Friis H, Bro F, Eriksen N R, Mabeck C E, Vejlsgaard R
Department of clinical microbiology, Slagelse Hospital, Denmark.
Scand J Prim Health Care. 1993 Dec;11(4):247-51. doi: 10.3109/02813439308994839.
To examine the effect of a reduction on the reimbursement of drugs on the use of antibiotics by general practitioners in Denmark.
A prospective study using a questionnaire comparing the results with a similar study 3 years before, a period with normal reimbursement.
553 general practitioners prescribed antibiotics for 5765 patients.
Number of treated patients and choice of antibiotics.
7607 patients were treated in 1987 compared with 5765 in 1990, the relative number of patients treated for sinusitis, other upper respiratory tract infections, acute bronchitis, pneumonia and upper gynaecological infections was significantly less in 1990 than in 1987. Other infections, particularly those that are often diagnosed by culture or microscopy by the general practitioners themselves, increased significantly. They included tonsillitis and urinary tract infections.
Reimbursement can be a very powerful tool controlling the use of antibiotics by general practitioners.
研究丹麦药品报销额度降低对全科医生使用抗生素的影响。
一项前瞻性研究，采用问卷调查，并将结果与3年前类似研究（正常报销时期）的结果进行比较。
553名全科医生为5765名患者开具了抗生素处方。
接受治疗的患者数量及抗生素的选择。
1987年有7607名患者接受治疗，而1990年为5765名。1990年因鼻窦炎、其他上呼吸道感染、急性支气管炎、肺炎和上生殖道感染接受治疗的患者相对数量显著少于1987年。其他感染，尤其是那些通常由全科医生通过培养或显微镜检查诊断的感染显著增加。其中包括扁桃体炎和尿路感染。
报销额度可以成为控制全科医生使用抗生素的有力工具。
