | 2 | 0.332 |
| Minimum Age | 0 | 1 | 1 | 0 | |||
| Maximum Age | 99 | 94 | 94 | 99 | |||
| Mean Age | 51.2 | 50.4 | 49.4 | 50.4 | |||
| Median Age | 54 | 54 | 51 | 53 | |||
| SD | 24.3 | 23.1 | 20.8 | 22.9 |
