Author/Editor		Car, Josip
Title		Zdravljenje akutne okužbe sečil pri ženskah v družinski medicini v Sloveniji
Translated title		Treatment of female patients with symptoms of lower urinary tract infection in family practice in Slovenia
Type		članek
Source		Zdrav Vars
Vol. and No.		Letnik 40, št. 11-12
Publication year		2001
Volume		str. 355-61
Language		slo
Abstract		Background: Uncomplicated urinary tract infection is one of most common infections in family practice. There was a change of recommendations for treatment 8 years ago. Aim: A study was undertaken to describe Slovene family physicians decisions in treatment of female patients with symptoms of lower urinary tract infection, and to analyse which doctor and surgery characteristics influence decision making process. The findings of the study were to be used as a base for guideline development, and for later evaluation of it. Method: Vignette describing 35 years old patient with uncomplicated urinary tract infection was presented in a questionnaire with open ended questions about ordering additional investigations, treatment; sick leave and follow up to a representative sample of Slovene family physicians. Vignette was followed by questions about doctor and surgery characteristics. Treatment decisions were analysed. We determined which doctor and surgery characteristics influence decision making process. Results: 129 (75.4%) doctors responded to the questionnaire. There was a big variation in all 'steps' of the decision making process (ordering additional investigations, treatment, sick leave and follow up). Doctors with higher workload were ordering more additional investigations as well as those who have to wait for laboratory results more then 24 hours. Doctors who had spent more time on continuing medical education chose the first choice drug more frequently. Doctors with higher workload were also prescribing longer sick leave. None of doctors' and surgeries' characteristics we were looking at had an influence on decision for follow up. (Abstract truncated at 2000 characters)
Summary		Ozadje: Akutna okužba spodnjih sečil pri ženskah je ena najpogostnejšh okužb v družinski medicini. Pred osmimi leti je prišlo do spremembe priporočil za zdravljenje. Namen: Namen raziskave je bil ugotoviti, kako obravnavajo slovenski zdravniki džužinske medicine bolnice z akutno okužbo spodnjih sečil in katere izmed značilnosti zdravnikov in ambulant vplivajo na odločanje v navedenem primeru. Rezultati raziskave so temelj za izdelavo smernic in njihovo evaluacijo. Metode: Reprezentativnemu vzorcu slovenskih zdravnikov družinske medicine je bil poslan pisni primer 35-letne bolnice z nezapleteno akutno okužbo spodnjih sečil. Opisu so sledila odprta vprašanja o naročanju dodatnih preiskav, o predpisovanju zdravila, dajanju bolniškega slaleža, dajanju nasvetov in naročanju na kontrolo. Pisnemu primeru so sledila vprašanja o značilnostih zdravnika in njegove ambulante. Analizirani so odgovori in primerjano odločanje zdravnikov pri obravnavi bolnice glede na značilnosti zdravnikov in njihovih ambulant. Rezultati: Vprašalnik je vrnilo 129 zdravnikov (75,4%). Zdravniki so se odločali zelo različno pri naročanju preiskav, predpisovanju zdravila, dajanju bolniškega staleža in naročanju na kontrolo. Tisti, ki sa bolj obremenjeni z delom, so naročali več preiskav, prav tako tudi tisti, ki jim laboratorijski izvidi niso dosegljlvi v 24 urah. Zdravniki, ki porabijo več časa za formalno strokovno izobraževanje, se pravilneje odločajo o izbiri zdravila. Bolj obremenjeni zdravniki so se odločali za dajanje daljšega bolniškega staleža kot tisti, ki delajo manj. Nobena od spremljanih značilnosti zdravnika ali ambulante ni imela vpliva na naročanje na kontrolo. (Izvleček skrajšan pri 2000 znakih).
Descriptors		URINARY TRACT INFECTIONS FAMILY PRACTICE ACUTE DISEASE QUESTIONNAIRES