• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The British journal of general practice: the journal of the Royal College of General Practitioners >Factors which influence the decision whether or not to prescribe: the dilemma facing general practitioners.
【24h】

Factors which influence the decision whether or not to prescribe: the dilemma facing general practitioners.

机译：影响决定是否开处方的因素：全科医生面临的困境。

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

In this study of the influences affecting general practitioners' decisions whether or not to prescribe, 69 principals and five trainees in general practice were asked about the factors that made these decisions difficult for them and the circumstances in which the decision caused them to feel uncomfortable. Discomfort was reported most frequently in prescribing for respiratory disease, psychiatric conditions and skin problems, though the range of problems mentioned was wide. The range of drugs for which the decision of whether or not to prescribe was difficult was also wide but psychotropic drugs, antibiotics, drugs acting on the cardiovascular system and non-steroidal anti-inflammatory drugs were most often mentioned. Patient factors said to be important included age, ethnicity, social class and education, the doctor's prior knowledge of the patient, the doctor's feeling towards the patient, communication problems, and the doctor's desire to try to preserve the doctor-patient relationship. Doctor specific factors included concerns about drugs, factors relating to doctors' role perception and expectations of themselves, uncertainty, peer influences, logistic factors, and the experience of medical or therapeutic misadventures. The results of this study support earlier work on the influence of social factors on prescribing decisions and show that this influence affects the entire range of clinical problems. The results also reveal the importance of logistic factors. The overriding concern of doctors to preserve the doctor-patient relationship and the range of attitudes, perceptions and experiences of doctors that have a bearing on the decision to prescribe begin to explain the apparent irrationality of some general practitioner prescribing.(ABSTRACT TRUNCATED AT 250 WORDS)
机译：在对影响全科医生决定是否开处方的影响的研究中，询问了69名校长和五名实习生，这些因素使他们难以做出这些决定以及决定使他们感到不舒服的情况。据报告，在处方呼吸系统疾病，精神病和皮肤问题时，不适感最常见，尽管提到的问题范围很广。决定是否开处方很困难的药物范围也很广，但最常提及的是精神药物，抗生素，作用于心血管系统的药物和非甾体抗炎药。被认为重要的患者因素包括年龄，种族，社会阶层和教育程度，医生对患者的先验知识，医生对患者的感觉，沟通问题以及医生试图保持医患关系的愿望。医生的特定因素包括对药物的担忧，与医生的角色感知和对自己的期望有关的因素，不确定性，同伴影响，后勤因素以及医疗或治疗事故的经历。这项研究的结果为社会因素对处方决策影响的早期研究提供了支持，并表明这种影响会影响整个临床问题。结果还揭示了后勤因素的重要性。医生对于维护医患关系的首要关注以及与医生决定处方有关的态度，看法和经验的范围，开始解释了一些全科医生开处方的明显不合理性。（摘要摘自250字） ）

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号