Laboratory for Mother and Child Health, Department of Public Health, Mario Negri Institute for Pharmacological Research, via Giuseppe La Masa 19, Milan, 20156, Italy.
Eur J Clin Pharmacol. 2010 May;66(5):519-24. doi: 10.1007/s00228-010-0786-5. Epub 2010 Feb 4.
To compare family paediatricians' and general practitioners' habits on drug prescribing to children.
Prescriptions reimbursed by the Health Service and dispensed by the retail pharmacies of 15 local health units in the Lombardy Region of Italy during 2005 were analysed. Only family paediatricians and general practitioners who were in charge of children aged 6-13 years were included.
During 2005, 239,296 children (43.6% of the selected population) received at least one drug prescription. The prevalence was higher in children treated by general practitioners (44.2 versus 43.4%), in particular in children 13 years old, with a prevalence of 38.7 versus 31.8% in children cared for by general practitioners and family paediatricians respectively. The prevalence of the most prescribed therapeutic classes was similar in the two groups. Some differences were found concerning the antibiotic classes, with family paediatricians prescribing penicillins more frequently and general practitioners prescribing macrolides and cephalosporins more frequently. A total of 542 drugs were prescribed, 78% of which were prescribed by both the family paediatricians and the general practitioners. In all, only four drugs were prescribed by 75% or more physicians. The chance of receiving a drug prescription, adjusted for age, gender and local health unit of residence, was slightly higher in children cared for by general practitioners (OR 1.16; 95%CI 1.14-1.17).
Few differences were found between the prescribing patterns of family paediatricians and those of general practitioners. Differences exist in particular for older children and for some drug classes.
比较家庭儿科医生和全科医生给儿童开处方的习惯。
分析了 2005 年意大利伦巴第地区 15 个地方卫生单位的医疗服务报销和零售药店配药的处方。只包括负责 6-13 岁儿童的家庭儿科医生和全科医生。
2005 年，239296 名儿童（所选人群的 43.6%）至少接受了一次药物处方。全科医生治疗的儿童患病率较高（44.2%比 43.4%），特别是 13 岁的儿童，全科医生和家庭儿科医生分别照顾的儿童患病率分别为 38.7%和 31.8%。两组最常开处方的治疗类别患病率相似。在抗生素类别方面存在一些差异，家庭儿科医生更常开青霉素类药物，而全科医生更常开大环内酯类和头孢菌素类药物。共开了 542 种药物，其中 78%是由家庭儿科医生和全科医生共同开的。总共只有四种药物有 75%或以上的医生开。在调整年龄、性别和居住地的地方卫生单位后，全科医生照顾的儿童接受药物处方的机会略高（OR 1.16；95%CI 1.14-1.17）。
家庭儿科医生和全科医生的处方模式差异不大。差异主要存在于年龄较大的儿童和某些药物类别。
