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Table 2 Analysis of factors influencing family doctors’ work competency

From: Factors affecting the work competency and stability of family doctors in Shanghai: a tracking study

Variable

2013

2016

Estimate

Wald

P

95%CI

Estimate

Wald

P

95%CI

Lower Bound

Upper Bound

Lower Bound

Upper Bound

Age

−0.033

0.096

0.757

−0.240

0.175

−0.029

0.075

0.785

−0.239

0.180

Time of working(year)

Engaged in clinical work

−0.005

0.004

0.950

−0.158

0.149

0.044

0.133

0.716

−0.192

0.279

Engaged in community health service

−0.072

0.960

0.327

−0.215

0.072

−0.051

0.408

0.523

−0.208

0.106

Working as a family doctor

−0.198

2.134

0.144

−0.464

0.068

−0.118

0.697

0.404

−0.395

0.159

Working in community health service center

0.062

0.605

0.436

−0.095

0.219

0.038

0.219

0.640

−0.122

0.198

Gender

Male

−1.044

1.702

0.192

−2.611

0.524

0.591

0.464

0.496

−1.109

2.290

Female

0

.

.

.

.

0

.

.

.

.

Education

High school and below

8.485

1.728

0.189

−4.166

21.135

College degree

7.331

9.958

0.002

2.778

11.885

2.746

1.450

0.228

−1.723

7.215

Bachelor’s degree

5.078

9.212

0.002

1.799

8.357

1.716

1.287

0.257

−1.249

4.681

Master’s degree and above

0

.

.

.

.

0

.

.

.

.

Title

Primary title

3.747

2.855

0.091

−0.599

8.092

3.265

2.096

0.148

−1.155

7.685

Intermediate title

5.377

6.610

0.010

1.278

9.476

2.299

1.642

0.200

−1.217

5.816

Senior title

0

.

.

.

.

0

.

.

.

.

Physician classification

General practitioner

0.252

0.017

0.895

−3.479

3.982

−0.725

0.488

0.485

−2.762

1.311

Clinician practitioner

−0.152

0.003

0.957

−5.640

5.337

−1.284

0.351

0.554

−5.532

2.965

Chinese medicine practitioner

0.507

0.058

0.810

−3.622

4.636

0

.

.

.

.

Other

0

.

.

.

.

Employment forms

Officially edited

1.891

0.292

0.589

−4.970

8.752

3.750

3.226

0.072

−0.342

7.842

Labor dispatch system

3.168

0.769

0.381

−3.913

10.249

1.375

0.181

0.671

−4.966

7.715

Temporary contract system

3.713

0.887

0.346

−4.014

11.440

Other

0

.

.

.

.

0

.

.

.

.

General practitioner qualification

Yea

−1.100

0.559

0.455

−3.984

1.784

−0.260

0.016

0.900

−4.318

3.797

No

0

.

.

.

.

0

.

.

.

.

General practitioner standardized training

Yea

−1.306

2.971

0.085

−2.792

0.179

−0.823

0.930

0.335

−2.497

0.850

No

0

.

.

.

.

0

.

.

.

.

Team configuration

Reasonable

−3.211

6.642

0.010

−5.653

−0.769

−0.555

0.239

0.625

−2.782

1.672

Unreasonable

0.404

0.243

0.622

−1.201

2.009

−1.325

1.623

0.203

−3.363

0.713

Uncertain

0

.

.

.

.

0

.

.

.

.

Relationship with the team

Parallel position

1.727

2.145

0.143

−0.584

4.039

0.132

0.008

0.930

−2.831

3.095

Core position

0.041

0.002

0.968

−1.946

2.028

0.136

0.008

0.927

−2.795

3.068

Passive status

−1.105

1.019

0.313

−3.249

1.040

0.626

0.070

0.792

−4.020

5.272

Complex relationship

0

.

.

.

.

0

.

.

.

.

Job training

Necessary

−4.164

7.052

0.008

−7.237

−1.091

2.092

1.519

0.218

−1.235

5.419

Occasionally required

−4.133

7.884

0.005

−7.018

−1.248

3.172

3.863

0.049

0.009

6.336

Not required

−5.436

8.824

0.003

−9.023

−1.849

0

.

.

.

.

Never required

0

.

.

.

.

Grasping the specific content of the family doctor system

Very clear

−4.944

2.265

0.132

−11.383

1.494

−2.495

0.809

0.368

−7.930

2.940

Clearer

−6.715

4.507

0.034

−12.914

−0.516

−1.752

0.518

0.472

−6.526

3.021

General

−5.425

3.223

0.073

−11.348

0.497

0

.

.

.

.

Not sure

0

.

.

.

.

Clear about the job responsibilities

Very clear

3.296

0.619

0.432

−4.917

11.509

0.942

0.101

0.751

− 4.873

6.757

Clearer

5.618

1.825

0.177

−2.532

13.769

2.720

0.855

0.355

−3.046

8.486

General

1.399

0.135

0.713

−6.066

8.864

0

.

.

.

.

Not sure

0

.

.

.

.

Ability to play and demonstrate as a family doctor

Fully play

24.394

176.421

0.000

20.794

27.993

−4.766

5.320

0.021

−8.816

−0.716

Play

21.458

364.736

0.000

19.255

23.660

− 0.613

0.433

0.510

−2.436

1.211

General

22.066

450.147

0.000

20.028

24.105

0

.

.

.

.

Difficult to play

23.176

.

.

23.176

23.176

Not able to play

0

.

.

.

.

Log pseudo likelihood

95.414

77.315

Chi-square value (P value)

68.534 (0.001)

50.130 (0.012)

Pseudo R2

0.479

0.391