Pamukkale University School of Medicine, Denizli, Turkey.
Eur Rev Med Pharmacol Sci. 2022 Mar;26(5):1701-1707. doi: 10.26355/eurrev_202203_28239.
This study aimed at evaluating physicians' attitudes towards the rational use of drugs (RUD) at a training and research hospital.
This cross-sectional study was conducted in a training and research hospital affiliated with the Ministry of Health between December 2014 and April 2015. All 424 active-duty physicians were asked to participate in the survey study. Of these physicians, 193 (45.5%) volunteered to respond to a 64-item survey. A total of 193 (45.5%) physicians volunteered to participate in the study. The chi-squared test, ANOVA, and multiple logistic regression analysis were used for the evaluation of the study data.
Of the physicians who participated in the study, 58.0% were male. Prescriptions were dispensed for 52.73% (± 27.44) of the patients, with a mean of 2.67±0.98 items per prescription. The rational use of drugs was defined as prescribing an effective drug for the patient (85.4%), prescribing an appropriate drug for the patient (84.9%), and prescribing a safe drug for the patient (77.2%). Compared to residents, the prescription preferences of specialists were affected 2-fold by follow-up visit (p=0.010, β 0.694, CI 1.180 3.396), 1-fold by patient examination percentage (p=0.002, β 0.022, CI 1.008 1.037), and 3.5-fold by prescribing iron supplements (p=0.001, β 1.274, CI 1.644 7.774) (R2 0.259, p=0.001).
The results of the study showed that tertiary hospital specialists and residents have similar attitudes towards patients, their prescribing preferences and RUD knowledge level. This study provides comprehensive information on physicians' attitudes towards RUD.
本研究旨在评估一所培训和研究医院的医生对合理用药（RUD）的态度。
本横断面研究于 2014 年 12 月至 2015 年 4 月在卫生部下属的一所培训和研究医院进行。所有 424 名在职医生均被要求参与调查研究。在这些医生中，有 193 名（45.5%）自愿对 64 项调查进行了回应。共有 193 名（45.5%）医生自愿参与了这项研究。采用卡方检验、方差分析和多因素逻辑回归分析评估研究数据。
参与研究的医生中，58.0%为男性。为 52.73%（±27.44）的患者开具了处方，每张处方的平均用药数量为 2.67±0.98 种。药物的合理使用被定义为为患者开具有效药物（85.4%）、开具适合患者的药物（84.9%）和开具安全药物（77.2%）。与住院医师相比，专家的处方偏好受随访（p=0.010，β0.694，CI 1.180 3.396）、患者检查比例（p=0.002，β0.022，CI 1.008 1.037）和开具铁补充剂（p=0.001，β1.274，CI 1.644 7.774）的影响分别为 2 倍、1 倍和 3.5 倍（R2 0.259，p=0.001）。
研究结果表明，三级医院的专家和住院医师对患者、他们的处方偏好和 RUD 知识水平的态度相似。本研究提供了关于医生对 RUD 的态度的综合信息。
