Factors associated with antibiotic prescribing in a managed care setting : An exploratory investigation.
This multi-site, cross-sectional, observational study sought to identify attitudinal and social normative factors associated with the prescribing of oral antibiotics to ambulatory patients in a managed care setting.
Participants were 25 physicians specializing in internal medicine, family practice or pediatrics from five ambulatory care clinics within a large, fully integrated health care system in a major midwestern U.S. city.
The main outcome measure was number of prescriptions per physician written in the fourth quarter of 1994 for each of seven selected antibiotics.
Correlational and multiple regression analyses revealed that behavioral intentions were significantly associated (P<0.05) with both attitudes and subjective norms.
However, physicians'attitudes, subjective norms and intentions were not predictive of actual antibiotic prescribing behavior.
Prescribing behavior may have been a function of patient-specific rather than general beliefs about antibiotics.
Methodological limitations related to the sample size and the sparseness of the utilization data may also have prevented a significant effect of intentions on behavior from being detected.
Alternatively, in managed care settings, it is hypothesized that prescribing behavior may have been influenced more by non-psychological factors, such as management systems, formularies and therapeutic substitution programs. (...)
Mots-clés Pascal : Prescription médicale, Antibiotique, Soin intégré, Homme, Ambulatoire, Médecin, Personnel sanitaire, Attitude, Comportement, Intention, Norme, Evaluation subjective
Mots-clés Pascal anglais : Medical prescription, Antibiotic, Managed care, Human, Ambulatory, Physician, Health staff, Attitude, Behavior, Intention, Standards, Subjective evaluation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0035083
Code Inist : 002B30A05. Création : 17/04/1998.