Online citations, reference lists, and bibliographies.
Please confirm you are human
(Sign Up for free to never see this)
← Back to Search

Factors Influencing Physicians' Prescribing Behaviour In The Treatment Of Childhood Diarrhoea: Knowledge May Not Be The Clue.

P. Paredes, M. de la Peña, E. Flores-Guerra, J. Diaz, J. Trostle
Published 1996 · Medicine

Save to my Library
Download PDF
Analyze on Scholarcy
Share
Proper diarrhoea treatment has received greater attention during the last 10 years. However, the unjustified use of medicines to treat simple episodes of acute diarrhoea continues to divert attention and available resources away from appropriate treatment. A study to identify the factors determining prescribing practices for diarrhoea treatment was carried out in a peri-urban part of Lima, Peru in 1991. Physicians were interviewed, and then their practice was assessed by visits of confederates with healthy children described as ill, by interviews with mothers of sick children leaving the clinic, or by both of these methods. Physicians' reported practices in treating diarrhoea cases were compared to their actual practices. Although physicians' knowledge of drug management seemed to influence the low frequency of prescription of antidiarrhoeal drugs, it did not have the same influence on prescription of antimicrobials. Our results suggest that the diagnostic process and consequently the treatment decision do not follow a scientific rationale for this illness. The physicians' prescribing practices seemed to be more related to agreement with social expectations and the caretakers' perception of the physicians' role than they were to the standard biomedical rules of diarrhoea management.
This paper references
10.1111/J.1468-0009.2005.00435.X
Improving drug prescribing in primary care: a critical analysis of the experimental literature.
S. Soumerai (1989)
10.5694/J.1326-5377.1989.TB136347.X
Factors influencing prescribing
J. Cockburn (1989)
10.1093/IJE/20.2.558
Experimental evaluation of the effects of drug information on antibiotic prescribing: a study in outpatient care in an area of Sri lanka.
I. Angunawela (1991)
Home management of childhood diarrhoea in rural Afghanistan: a study in Urgun, Paktika Province.
Azim Sm (1993)
Diarrhoeal disease morbidity, risk factors and treatments in a low socioeconomic area of Ilorin, Kwara State, Nigeria.
G. Oni (1991)
10.1016/0002-9343(82)90911-1
Scientific versus commercial sources of influence on the prescribing behavior of physicians.
J. Avorn (1982)
10.1056/NEJM198306163082406
Improving Drug-Therapy Decisions through Educational Outreach
J. Avorn (1983)
10.1016/0277-9536(89)90252-9
Physician motivations for nonscientific drug prescribing.
R. Schwartz (1989)
10.1097/00005650-199405000-00003
Changing Physician Prescribing Patterns: Evaluation of an Educational Strategy for Acute Diarrhea in Mexico City
G. Gutierrez (1994)
10.1093/HEAPOL/6.2.141
How useful are pharmaceuticals in managing diarrhoeal diseases in developing countries
S. Harris (1991)
Cultural study of diarrhoeal illnesses in central Thailand and its practical implications.
C. Choprapawon (1991)
Home treatment of acute diarrhoea in Bali, Indonesia.
A. A. Muninjaya (1991)
10.1093/JAC/21.1.125
Antibiotic dispensing by drug store personnel in Bangkok, Thailand.
V. Thamlikitkul (1988)
THE RATIONAL USE OF DRUGS IN THE MANAGEMENT OF ACUTE DIARRHOEA IN CHILDREN
A. Wade (1991)
10.1016/0277-9536(95)00386-X
Drug prescribing practices of general practitioners and paediatricians for childhood diarrhoea in Karachi, Pakistan.
S. Q. Nizami (1996)
Work and motivation
V. Vroom (1964)
Manejo de la diarrea infantil por médicos de consulta externa en el Perú
R. Aguila (1993)
10.1111/j.1651-2227.1992.tb12369.x
Etiologic agents in acute vs persistent diarrhea in children under three years of age in peri‐urban Lima, Perú
C. Lanata (1992)
Physicians' prescribing practice for treatment of acute diarrhoea in young children in Jakarta.
L. Gani (1991)
10.1097/00005176-199101000-00017
Epidemiologic, Clinical, and Laboratory Characteristics of Acute vs. Persistent Diarrhea in Periurban Lima, Peru
C. Lanata (1991)
10.1177/106002809002400415
A Model of Methods for Influencing Prescribing: Part I. A Review of Prescribing Models, Persuasion Theories, and Administrative and Educational Methods
D. Raisch (1990)



