Bro F, Mabeck C E
Institute of General Practice, University of Aarhus, Denmark.
Scand J Prim Health Care. 1988 Sep;6(3):175-8. doi: 10.3109/02813438809009312.
The present study describes the use of phenoxymethylpenicillin and broad-spectrum penicillin for the treatment of sinusitis in general practice, in relation to some variables related to the prescribing doctors: region (county), practice form (single-handed or partnership), and the doctors' seniority (year of graduation). Log-linear analysis was used to make it possible to evaluate the influence of single factors. There was considerable variation between the counties included in the study. Practitioners in partnership practices used phenoxymethylpenicillin more frequently and broad-spectrum penicillin less frequently in the treatment of patients with sinusitis, compared with their colleagues in single-handed practices. Younger practitioners chose broad-spectrum penicillin more frequently and phenoxymethylpenicillin less frequently than their older colleagues. The individual practitioner was rather stable in his choice of drug for the treatment of consecutive patients with the same diagnosis.
本研究描述了在全科医疗中使用苯氧甲基青霉素和广谱青霉素治疗鼻窦炎的情况，涉及一些与开处方医生相关的变量：地区（县）、执业形式（单人执业或合伙执业）以及医生资历（毕业年份）。采用对数线性分析以便能够评估单一因素的影响。纳入研究的各县之间存在相当大的差异。与单人执业的同行相比，合伙执业的从业者在治疗鼻窦炎患者时更频繁地使用苯氧甲基青霉素，而较少使用广谱青霉素。年轻从业者比年长同行更频繁地选择广谱青霉素，而较少选择苯氧甲基青霉素。个体从业者在为连续患有相同诊断疾病的患者选择治疗药物方面相当稳定。
