Antibiotic prescribing in public and private practice: a cross-sectional study in primary care clinics in Malaysia

Abstract The proportion of sinusitis visits that meet antibiotic prescribing criteria is unknown. Of 425 randomly selected sinusitis visits, 50% (214) met antibiotic prescribing criteria. There was no significant difference in antibiotic prescribing at visits that did (205/214 [96%]) and did not (193/211 [92%]; P = .07) meet antibiotic prescribing criteria.

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Health-related quality of life in patients with knee osteoarthritis attending two primary care clinics in Malaysia: a cross-sectional study

Asia Pacific Family Medicine ◽

10.1186/1447-056x-8-10 ◽

2009 ◽

Vol 8 (1) ◽

pp. 10 ◽

Cited By ~ 13

Author(s):

Zainal F Zakaria ◽

Azman A Bakar ◽

Hadzri M Hasmoni ◽

Fauzi A Rani ◽

Samiah A Kadir

Keyword(s):

Quality Of Life ◽

Primary Care ◽

Cross Sectional Study ◽

Health Related Quality ◽

Sectional Study ◽

Cross Sectional ◽

Primary Care Clinics ◽

Related Quality ◽

Health Related

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Medical errors in primary care clinics – a cross sectional study

BMC Family Practice ◽

10.1186/1471-2296-13-127 ◽

2012 ◽

Vol 13 (1) ◽

Cited By ~ 27

Author(s):

Ee Ming Khoo ◽

Wai Khew Lee ◽

Sondi Sararaks ◽

Azah Abdul Samad ◽

Su May Liew ◽

...

Keyword(s):

Primary Care ◽

Medical Errors ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Primary Care Clinics

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Association between Physicians’ Perception of Shared Decision Making with Antibiotic Prescribing Behavior in Primary Care in Hubei, China: A Cross-Sectional Study

Antibiotics ◽

10.3390/antibiotics9120876 ◽

2020 ◽

Vol 9 (12) ◽

pp. 876

Author(s):

Dan Wang ◽

Chenxi Liu ◽

Xuemei Wang ◽

Xinping Zhang

Keyword(s):

Primary Care ◽

Cross Sectional Study ◽

Antibiotic Prescribing ◽

Sectional Study ◽

Positive Perception ◽

Cross Sectional ◽

Prescribing Behavior ◽

Physician Patient ◽

The Relationship ◽

Over 40 Years

Shared decision-making (SDM) has been advocated as one effective strategy for improving physician–patient relationships and optimizing clinical outcomes. Our study aimed to measure physicians’ perception of SDM and establish the relationship between physicians’ perception of SDM and prescribing behavior in patients with upper respiratory tract infections. One cross-sectional study was conducted in Hubei Province from December 2019 to January 2020. The SDM questionnaire and prescription data of 2018 from electronic health records data were matched for each physician in this study. Multilevel modeling was applied to explore the relationship between physicians’ perception of SDM and antibiotic prescribing in primary care. Analyses were statistically controlled for demographic characteristics of the physicians and patients. Physicians’ positive perception of SDM had small but statistically significant effects on lower prescribing of antibiotics in the patient group aged over 40 years (odds ratio (OR) < 1; p < 0.05). Moreover, female physicians (OR = 0.71; p = 0.007) with higher educational levels (bachelor’s degree and above; OR = 0.71; p = 0.024) were significantly associated with the prescribing of less antibiotics (p < 0.05). A more positive perception of SDM was demonstrated as one significant predictor of less prescribing of antibiotics in the patient group over 40 years. There may be a promising focus of implementing SDM strategies targeting physician–patient communication in primary care.

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Prevalence and Associated Factors of Depressive Symptoms among Adults with Overt Hypothyroidism on Treatment in Riyadh: A Cross-Sectional Study

International Journal of Psychiatry ◽

10.33140/ijp.04.01.5 ◽

2019 ◽

Vol 4 (1) ◽

Keyword(s):

Primary Care ◽

Depressive Symptoms ◽

Associated Factors ◽

Severe Depression ◽

Cross Sectional Study ◽

Overt Hypothyroidism ◽

Sectional Study ◽

Hospital Data ◽

Cross Sectional ◽

Primary Care Clinics

Background: There is strong associated between depression and hypothyroidism. People with a chronic disease and on lifelong medication are more likely to have poorer mental health than those with no illnesses. This study aimed to measure the prevalence and associated factors of depressive symptoms in adults with overt hypothyroidism on treatment in primary care clinics in Riyadh. Methods and findings: Cross-sectional study of 369 patients with overt hypothyroidism visiting primary care clinics and endocrine outpatient clinics at in Prince Mohammed bin Abdul-Aziz hospital .Data were collected using an the Arabic validated version of the Patient Health Questionnaire-9 for screening of depression among the participants . Prevalence of depression among adult patients with hypothyroidism on treatment was 56.1% . It was moderately severe and severe among 58.7% and 33.3% of depressed patients. Conclusions: Depression is a common health problem among patients with overt hypothyroidism on thyroxin treatment , majority of patients has moderately severe to severe depression. Depression was more observed among older (≥40 years), female, divorced/widowed and lower educated patients compared to their counterparts. Also, it was more reported among patients with longer duration of hypothyroidism. No association was observed with levels of TSH and thyroxin hormones.

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