Lam T P, Lam K F
Family Medicine Unit, Department of Medicine, Department of Statistics and Actuarial Science, The University of Hong Kong, Hong Kong, ROC.
J Clin Pharm Ther. 2003 Jun;28(3):197-201. doi: 10.1046/j.1365-2710.2003.00485.x.
To examine the non-biomedical reasons which make family doctors over-prescribe antibiotics for upper respiratory tract infection (URTI) in a mixed private/public Asian setting.
The questionnaire was sent to the members of the Hong Kong College of Family Physicians between August and December 2001.
A total of 801 family doctors completed a postal questionnaire with an overall response rate of 65.0. A significant number of respondents (21.8) felt they might be prescribing antibiotics too often for URTI but the majority of them felt they were using antibiotics just a bit too often. Doctors who were older, more senior or in private practice were more likely to feel that they might be prescribing antibiotics too often. More than 50 of respondents thought that to satisfy the patient or his/her carer and fear of medicolegal problem if the patient deteriorates would make them very likely or likely to over-prescribe antibiotics for patients with URTIs. Public doctors might over-prescribe in order to save time, whereas private doctors might do so in order to keep patients in their practice.
The results showed that doctors with certain characteristics are more likely to over-prescribe antibiotics. Factors, other than biomedical ones, may play important roles in doctor's prescription of antibiotics for URTI.
探讨在亚洲公私混合环境下，导致家庭医生对上呼吸道感染（URTI）过度开具抗生素的非生物医学原因。
2001年8月至12月期间，向香港家庭医生学院的成员发放问卷。
共有801名家庭医生完成了邮寄问卷，总体回复率为65.0。相当一部分受访者（21.8）认为他们可能对上呼吸道感染开具抗生素过于频繁，但大多数人觉得自己只是稍微过于频繁地使用抗生素。年龄较大、资历较深或从事私人执业的医生更有可能觉得自己可能开具抗生素过于频繁。超过50%的受访者认为，为了满足患者或其照顾者的需求，以及担心患者病情恶化引发医疗法律问题，会使他们很可能或有可能为上呼吸道感染患者过度开具抗生素。公立医生可能为了节省时间而过度开具，而私立医生可能为了留住患者在其诊所就诊而这样做。
结果表明，具有某些特征的医生更有可能过度开具抗生素。除生物医学因素外，其他因素可能在医生对上呼吸道感染开具抗生素的过程中发挥重要作用。
