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沙特阿拉伯利雅得市初级保健医生处方行为的决定因素。

Determinants of physicians' medication prescribing behaviour in primary care in Riyadh City, Saudi Arabia.

机构信息

Department of Medical Education, College of Medicine, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

出版信息

East Mediterr Health J. 2011 Feb;17(2):160-6.

PMID:21735952
Abstract

This study in Saudi Arabia explored the determinants of physicians' prescribing behaviour in primary care in Riyadh city. A self-administered questionnaire designed to explore factors influencing prescribing (sociodemographic factors; practice setting; continuing education; access to educational materials; pharmaceutical company representatives; and patient factors) was completed by 87 PHC physicians. A factor analysis of 56 variables extracted 7 factors that explained 46% of the variance. Of these, 4 components positively related to perceived good prescribing behaviour could be summarized as: clinical experience of physicians; use of educational materials for continuous updating of medical knowledge; enhanced levels of continuing medical education and willingness to involve patients in decision-making; and working as a team using pharmacists for consultation and emphasizing the role of medical education. The other 3 factors derived from the analysis were less easy to interpret and may have been statistical anomalies (or measurement errors).

摘要

这项在沙特阿拉伯进行的研究探讨了利雅得市初级保健医生处方行为的决定因素。研究采用自填式问卷,旨在探讨影响处方的因素(社会人口因素;执业环境;继续教育;获取教育材料的机会;制药公司代表;以及患者因素),共有 87 名 PHC 医生完成了问卷。对 56 个变量进行因子分析,提取出 7 个因子,解释了 46%的方差。其中,4 个与良好的处方行为感知呈正相关的组成部分可以概括为:医生的临床经验;使用教育材料不断更新医学知识;提高继续医学教育水平并愿意让患者参与决策;以及作为一个团队,与药剂师协商并强调医学教育的作用。从分析中得出的另外 3 个因素则较难解释,可能是统计异常(或测量误差)。

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