This paper is referenced by
Antibiotic use and resistance : Assessing and improving utilisation and provision of antibiotics and other drugs in Vietnam
Mattias Larsson (2003)
What can be done about the private health sector in low-income countries?
A. Mills (2002)
10.1186/1475-2875-7-53
Guidelines and mindlines: why do clinical staff over-diagnose malaria in Tanzania? A qualitative study
Clare I R Chandler (2007)
10.1017/S0950268813001076
Diarrhoea-related knowledge and practice of physicians in urban slums of Kolkata, India.
S. Kanungo (2014)
10.1111/J.1365-2753.2010.01610.X
Misprescription of antibiotics in primary care: a critical systematic review of its determinants
P. Vázquez (2012)
10.4103/mjdrdypu.mjdrdypu_72_19
Antibiotic resistance: Perspective of the physicians from West Bengal
A. Chaudhuri (2019)
Antimicrobial Resistance: The Great Hurdle
Yassir A. Almofti (2015)
ANTIBIOTICS RESISTANCE: NATURES REVENGE
Dharmesh Chandra Sharma (2011)
10.1093/heapol/czs019
The implementation of a new Malaria Treatment Protocol in Timor-Leste: challenges and constraints
J. Martins (2012)
10.1016/S0277-9536(01)00292-1
Factors influencing private health providers' technical quality of care for acute respiratory infections among under-five children in rural West Bengal, India.
S. Chakraborty (2002)
10.1186/2052-3211-6-9
Antibiotic prescribing in women during and after delivery in a non-teaching, tertiary care hospital in Ujjain, India: a prospective cross-sectional study
M. Sharma (2013)
10.1016/j.jhealeco.2010.05.006
Overworked? On the relationship between workload and health worker performance.
Ottar Maestad (2010)
10.1080/00034980120092543
Inadequate drug advice in the pharmacies of Guatemala and Mexico: the scale of the problem and explanatory factors.
A. Kroeger (2001)
10.1017/CBO9780511806025.008
Epidemiology and Culture: Anthropological and Epidemiological Collaboration to Help Communities Become Healthier
J. Trostle (2005)
Global Responses to the Growing Threat of Antimicrobial Resistance
R. Smith (2001)
10.1007/0-387-22852-7_31
Antibiotic Policies in Developing Countries
A. Sosa (2005)
Primary Care in Developing Countries A PLEA FOR AN INITIATIVE TO STRENGTHEN FAMILY MEDICINE IN PUBLIC HEALTH CARE SERVICES OF DEVELOPING COUNTRIES
J. Unger (2002)
10.1146/ANNUREV.ANTHRO.37.081407.085205
From Resilience to Resistance: Political Ecological Lessons from Antibiotic and Pesticide Resistance
Kathryn M. Orzech (2008)
10.1163/2210-7975_hrd-0148-2015012
Addressing Resistance To Antibiotics In Pluralistic Health Systems
G. Bloom (2015)
10.1590/S0036-36341998000100004
Prescripción, acceso y gastoen medicamentos entre usuariosde servicios de salud en México
René Leyva (1998)
[Evaluating the potential of an intervention aimed at promoting oral rehydration therapy (ORT) by educating pharmacy employees].
Maria de Lourdes Oshiro (2002)
10.1002/pds.4429
Knowledge and behaviors in relation to antibiotic use among rural residents in Anhui, China
J. Cheng (2018)
10.1596/1813-9450-2953
Health Facility Surveys: An Introduction
Magnus Lindelow (2003)
10.1016/S0140-6736(05)67028-6
How can we achieve and maintain high-quality performance of health workers in low-resource settings?
A. Rowe (2005)
Private pharmacy staff in Hanoi dispensing steroids - theory and practice
Mattias Larsson (2006)
10.1053/RMED.2002.1349
Applying evidence and theory to guide clinical decision making--implications for asthma management.
P. Jones (2002)
Policy Change and Regulation of Primary Care Prescribing and Dispensing in Macedonia – A Qualitative Study
Neda Milevska Kostova (2017)
Influencia de las actitudes de los médicos en la utilización de antibióticos en Atención Primaria: un estudio de cohortes
L. Vázquez (2015)
10.1186/1475-2875-7-29
Why don't health workers prescribe ACT? A qualitative study of factors affecting the prescription of artemether-lumefantrine
Beatrice Wasunna (2007)
10.1007/978-1-4614-4998-0
Handbook of Systems and Complexity in Health
J. Sturmberg (2013)
10.3168/jds.2013-7045
The role of veterinarians and feed-store vendors in the prescription and use of antibiotics on small dairy farms in rural Peru.
L. Redding (2013)
10.1111/j.1365-2753.2010.01610.x
Misprescription of antibiotics in primary care: a critical systematic review of its determinants.
P. López-Vázquez (2012)
See more
Semantic Scholar Logo Some data provided by SemanticScholar