The relationship between treatment objectives and practice patterns in the management of urinary tract infections
The relationship between treatment objectives and practice patterns in the management of urinary tract infections
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DOI：
10.1177/0272989x03251242
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发表时间：
2003-03-01
影响因子：
3.6
通讯作者：
Wigton, RS
中科院分区：
文献类型：
--
作者：
Flach, SD;Longenecker, JC;Wigton, RS
Objective.描述医生在治疗单纯性尿路感染（UTIs）时的目标以及目标与实践模式之间的关系。研究设计.调查结果分析。人口初级保健医生。衡量结果。自我报告的治疗目标和实践模式。结果大多数医生报告他们的UTI管理方便患者（81.3%）。较少的人表示他们最大限度地减少了患者的费用（53.4%），做出了准确的诊断（56.7%），或避免了不必要的抗生素（40.9%）。强调便利性或最大限度地减少患者费用的医生不太可能使用许多资源（尿培养、显微镜尿液分析、随访和检查以及延长抗生素治疗），而更有可能使用电话治疗。强调准确诊断或避免不必要抗生素的医生更有可能使用相同的资源，而不太可能使用电话治疗。结论UTI管理目标因医生而异，并与不同的临床方法相关。治疗目标的差异可能有助于解释实践模式的差异。
Objective. To describe physicians' goals when treating uncomplicated urinary tract infections (UTIs) and the relationship between goals and practice patterns. Study design. Analysis of survey results. Population. Primary care physicians. Outcomes measured. Self-reported treatment objectives and practice patterns. Results. Most physicians reported their UTI management was convenient for the patient (81.3%). Fewer stated they minimized patients' costs (53.4%), made an accurate diagnosis (56.7%), or avoided unnecessary antibiotics (40.9%). Physicians who stressed convenience or minimizing patient expenses were less likely to use many resources (urine culture, microscopic urinalysis, followup visits and tests, and prolonged antibiotic treatment) and more likely to use telephone treatment. Physicians who stressed accurate diagnoses or avoiding unnecessary antibiotics were more likely to use the same resources and less likely to use telephone treatment. Conclusion. UTI management goals vary across physicians and are associated with different clinical approaches. Differences in treatment objectives may help explain variations in practice patterns.