Abstract
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 prescribin...Continue Reading
References
Nov 1, 1978·Annals of Internal Medicine·C M Kunin
Jul 1, 1976·Social Science & Medicine·J Lilja
Feb 1, 1975·Social Science & Medicine·E Hemminki
Feb 4, 1989·Lancet·P R Lee, L Etheredge
Sep 1, 1989·The American Psychologist·A Bandura
Jan 1, 1988·Social Science & Medicine·P DenigD H Zijsling
May 1, 1987·Reviews of Infectious Diseases·J AvornG Bardelay
Jan 1, 1986·International Journal of Health Services : Planning, Administration, Evaluation·M A Vance, W R Millington
Aug 1, 1985·Medical Care·R Segal, C D Hepler
Sep 1, 1971·Medical Care·R F MarondeS Seibert
Dec 1, 1969·Journal of Chronic Diseases·P D Stolley, L Lasagna
Oct 29, 1983·British Medical Journal·J R Hampton
Aug 1, 1984·The American Journal of Medicine·A M EpsteinR Winickoff
Mar 1, 1982·Medical Care·R N Zelnio
Jan 1, 1982·Social Science & Medicine·J E WennbergM Zubkoff
Jan 1, 1982·Social Science & Medicine·F Haayer
Oct 22, 1994·Lancet·B Starfield
Jun 1, 1993·Social Science & Medicine·V ChinburapaC P Puto
Sep 1, 1995·Medical Care Research and Review : MCRR·M GoldR Berenson
Jan 10, 1987·Health Policy·G Carrin
Citations
Sep 2, 2003·Social Science & Medicine·Tippawan LiabsuetrakulGunilla Lindmark
Feb 5, 2011·Family Practice·Janko KersnikMarko Kolsek
Nov 23, 2006·Implementation Science : IS·Martin P EcclesMarie Johnston
Jul 18, 2008·Implementation Science : IS·Gaston GodinJeremy Grimshaw
Mar 20, 2014·PloS One·France LégaréUNKNOWN CPD-KT team
Oct 10, 2007·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Sandra R Arnold
Jun 11, 2010·Wiener klinische Wochenschrift·Ksenija Tusek-BuncZalika Klemenc-Ketis
Jun 16, 2009·Research in Social & Administrative Pharmacy : RSAP·Rahul KhannaWilliam A Neal
Sep 13, 2008·Journal of Clinical Epidemiology·Geert RuttenJanneke Harting
Aug 18, 2004·Journal of Advanced Nursing·Suezann Puffer, Arash Rashidian
Oct 13, 2006·British Journal of Health Psychology·Arash RashidianIan Russell
Mar 5, 2008·Journal of Clinical Pharmacy and Therapeutics·W SaengcharoenP Wongpoowarak
May 24, 2011·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Pieter-Jan CortoosGert Laekeman
Jan 9, 2019·Health Psychology Review·Sebastian PotthoffJustin Presseau
Jul 10, 2019·International Journal of Environmental Research and Public Health·Chenxi LiuXinping Zhang
Mar 23, 2011·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·Melissa T BaysariRichard O Day
Feb 9, 2019·Antimicrobial Resistance and Infection Control·Chenxi LiuXinping Zhang
Feb 15, 2003·JAMA : the Journal of the American Medical Association·Michael A SteinmanRalph Gonzales