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

English | 正體中文 | 简体中文 | Items with full text/Total items : 45422/58598 (78%)
Visitors : 2524275 Online Users : 210

RC Version 7.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.

Home ‧ Login ‧ Upload ‧ Help ‧ About ‧ Administer

TMUIR > College of Medicine > Department of Medicine > Department of Pediatrics > Original Paper > Item 987654321/44679

Please use this identifier to cite or link to this item: http://libir.tmu.edu.tw/handle/987654321/44679

Title:	Doctor characteristics and prescribing antibiotics for urinary tract infections: the experience of an Asian country
Authors:	Lin,Yi-Chun;Lin,Herng-Ching;林秀真
Contributors:	台北醫學大學附設醫院小兒學科
Keywords:	broad-spectrum antibiotics;prescribing;behaviour;urinary tract infections
Date:	2010
Issue Date:	2012-01-16 16:08:26 (UTC+8)
Abstract:	Abstract 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.
Relation:	Journal of evaluation in clinical practice. 16(6): 1221–1226.
Appears in Collections:	[Department of Pediatrics] Original Paper

Files in This Item:

File	Size	Format
Doctor characteristics and prescribing antibiotics for urinary tract infections: the experience of an Asian country	0Kb	HTML	164	View/Open

著作權聲明 Copyright Notice

本平台之數位內容為臺北醫學大學所收錄之機構典藏，包含體系內各式學術著作及學術產出。秉持開放取用的精神，提供使用者進行資料檢索、下載與取用，惟仍請適度、合理地於合法範圍內使用本平台之內容，以尊重著作權人之權益。商業上之利用，請先取得著作權人之授權。
The digital content on this platform is part of the Taipei Medical University Institutional Repository, featuring various academic works and outputs from the institution. It offers free access to academic research and public education for non-commercial use. Please use the content appropriately and within legal boundaries to respect copyright owners' rights. For commercial use, please obtain prior authorization from the copyright owner.
瀏覽或使用本平台，視同使用者已完全接受並瞭解聲明中所有規範、中華民國相關法規、一切國際網路規定及使用慣例，並不得為任何不法目的使用TMUIR。
By utilising the platform, users are deemed to have fully accepted and understood all the regulations set out in the statement, relevant laws of the Republic of China, all international internet regulations, and usage conventions. Furthermore, users must not use TMUIR for any illegal purposes.
本平台盡力防止侵害著作權人之權益。若發現本平台之數位內容有侵害著作權人權益情事者，煩請權利人通知本平台維護人員([email protected])，將立即採取移除該數位著作等補救措施。
TMUIR is made to protect the interests of copyright owners. If you believe that any material on the website infringes copyright, please contact our staff([email protected]). We will remove the work from the repository.

Loading...