专科医生对全科医生开处方的影响。一项定性研究。
The influence of specialists on prescribing by GPs. A qualitative study.
作者信息
Robertson Jane, Treloar Carla J, Sprogis Arn, Henry David A
机构信息
School of Medical Practice and Population Health, Faculty of Health, University of Newcastle, New South Wales.
出版信息
Aust Fam Physician. 2003 Jul;32(7):573-6.
OBJECTIVE
To investigate specialists' influence on prescribing by general practitioners.
METHOD
A focus group study of 35 GPs.
SETTING
Hunter Urban Division of General Practice, New South Wales.
RESULTS
Although GPs thought specialists had only a small influence on their prescribing overall, it was substantial in some clinical areas, in complex conditions and conditions seen infrequently. Specialists were seen as authoritative and unbiased. Local specialists were particularly influential. Specialist influence came from seeing how specialists managed patients, clinical meetings, and specific verbal advice. It influenced the prescribing of new drugs, selection of drugs within a class and sometimes changed established prescribing practices.
DISCUSSION
Interventions to change GPs' prescribing practices should address the importance of specialist influence, and not focus on GPs alone.
目的
探讨专科医生对全科医生处方的影响。
方法
对35名全科医生进行焦点小组研究。
地点
新南威尔士州亨特城市全科医学分部。
结果
尽管全科医生认为专科医生对其总体处方的影响较小，但在某些临床领域、复杂病症和罕见病症中影响很大。专科医生被视为具有权威性且公正无偏。当地专科医生的影响力尤为显著。专科医生的影响来自于观察专科医生如何治疗患者、临床会议以及具体的口头建议。它影响新药的处方、同类药物的选择，有时还会改变既定的处方习惯。
讨论
改变全科医生处方习惯的干预措施应考虑专科医生影响的重要性，而不应仅关注全科医生。
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