Scripties UMCG - Rijksuniversiteit Groningen
English | Nederlands

Sociaaleconomische status, comorbiditeit, consultfrequentie en consultduur zijn geassocieerd met antibioticavoorschrift in huisartsenpraktijken in Noord-Nederland

(2019) Gohari, A. (Azita)

Background: Dutch general practitioners are reserved when it comes to prescription of antibiotics compared to GPs in other European countries. However, heterogeneity in prescribing exists between GPs. However, it remains unclear which factors influence antibiotic prescription and a variety of factors have been suggested, including social economic status (SES), comorbidities, consult frequency and consult time. In this research the influence of the mentioned factors are examined. Method: A retrospective cohort research was performed. Routinely collected data form the ‘Academisch Huisarts Ontwikkel Netwerk’(AHON) database where used. Data were from 16 primary care practices in the North Netherlands in the period 2013-2017. The data from 2013 and 2017 were compared. Data about antibiotic prescription, comorbidities and consult information are used from the database. Data about SES are retrieved from the ‘Sociaal Cultureel Planbureau’. Univariate and multivariate analyses were performed to investigate the association between the mentioned independent variables and antibiotic prescription. Results: The univariate regression analyses showed an association, respectively for 2013 en 2017, between comorbidity (OR=2,57 vs. 2,55), consult frequency (2,16 vs. 3,90), short consult (1,61 vs. 1,21) and long consult (1,21 vs. 0,83). All the results were significant with p<0,05. In the multivariate analyses the association between all the independent variables and antibiotic prescription remained significant. The ORs for SES were 0,72 and 0,49. Conclusion: SES, comorbidity, consult frequency and consult time appeared to be associated with antibiotic prescription.

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