Effect of Physicians' Attitudes and Knowledge on the Quality of Antibiotic Prescription: A Cohort Study.
Resistance increases with the use and abuse of antibiotics. Since physicians are primarily responsible for the decision to use antibiotics, ascertaining the attitudes and knowledge that underlie their prescribing habits is thus a prerequisite for improving prescription. Three-year follow-up cohort s...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2015-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC4624842?pdf=render |
| _version_ | 1818290641285677056 |
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| author | Cristian Gonzalez-Gonzalez Paula López-Vázquez Juan Manuel Vázquez-Lago María Piñeiro-Lamas Maria Teresa Herdeiro Pilar Chávarri Arzamendi Adolfo Figueiras GREPHEPI Group |
| author_facet | Cristian Gonzalez-Gonzalez Paula López-Vázquez Juan Manuel Vázquez-Lago María Piñeiro-Lamas Maria Teresa Herdeiro Pilar Chávarri Arzamendi Adolfo Figueiras GREPHEPI Group |
| author_sort | Cristian Gonzalez-Gonzalez |
| collection | DOAJ |
| description | Resistance increases with the use and abuse of antibiotics. Since physicians are primarily responsible for the decision to use antibiotics, ascertaining the attitudes and knowledge that underlie their prescribing habits is thus a prerequisite for improving prescription. Three-year follow-up cohort study (2008-2010) targeting primary-care physicians (n = 2100) in Galicia, a region in NW Spain. We used data obtained from a postal survey to assess knowledge and attitudes. A physician was deemed to have demonstrated Appropriate Quality Prescription of Antibiotics (dependent variable) in any case where half or more of the indicators proposed by the European Surveillance of Antimicrobial Consumption had values that were better than the reference values for Spain. The mail-questionnaire response rate was 68·0% (1428/2100). The adjusted increase in the interquartile OR of displaying good prescribing of antibiotics for each attitude was: 205% for fear ("When in doubt, it is better to ensure that a patient is cured of an infection by using a broad-spectrum antibiotic"; 95%CI: 125% to 321%); 119% for better knowledge ("Amoxicillin is useful for resolving most respiratory infections in primary care"; 95%CI: 67% to 193%); and 21% for complacency with patients' demands ("Antibiotics are often prescribed due to patients' demands"; 95%CI: 0% to 45%). Due to the fact that physicians' knowledge and attitudes are potentially modifiable, the implementation of purpose-designed educational interventions based on the attitudes identified may well serve to improve antibiotic prescription. |
| first_indexed | 2024-12-13T02:31:24Z |
| format | Article |
| id | doaj.art-877a307700aa44bca32ceb9849cfb488 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-13T02:31:24Z |
| publishDate | 2015-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-877a307700aa44bca32ceb9849cfb4882022-12-22T00:02:30ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-011010e014182010.1371/journal.pone.0141820Effect of Physicians' Attitudes and Knowledge on the Quality of Antibiotic Prescription: A Cohort Study.Cristian Gonzalez-GonzalezPaula López-VázquezJuan Manuel Vázquez-LagoMaría Piñeiro-LamasMaria Teresa HerdeiroPilar Chávarri ArzamendiAdolfo FigueirasGREPHEPI GroupResistance increases with the use and abuse of antibiotics. Since physicians are primarily responsible for the decision to use antibiotics, ascertaining the attitudes and knowledge that underlie their prescribing habits is thus a prerequisite for improving prescription. Three-year follow-up cohort study (2008-2010) targeting primary-care physicians (n = 2100) in Galicia, a region in NW Spain. We used data obtained from a postal survey to assess knowledge and attitudes. A physician was deemed to have demonstrated Appropriate Quality Prescription of Antibiotics (dependent variable) in any case where half or more of the indicators proposed by the European Surveillance of Antimicrobial Consumption had values that were better than the reference values for Spain. The mail-questionnaire response rate was 68·0% (1428/2100). The adjusted increase in the interquartile OR of displaying good prescribing of antibiotics for each attitude was: 205% for fear ("When in doubt, it is better to ensure that a patient is cured of an infection by using a broad-spectrum antibiotic"; 95%CI: 125% to 321%); 119% for better knowledge ("Amoxicillin is useful for resolving most respiratory infections in primary care"; 95%CI: 67% to 193%); and 21% for complacency with patients' demands ("Antibiotics are often prescribed due to patients' demands"; 95%CI: 0% to 45%). Due to the fact that physicians' knowledge and attitudes are potentially modifiable, the implementation of purpose-designed educational interventions based on the attitudes identified may well serve to improve antibiotic prescription.http://europepmc.org/articles/PMC4624842?pdf=render |
| spellingShingle | Cristian Gonzalez-Gonzalez Paula López-Vázquez Juan Manuel Vázquez-Lago María Piñeiro-Lamas Maria Teresa Herdeiro Pilar Chávarri Arzamendi Adolfo Figueiras GREPHEPI Group Effect of Physicians' Attitudes and Knowledge on the Quality of Antibiotic Prescription: A Cohort Study. PLoS ONE |
| title | Effect of Physicians' Attitudes and Knowledge on the Quality of Antibiotic Prescription: A Cohort Study. |
| title_full | Effect of Physicians' Attitudes and Knowledge on the Quality of Antibiotic Prescription: A Cohort Study. |
| title_fullStr | Effect of Physicians' Attitudes and Knowledge on the Quality of Antibiotic Prescription: A Cohort Study. |
| title_full_unstemmed | Effect of Physicians' Attitudes and Knowledge on the Quality of Antibiotic Prescription: A Cohort Study. |
| title_short | Effect of Physicians' Attitudes and Knowledge on the Quality of Antibiotic Prescription: A Cohort Study. |
| title_sort | effect of physicians attitudes and knowledge on the quality of antibiotic prescription a cohort study |
| url | http://europepmc.org/articles/PMC4624842?pdf=render |
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