Soma Marianne, Slapgård Hildegunn, Lerberg Marianne, Lindbaek Morten
Institutt for allmenn- og samfunnsmedisin, Postboks 1130 Blindern, Universitetet i Oslo, 0318 Oslo.
Tidsskr Nor Laegeforen. 2005 Aug 11;125(15):1994-7.
We wanted to examine patients' expectations for antibiotics when presenting with symptoms of ARTI, and also to see whether there were any differences in this respect between Norwegians and immigrants. In addition we wanted to find out whether doctors perceived these expectations and whether it influenced their prescribing.
Questionnaire survey at the Oslo emergency service; 180 patients with symptoms of ARTI and 27 doctors participated. The patients were divided into a Nordic and a non-Nordic group.
Among the patients, 38% expected antibiotics. There were no significant differences between the Nordic and the non-Nordic group. Patients who reported they were very/quite ill wanted antibiotics more often than those who reported they were quite well. Age above 30 was also associated with expectation of antibiotics. The doctors perceived the expectations of 41% of the patients who wanted antibiotics and of 69% of those who didn't. When the doctor thought patients wanted antibiotics, 56% of them got a prescription.
Less than half of the patients with symptoms of ARTI wanted antibiotics. There were no differences between Norwegians and immigrants. The doctors were better at perceiving negative expectations for antibiotics. We have reason to believe that doctors' perceptions of patient expectations influence their prescribing.
我们想要研究出现急性呼吸道感染（ARTI）症状的患者对抗生素的期望，同时了解挪威人和移民在这方面是否存在差异。此外，我们还想弄清楚医生是否察觉到了这些期望以及这是否会影响他们的处方开具。
在奥斯陆急救中心进行问卷调查；180名出现ARTI症状的患者和27名医生参与其中。患者被分为北欧组和非北欧组。
在患者中，38%期望使用抗生素。北欧组和非北欧组之间无显著差异。报告自己病情非常/相当严重的患者比报告自己病情尚可的患者更常期望使用抗生素。30岁以上的年龄也与对抗生素的期望相关。医生察觉到了41%期望使用抗生素的患者以及69%不期望使用抗生素的患者的期望。当医生认为患者期望使用抗生素时，其中56%的患者会拿到处方。
出现ARTI症状的患者中不到一半期望使用抗生素。挪威人和移民之间没有差异。医生更善于察觉到对抗生素的负面期望。我们有理由相信医生对患者期望的认知会影响他们的处方开具。
