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[工作量对医生开药的影响]

[Effect of workload on physicians' drug prescribing].

作者信息

Ilan M, Amitai Y, Lubovski E

机构信息

Pediatrics Dept., Hadassah-University Hospital, Mount Scopus, Jerusalem.

出版信息

Harefuah. 1992 Jul;123(1-2):8-11, 72.

PMID:1505852
Abstract

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.

摘要

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。

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