급성 상기도 질환에서 일차의료의사의 항생제 처방에 영향을 주는 요인Factors Influencing Antibiotics Prescribing of Primary Health Physicians in Acute Upper Respiratory Infections
- Authors
- 김남순; 장숙랑; 장선미
- Issue Date
- Feb-2005
- Publisher
- 대한예방의학회
- Keywords
- Antibiotic prescription; Primary health physicians; Upper respiratory Tract infections
- Citation
- 예방의학회지, v.38, no.1, pp 1 - 8
- Pages
- 8
- Journal Title
- 예방의학회지
- Volume
- 38
- Number
- 1
- Start Page
- 1
- End Page
- 8
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/57283
- ISSN
- 1975-8375
2233-4521
- Abstract
- To explore the factors influencing antibiotics prescription by primary health physicians for acute upper respiratory infections(URI).
Methods : We performed a survey of 370 primary health physicians randomly sampled in April, 2003. The questionnaire consisted of a prescription on the scenario of acute bronchitis case, along with opinions and reasons for prescribing antibiotics on URI.
Results : We found that 54.7% of the physicians prescribed antibiotics on the example case of acute bronchitis which is known as not needing antibiotics. Female physicians and ENT physicians had a greater tendency to prescribe antibiotics. The factors influencing antibiotics prescription on URI were the belief about the effectiveness of antibiotics, preference for their own experiences rather than clinical guidelines, perception of patients' expectations, and perception of competitive environment. The prescription of antibiotics in the example case was affected by how much they usually prescribe antibiotics (OR=2.400, 95% CI=1.470-3.917) and the physicians who thought that antibiotics were helpful for their income prescribed antibiotics more than others (OR=6.773, 95% CI=1.816-25.254).
Conclusion : These findings demonstrated that the false belief on the effectiveness of antibiotics, patient's expectation of medication and fast relief of symptoms, and
perception of competitive environment all affected the physicians’ prescription of antibiotics on URI. It may help to find barriers to accommodate scientific evidence and clinical guidelines among physicians and to specify subgroups for education about appropriate prescription behaviors.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - Red Cross College of Nursing > Department of Nursing > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/57283)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.