是什么影响医生的处方开具？再谈咽喉痛
What influences doctors' prescribing? Sore throats revisited.
作者信息
Pitts J, Vincent S
出版信息
J R Coll Gen Pract. 1989 Feb;39(319):65-6.
Abstract
An audit of two practices in 1987 revealed a wide range of antibiotic prescribing for acute sore throat among the general practitioners. The data were presented at a postgraduate meeting and recommendations were made for a practice policy on antibiotic prescribing. The results of studies that looked at the objectives of treatment were included at that meeting. This paper presents a re-evaluation of the same doctors' antibiotic prescribing one-year later. Changes had occurred in the range and costs of drugs chosen, but individual doctors' prescribing rates remained broadly similar, in other words it was easier to influence what, but not whether, a doctor prescribes for this clinical condition. The existence of a prescribing 'threshold' within the individual doctor is supported.
摘要
1987年对两家诊所的一项审查发现，全科医生针对急性咽痛开出的抗生素种类繁多。这些数据在一次研究生会议上公布，并就抗生素处方的执业政策提出了建议。那次会议还纳入了研究治疗目标的研究结果。本文展示了一年后对同一些医生抗生素处方情况的重新评估。所选药物的种类和成本发生了变化，但个别医生的处方率大致保持不变，也就是说，影响医生针对这种临床病症开什么药比较容易，但影响是否开药则较难。这支持了个别医生存在处方“阈值”的观点。
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本文引用的文献
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Do general practitioners have different "referral thresholds"?全科医生有不同的“转诊阈值”吗？
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