Journal article
The relationship between treatment objectives and practice patterns in the management of urinary tract infections
Medical decision making, Vol.23(2), pp.131-139
01 Mar 2003
PMID: 12693875
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
OBJECTIVETo describe physicians' goals when treating uncomplicated urinary tract infections (UTIs) and the relationship between goals and practice patterns.STUDY DESIGNAnalysis of survey results.POPULATIONPrimary care physicians.OUTCOMES MEASUREDSelf-reported treatment objectives and practice patterns.RESULTSMost physicians reported their UTI management was convenient for the patient (81.3%). Fewer stated they minimized patients' costs (53.4%), made an accurate diagnosis (56.7%), or avoided unnecessary antibiotics (40.9%). Physicians who stressed convenience or minimizing patient expenses were less likely to use many resources (urine culture, microscopic urinalysis, followup visits and tests, and prolonged antibiotic treatment) and more likely to use telephone treatment. Physicians who stressed accurate diagnoses or avoiding unnecessary antibiotics were more likely to use the same resources and less likely to use telephone treatment.CONCLUSIONUTI management goals vary across physicians and are associated with different clinical approaches. Differences in treatment objectives may help explain variations in practice patterns.
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Details
- Title
- The relationship between treatment objectives and practice patterns in the management of urinary tract infections
- Creators
- Stephen D Flach - University of Nebraska Medical CenterJ Craig Longenecker - Kuwait UniversityThomas G Tape - University of Nebraska Medical CenterTeresa J Bryan - University of Alabama at BirminghamConnie Parenti - United States Department of Veterans AffairsRobert S Wigton - University of Nebraska Medical Center
- Publication Details
- Medical decision making, Vol.23(2), pp.131-139
- Number of pages
- 9
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000181854800003
- Scopus ID
- 2-s2.0-0037348138
- Other Identifier
- 991022052305804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services
- Medical Informatics