PMID: 9447627Feb 3, 1998Paper

Factors associated with antibiotic prescribing in a managed care setting: an exploratory investigation

Social Science & Medicine
B L LambertK Kezlarian

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

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Citations

Nov 23, 2006·Implementation Science : IS·Martin P EcclesMarie Johnston
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
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Aug 18, 2004·Journal of Advanced Nursing·Suezann Puffer, Arash Rashidian
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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
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 15, 2003·JAMA : the Journal of the American Medical Association·Michael A SteinmanRalph Gonzales

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