PMID: 8962586Dec 1, 1996Paper

Specialist and generalist physicians' adoption of antibiotic therapy to eradicate Helicobacter pylori infection

Medical Care
R A HirthM E Chernew

Abstract

The authors examine how specialist and generalist physicians adapted their practice patterns to emerging information on the role of Helicobacter pylori in peptic ulcer disease (PUD). Data were collected via a mail survey sent to national random samples of gastroenterologists, family practitioners, and general internists in April 1994. A Cox proportional hazards regression was used to evaluate the determinants of the timing of adoption of antibiotic therapy for suspected or confirmed PUD. Most respondents (99.1% of specialists and 64.6% of generalists) had prescribed antibiotic therapy to eradicate Helicobacter pylori at least once. The median specialist adopted 21 months before the medical generalist. Timing of adoption also was related to gender, board certification, PUD case load, and practice setting. Gastroenterologists were more likely than primary care physicians to adopt antibiotic therapy for PUD, even before the evidence of this therapy's effectiveness was conclusive. Primary care physicians remained less likely to adopt after efficacy was established. The slower adoption by primary care physicians appeared to be related both to having less information than specialists about the new therapy and to more conservative pra...Continue Reading

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Citations

Nov 17, 2001·European Journal of Internal Medicine·M Armitage, C Davidson
May 1, 2004·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Thomas M ShehabAnna S F Lok
Dec 23, 1999·The New England Journal of Medicine·R F St PeterD Blumenthal
Oct 6, 2005·The Milbank Quarterly·Barbara StarfieldJames Macinko
Mar 3, 2009·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·A S Barritt, M R Arguedas
Jan 16, 2003·The American Journal of Gastroenterology·Dawn ProvenzaleDouglas McCrory
May 5, 2010·Health Affairs·Mark W FriedbergEric C Schneider
Jan 19, 2000·The American Journal of Gastroenterology·J J OfmanB Marshall
Feb 28, 2013·Journal of Clinical Gastroenterology·Lena B PalmerPaul H Hayashi
Jul 18, 2019·Journal of General and Family Medicine·Nozomi YokotaYoshikazu Nakamura
May 22, 2019·Helicobacter·Adrian G McNichollUNKNOWN OPTICARE Long-Term Educational Project

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