Doctor characteristics and prescribing antibiotics for urinary tract infections: The experience of an Asian country

研究成果: 雜誌貢獻文章同行評審

3 引文 斯高帕斯(Scopus)

摘要

Rationale, aims and objectives This study aims to explore the relationship between doctor characteristics and prescribing behaviour for patients with urinary tract infections (UTIs) using a 2-year population-based data set in Taiwan. Methods This study used data from the Taiwan National Health Insurance Research Database. Our study sample consists of first-time ambulatory care visits for treatment of UTIs among female patients between 2005 and 2006 (n = 45 934). The primary outcome studied was 'whether a broad-spectrum antibiotic was prescribed', and the key independent variables were 'doctor characteristics'. Doctor characteristics included gender, age (<41, 41-50, >50), specialty, type (hospital-based vs. office-based) and practice location. Multivariate logistic regression analysis using generalized estimated equations was performed to assess the adjusted odds ratio of the doctors using broad-spectrum antibiotics. Results Among the sampled patients, 13.5% were prescribed broad-spectrum antibiotics at their first visit for treatment of UTIs. The adjusted odds of prescribing second-line antibiotics for doctors aged between 41-50 years and >50 years were 0.80 (P < 0.001) and 0.90 (P = 0.007) times, respectively, that of doctors aged <41 years. Doctors specializing in family medicine were 1.10 (P = 0.006) times more likely than doctors specializing in obstetrics and gynaecology to prescribe broad-spectrum, and office-based doctors were 1.41 (P < 0.001) times more likely than hospital-based doctors to do so. Conclusions We conclude that there is variation in doctor prescribing behaviour of antimicrobial therapy for UTIs, after adjusting for possible confounding factors. Continuing medical education and intervention should be designed for doctor groups with undesirable performance in prescribing antibiotics.

原文英語
頁(從 - 到)1221-1226
頁數6
期刊Journal of Evaluation in Clinical Practice
16
發行號6
DOIs
出版狀態已發佈 - 12月 2010

ASJC Scopus subject areas

  • 公共衛生、環境和職業健康
  • 健康政策

指紋

深入研究「Doctor characteristics and prescribing antibiotics for urinary tract infections: The experience of an Asian country」主題。共同形成了獨特的指紋。

引用此