影响家庭医生处方行为的因素：伊朗胡齐斯坦省的一项横断面研究。
Factors affecting family physicians' drug prescribing: a cross-sectional study in Khuzestan, Iran.
机构信息
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. ; Department of Health Services Management, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
出版信息
Int J Health Policy Manag. 2014 Oct 20;3(7):377-81. doi: 10.15171/ijhpm.2014.103. eCollection 2014 Dec.
BACKGROUND
Rational prescription is a considerable issue which must be paid more attention to assess the behavior of prescribers. The aim of this study was to examine factors affecting family physicians' drug prescribing.
METHODS
We carried out a retrospective cross-sectional study in Khuzestan province, Iran in 2011. Nine hundred eighty-six prescriptions of 421 family physicians (including 324 urban and 97 rural family physicians) were selected randomly. A multivariate Poisson regression was used to investigate potential determinants of the number of prescribed drug per patient.
RESULTS
The mean of medication per patient was 2.6 ± 1.2 items. In the majority (91.9%) of visits a drugs was prescribed. The most frequent dosage forms were tablets, syrups and injection in 30.1%, 26.9%, and 18.7% of cases respectively. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) and antibiotics were 29.7% and 17.1% of prescribed drugs respectively. The tablets were the most frequent dosage forms (38.6% of cases) in adult's patients and syrups were the most frequent dosage forms (49% of cases) in less than 18 years old. Paracetamols were popular form of NSAIDs in two patients groups. The most common prescribed medications were oral form.
CONCLUSION
In Khuzestan, the mean of medication per patient was fewer than national average. Approximately, pattern of prescribed drug by family physicians (including dosage form and type of drugs) was similar to other provinces of Iran.
背景
合理处方是一个需要引起更多关注的重要问题，以评估医生的行为。本研究旨在探讨影响家庭医生处方行为的因素。
方法
我们于 2011 年在伊朗胡齐斯坦省进行了一项回顾性横断面研究。随机抽取了 421 名家庭医生（包括 324 名城市家庭医生和 97 名农村家庭医生）的 986 张处方。采用多变量泊松回归分析调查影响每位患者处方药物数量的潜在决定因素。
结果
每位患者的平均用药量为 2.6 ± 1.2 种。在大多数（91.9%）就诊中都开具了药物。最常见的剂型是片剂、糖浆剂和注射剂，分别占 30.1%、26.9%和 18.7%。非甾体抗炎药（NSAIDs）和抗生素分别占处方药物的 29.7%和 17.1%。片剂是成人患者最常见的剂型（占 38.6%的病例），糖浆剂是 18 岁以下患者最常见的剂型（占 49%的病例）。对乙酰氨基酚是这两个患者群体中 NSAIDs 最常见的剂型。最常用的处方药物是口服剂型。
结论
在胡齐斯坦省，每位患者的平均用药量低于全国平均水平。家庭医生的处方药物模式（包括剂型和药物类型）与伊朗其他省份相似。
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