Prescription rates and diagnostic patterns are stable: A comparison of high-, medium- and low-prescribing primary care physicians treating community-acquired respiratory tract infections

Autor:	Jorma Leistevuo, Solja Huikko, Ulla-Maija Rautakorpi, Tiina Leistevuo, Pekka O. Honkanen, Timo Klaukka, Marjukka Mäkelä, Erkki Palva, Risto Roine, Hannu Sarkkinen, Helena Varonen, Pentti Huovinen, null THE MIKSTRA COLLABORATIVE STUDY GRO
Rok vydání:	2005
Předmět:	Microbiology (medical) Pediatrics medicine.medical_specialty Drug Prescriptions Internal medicine Odds Ratio medicine Humans Practice Patterns Physicians' Medical prescription Respiratory Tract Infections Case report form Antibacterial agent General Immunology and Microbiology Respiratory tract infections business.industry General Medicine Odds ratio medicine.disease Drug Utilization Confidence interval Anti-Bacterial Agents Community-Acquired Infections Infectious Diseases Upper respiratory tract infection Otitis medicine.symptom business
Zdroj:	Scandinavian Journal of Infectious Diseases. 37:465-470
ISSN:	1651-1980 0036-5548
DOI:	10.1080/00365540510037975
Popis:	The objective was to study prescription practices of primary care physicians in prescribing antibiotics for community-acquired respiratory tract infections. Design was time series analysis and cross-sectional survey. The setting was 30 community primary health care centres. A case report form was completed for 3478 patient consultations treated by 198 office-based primary care physicians. Main outcome measures were: classification of diagnoses of respiratory tract infections made by each physician; number of antibiotic prescriptions related to these diagnoses; each physician's mean weekly number of antibiotic prescriptions during 6 months before and after the survey. Patients' risk (odds ratio: OR) to receive an antibiotic prescription from the high and medium prescribers was 5.81 (95% confidence interval [CI] 4.85-6.96) and 2.41 (95% CI 2.04-2.86), compared to low prescribers. High and medium prescribers made more diagnoses of otitis media (OR 2.07, 95% CI 1.70-2.53 and 1.85, 95% CI 1.51-2.26, respectively) and fewer diagnoses of unspecified upper respiratory tract infection (OR 0.32, 95% CI 0.26-0.38 and 0.57, 95% CI 0.48-0.68, respectively) than low prescribers. The rank of the prescription rate of high, medium and low prescriber groups remained the same for all diagnoses except pneumonia. In addition, the annual rank between high, medium and low prescriber groups remained stable; high group prescribed more antibiotics during the year than medium group, which prescribed more than low prescriber group.
Databáze:	OpenAIRE
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