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Odločanje zdravnikov splošne/družinske medicine pri obravnavi pacientk z akutno okužbo spodnjih sečil
Car, Josip
Background: Uncomplicated urinary tract infection is one of most common infections in family practice. There was a change of recommendations for treatment 8 years ago. Aim: A study was undertaken to ...describe Slovene family physicians decisions in treatment of female patients with symptoms of lower urinary tract infection, and to analyse which doctor and surgery characteristics influence decision making process. The findings of the study were to be used as a base for guidelines development, and for later evaluationof it. Method: Vignette describing 35 years old patient with uncomplicated urinary tract infection was presented in a questionnaire with open ended questions about ordering additional investigations, treatment, sickleave and follow up to a representative sample of Slovene family physicians. Vignette was followed by questions about doctor and surgery characteristics. Treatment decisions were analysed. We determined which doctorand surgery characteristics influence decision making process. Results: 129 (74,6 %) doctors responded to the questionnaire. There was a big variationin all "steps" of the decision making process (ordering additional investigations, treatment, sick leave and follow up). Doctors with higher workload were ordering more additional investigations as well as those who have to wait for laboratory results more then 24 hours. Doctors who had spent more time on continuing medical education choose the first choice drug more frequently. Doctors with higher workload were also prescribing longer sick leave. None of doctors and surgeries characteristics we were looking at had aninfluence on decision for follow up. Conclusion: Large variation in treatment decisions for lower urinary tract infection was found which is similar to other European countries. (Abstract truncated at 2000 characters.)
Type of material - master's thesis
Publication and manufacture - Ljubljana : [J. Car], 2000
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