Cars H, Håkansson A
Teleborg Health Centre, Växjö, Sweden.
Scand J Prim Health Care. 1997 Mar;15(1):22-5. doi: 10.3109/02813439709043424.
To study how different categories of physicians prescribe antibiotics for children with respiratory tract infections.
Prescriptions of antibiotics for children less than 15 years of age were registered at the pharmacies in the municipality of Växjö during the month of March from 1990 to 1993.
Three categories of physicians were studied: district, hospital, and private. They made 3047 prescriptions for one of the following groups of antibiotics: penicillin V, ampicillin derivatives, erythromycin or other macrolides, and peroral cephalosporins.
The choice and cost of drug for each physician category. The proportion of prescriptions made by district physicians in relation to distance from town centre and doctor density in local health centre.
The district physicians used penicillin V more frequently (70% of prescriptions) than the other categories of physicians (50% and 19%), but ampicillin derivatives and cephalosporins less frequently. District physicians had a lower cost per prescription in general (SEK 92) than hospital physicians (SEK 110) and private physicians (SEK 175). The proportion of prescriptions issued by district physicians increased with increasing distance from the town centre and with higher doctor density in the local health centre.
District physicians use more penicillin V, and have a lower cost per prescription, than other physicians. This might be due to differing infectious disease panoramas, but can also reflect differences in practice and attitudes.
研究不同类别的医生如何为呼吸道感染儿童开具抗生素处方。
1990年至1993年3月期间，在韦克舍市的药店登记了15岁以下儿童的抗生素处方。
研究了三类医生：地区医生、医院医生和私人医生。他们为以下抗生素组之一开具了3047张处方：青霉素V、氨苄西林衍生物、红霉素或其他大环内酯类药物以及口服头孢菌素。
各医生类别的药物选择和成本。地区医生开具的处方比例与距市中心的距离以及当地医疗中心的医生密度的关系。
地区医生比其他类别医生（分别为50%和19%）更频繁地使用青霉素V（占处方的70%），但使用氨苄西林衍生物和头孢菌素的频率较低。一般来说，地区医生每张处方的成本（92瑞典克朗）低于医院医生（110瑞典克朗）和私人医生（175瑞典克朗）。地区医生开具的处方比例随着距市中心距离的增加以及当地医疗中心医生密度的提高而增加。
与其他医生相比，地区医生更多地使用青霉素V，且每张处方成本更低。这可能是由于不同的传染病情况，但也可能反映了实践和态度上的差异。
