荷兰全科医生、执业人员及患者对呼吸道症状和抗生素的看法。
Views on respiratory tract symptoms and antibiotics of Dutch general practitioners, practice staff and patients.
作者信息
van Duijn Huug J, Kuyvenhoven Marijke M, Schellevis François G, Verheij Theo J M
机构信息
Julius Center for Health Sciences and Primary Care, University Medical Center (UMC), Str. 6.131, P.O. Box 85060, 3508 AB Utrecht, the Netherlands.
出版信息
Patient Educ Couns. 2006 Jun;61(3):342-7. doi: 10.1016/j.pec.2005.03.012. Epub 2005 Apr 21.
OBJECTIVES
To explore views on respiratory tract symptoms (cough, sore throat and earache) and antibiotics of GPs, practice staff, and patients.
METHODS
In a nationwide study, 181 GPs, 204 practice staff members and 1250 patients from 90 practices participated by answering 14 items relating to views on respiratory tract symptoms and antibiotics in a written questionnaire. Differences in means were compared.
RESULTS
Patients more than GPs endorsed the seriousness of respiratory tract symptoms, the need to consult a GP, the need to prescribe antibiotics, and the ability of antibiotics to speed up recovery. GPs were more than patients convinced of the self-limiting character of respiratory tract symptoms and of the fact that antibiotics have side effects. Practice staff took a middle ground in most of these views.
CONCLUSIONS
Differences between GPs, practice staff and patients must be taken into account when exploring patients' complaints and advising on treatment. Education and knowledge programmes for practice staff might be advocated.
目的
探讨全科医生、诊所工作人员和患者对呼吸道症状（咳嗽、喉咙痛和耳痛）及抗生素的看法。
方法
在一项全国性研究中，来自90家诊所的181名全科医生、204名诊所工作人员和1250名患者通过回答一份书面问卷中与呼吸道症状和抗生素看法相关的14个问题参与了研究。比较了均值差异。
结果
与全科医生相比，患者更认可呼吸道症状的严重性、咨询全科医生的必要性、开具抗生素的必要性以及抗生素加快康复的能力。全科医生比患者更确信呼吸道症状的自限性以及抗生素有副作用这一事实。在大多数这些看法上，诊所工作人员持中间立场。
结论
在探究患者的投诉并提供治疗建议时，必须考虑全科医生、诊所工作人员和患者之间的差异。或许可以倡导针对诊所工作人员的教育和知识项目。
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