初级保健医生在希腊抗生素处方的临床和行为实践。

Q3 Medicine Polski Merkuriusz Lekarski Pub Date : 2023-01-01 DOI:10.36740/Merkur202303103
Aikaterini Toska, Dimitra Latsou, Maria Saridi, Evangelos C Fradelos, Viktor Vus, Mary Geitona
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引用次数: 0

摘要

目的:目的:评价希腊特定地区初级卫生保健医生对抗生素使用的临床和行为做法。患者和方法:材料和方法:在伯罗奔尼撒地区初级卫生保健(PHC)的所有结构中使用问卷进行了横断面研究。该研究于2020年5月至10月进行。结果:404名基层卫生保健医师中,306名完成问卷调查,回复率为75.8%。结果显示,除预防继发性呼吸道感染外,大多数医生在常见疾病中使用经验性抗生素处方。总体而言,66.3%的人回答说,他们不觉得诊断的不确定性会导致他们开抗生素。大约40%的医生表示抗生素的使用和患者对抗生素处方的需求有所增加,但71.4%的医生“很少/从未”受到这一要求的影响。51.9%的样本使用处方品牌抗生素。人口学特征与专业特征、医师临床实践与行为实践差异有统计学意义(p≤0.05)。结论:我们的研究结果可以为决策者提供有关如何在国家初级卫生保健中管理抗生素处方的信息,主要关注特定诊断测试的使用以及改变处方行为的相关指南和方案。
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CLINICAL AND BEHAVIORAL PRACTICES OF PRIMARY HEALTHCARE PHYSICIANS IN ANTIBIOTICS PRESCRIBING IN GREECE.

Objective: Aim: To evaluate primary health physicians' clinical and behavioral practices towards antibiotics administration in a specific region in Greece.

Patients and methods: Materials and methods: A cross sectional study was conducted using a questionnaire in all structures of primary health care (PHC) of the Peloponnese Region. The study was conducted in May-October 2020.

Results: Results: In total, 306 out of 404 primary healthcare physicians completed the questionnaire (response rate of 75.8%). Our results showed that most of physicians used to prescribing antibiotics empirically in common diseases, except for the prevention of secondary respiratory tract infection. Overall, 66.3% answered that they do not feel diagnostic uncertainty that would lead them to prescribe antibiotics. Approximately 40% of the physicians stated an increase on antibiotics use and patients demand for antibiotic prescribing, however 71.4% "rarely/never" affected by this requirement. 51.9% of the sample used to prescribed brand name antibiotics. Statistically significant differences were found between demographic and professional characteristics, and physicians' clinical and behavioral practices (p≤ 0.05).

Conclusion: Conclusions: Our findings could provide decision makers with information on how to manage antibiotic prescribing in primary health care in the country, focusing mainly on the use of specific diagnostic tests as well as relevant guidelines and protocols for changing prescription behavior.

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来源期刊
Polski Merkuriusz Lekarski
Polski Merkuriusz Lekarski Medicine-Medicine (all)
CiteScore
1.90
自引率
0.00%
发文量
84
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