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Table 2 Difference in score on 26 dimensions of practice management# between practices and GPs*

From: Experience as a doctor in the developing world: does it benefit the clinical and organisational performance in general practice?

Dimensions of practice management; 566 practices

Number of indicators/dimension

Cron-bach's Alpha

Trop. exp 91 practices

Without trop. exp 475 practices

P-value

I Infrastructure of the practice

     

Hygiene and facilities in treatment room

8

.37

63,4%

58,4%

.001

Emergency facilities

10

.60

61,8%

65%

 

Advanced medical equipment in the practice

7

.49

49,4%

49,8%

 

Number of ophthalmological diagnostics

7

.55

43,4%

43,9%

 

Laboratory test facilities in the practice

8

.68

65,7%

62,5%

 

Patient score on organization of surgeries/availability *

6

.72

141,1

159,4

.02

Organization of the practice

11

.56

56,2%

51,1%

.001

Patient wants more consultation time

1

-

21,5%

19%

.001

Supply of preventive care

9

.54

59,3%

61%

 

II Team (Delegation and collaboration)

     

No of delegated medical administrative tasks

12

.77

60,5%

61,8%

 

Monitoring patients with chronic disease & prevention

11

.75

39,3%

44%

 

Collaboration in GP group

11

.68

70,1%

69,3%

 

Protocols on collaboration with hospital & specialists

7

.59

61,4%

53,8%

.01

III Communication and patient records

     

Use of EMD by the GP

9

.61

62,1%

65,1%

.04

Quality of the EMD

4

.64

66,2%

63,9%

 

Patient finds GP information in consultation adequate

3

.55

54,3%

56,2%

 

IV Quality improvement

     

Audit, assessment and other QI in the GP-group

8

.66

55,7%

50,8%

 

Quality assurance in the practice

10

.58

38,4%

34,4%

 

No. of hours/year of accredited post graduate training

1

hours

55,2%

53,5%

 

   Jobstress (GP level)

  

111 GPs

893 GPs

 

Job satisfaction: pleasure, interest, commitment

4

.72

8,1

7,9

 

Inappropriate demands by patients

4

.67

11,7

11,7

 

Experienced workload (feeling the end of the day)

16

.93

66,0

67,7

 

   Workload (calculated for full timers ≥ 90% fte)

  

49 GPs

492 GPs

 

Time spent on direct contact with patients (hrs/wk)

 

hours

32,6

34,4

 

Total of hours per week of practice activities

 

hours

52,5

53,8

 

Total workload in hrs/wk minus wanted workload

 

hours

10,1

11,3

 

Time spent on QI (inc. Reading, CME etc.)

 

hours

3,4

3,7

 
  1. # Logistic regression correcting for single handed and rural practice
  2. * Practices with (N = 91) or without (N = 475) and GPs with (N = 111) or without tropical experience (N = 893)
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