Ilan M, Amitai Y, Lubovski E
Pediatrics Dept., Hadassah-University Hospital, Mount Scopus, Jerusalem.
Harefuah. 1992 Jul;123(1-2):8-11, 72.
The possible effect of workload on the prescribing of drugs by physicians was studied in 10 primary care pediatricians during a 1-month period. The intraphysician variability revealed a positive correlation (p less than 0.05) between workload and prescription of antibiotics in the case of 2 of the physicians and a negative correlation (p less than 0.05) between workload and prescription of all drug items in another physician. The prescribing of the other 7 was not affected by changes in daily workload. The interphysician variability study revealed a significantly increased rate of prescription of analgesics/antipyretics by physicians with increased monthly workload (r = 0.91, p less than 0.001). These results suggest that although the prescribing habits of a minority of physicians may be affected by their workloads, prescription rates remain stable for the individual physician on most occasions. However, physicians with high workloads tend to prescribe more analgesics/antipyretics than those with low workloads.
在1个月的时间里，对10名基层儿科医生的工作量对其开药情况的可能影响进行了研究。医生内部的差异显示，在2名医生中，工作量与抗生素处方之间呈正相关（p<0.05），而在另一名医生中，工作量与所有药品处方之间呈负相关（p<0.05）。其他7名医生的开药情况不受每日工作量变化的影响。医生之间的差异研究显示，随着每月工作量的增加，医生开具镇痛药/退热药的比例显著上升（r = 0.91，p<0.001）。这些结果表明，虽然少数医生的开药习惯可能会受到工作量的影响，但在大多数情况下，个体医生的处方率保持稳定。然而，工作量大的医生比工作量小的医生倾向于开具更多的镇痛药/退热药。
