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The impact of physicians' knowledge on outpatient antibiotic use: Evidence from China's county hospitals

We designed this study to explore how factors, especially knowledge, influence the use and prescriptions of antibiotics among physicians in China's county hospitals.A questionnaire was designed to evaluate the knowledge levels of physicians. The rates of antibiotic prescriptions were collected...

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Published in:Medicine (Baltimore) 2020-01, Vol.99 (3), p.e18852-e18852
Main Authors: Wushouer, Haishaerjiang, Wang, Zhuangfei, Tian, Ye, Zhou, Yue, Zhu, Dawei, Vuillermin, Daniel, Shi, Luwen, Guan, Xiaodong
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container_title Medicine (Baltimore)
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creator Wushouer, Haishaerjiang
Wang, Zhuangfei
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Zhou, Yue
Zhu, Dawei
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Shi, Luwen
Guan, Xiaodong
description We designed this study to explore how factors, especially knowledge, influence the use and prescriptions of antibiotics among physicians in China's county hospitals.A questionnaire was designed to evaluate the knowledge levels of physicians. The rates of antibiotic prescriptions were collected through on-the-spot investigations. The percentage of encounters with antibiotics prescribed and the percentage of encounters with antibiotics combination prescribed were used to measure antibiotics use. Univariate analysis and the generalized linear model were applied to analyze the knowledge levels among physicians as well as their antibiotic prescriptions.A total of 334 physicians in 60 county hospitals filled out the questionnaires, and 385,529 prescriptions were collected. The mean score of the questionnaire was a pass (62.8). The physicians in the eastern region of China demonstrated higher levels of knowledge than other regions (P = .08). Physicians with a higher score prescribed less antibiotics (P 
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subjects Anti-Bacterial Agents - therapeutic use
China
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice
Hospitals, County
Humans
Male
Observational Study
Outpatients
Practice Patterns, Physicians' - statistics & numerical data
Surveys and Questionnaires
title The impact of physicians' knowledge on outpatient antibiotic use: Evidence from China's county hospitals
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