From visiting a physician to expecting antibiotics

Korean perspectives and practices toward respiratory tract infections

Leila Freidoony, Chun Bae Kim, Hamid Haghani, Myung Bae Park, Sei Jin Chang, Sangha Kim, Sangbaek Koh

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Antibiotic resistance is steadily rising worldwide. Respiratory tract infections (RTIs) are common indications, mostly imprudent, for antibiotic prescriptions in outpatient setting. In Korea, antibiotic prescription rate for RTIs is still high. As physician visit and antibiotic prescribing are influenced by patient's perceptions and beliefs, we aimed to explore the general public's perspectives and practices toward RTIs and to develop the 'RTI clinical iceberg.' A cross-sectional survey was conducted in Wonju Severance Christian Hospital (WSCH) among 550 adults attending outpatient departments during January 2016. Differences in distributions between groups were examined using two-tailed Pearson χ2 test. Using the Andersen's behavioral model as a conceptual framework, we constructed logistic regression models to assess factors associated with physician visit. Of 547 participants with complete questionnaires, 62.9% reported having experienced an RTI in the previous six months; 59.3% visited a physician for the illness, most commonly because the symptoms were severe or prolonged, and approximately 16% of them expected an antibiotic prescription from the visit. Perceptions of symptoms severity, the need factor, most strongly influenced physician visit. Predisposing and enabling factors such as inappropriate expectations for antibiotic for a sore throat or having national health insurance also influenced physician visit. Almost all participants who reported asking for an antibiotic were prescribed one, with a 37.1% non-adherence rate. Conclusively, public education on self-care for RTI symptoms that addresses their main concerns may reduce physician visits. Improving physician-patient relationship and informing patients about the lack of antibiotic benefit for most RTIs may also reduce antibiotic prescriptions.

Original languageEnglish
Pages (from-to)278-286
Number of pages9
JournalJournal of Korean medical science
Volume32
Issue number2
DOIs
Publication statusPublished - 2017 Jan 1

Fingerprint

Respiratory Tract Infections
Anti-Bacterial Agents
Physicians
Prescriptions
Causality
Outpatients
Logistic Models
Ice Cover
Physician-Patient Relations
Pharyngitis
National Health Programs
Korea
Self Care
Microbial Drug Resistance
Cross-Sectional Studies
Education

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Freidoony, Leila ; Kim, Chun Bae ; Haghani, Hamid ; Park, Myung Bae ; Chang, Sei Jin ; Kim, Sangha ; Koh, Sangbaek. / From visiting a physician to expecting antibiotics : Korean perspectives and practices toward respiratory tract infections. In: Journal of Korean medical science. 2017 ; Vol. 32, No. 2. pp. 278-286.
@article{3c181e79b629440996001bcab46fd564,
title = "From visiting a physician to expecting antibiotics: Korean perspectives and practices toward respiratory tract infections",
abstract = "Antibiotic resistance is steadily rising worldwide. Respiratory tract infections (RTIs) are common indications, mostly imprudent, for antibiotic prescriptions in outpatient setting. In Korea, antibiotic prescription rate for RTIs is still high. As physician visit and antibiotic prescribing are influenced by patient's perceptions and beliefs, we aimed to explore the general public's perspectives and practices toward RTIs and to develop the 'RTI clinical iceberg.' A cross-sectional survey was conducted in Wonju Severance Christian Hospital (WSCH) among 550 adults attending outpatient departments during January 2016. Differences in distributions between groups were examined using two-tailed Pearson χ2 test. Using the Andersen's behavioral model as a conceptual framework, we constructed logistic regression models to assess factors associated with physician visit. Of 547 participants with complete questionnaires, 62.9{\%} reported having experienced an RTI in the previous six months; 59.3{\%} visited a physician for the illness, most commonly because the symptoms were severe or prolonged, and approximately 16{\%} of them expected an antibiotic prescription from the visit. Perceptions of symptoms severity, the need factor, most strongly influenced physician visit. Predisposing and enabling factors such as inappropriate expectations for antibiotic for a sore throat or having national health insurance also influenced physician visit. Almost all participants who reported asking for an antibiotic were prescribed one, with a 37.1{\%} non-adherence rate. Conclusively, public education on self-care for RTI symptoms that addresses their main concerns may reduce physician visits. Improving physician-patient relationship and informing patients about the lack of antibiotic benefit for most RTIs may also reduce antibiotic prescriptions.",
author = "Leila Freidoony and Kim, {Chun Bae} and Hamid Haghani and Park, {Myung Bae} and Chang, {Sei Jin} and Sangha Kim and Sangbaek Koh",
year = "2017",
month = "1",
day = "1",
doi = "10.3346/jkms.2017.32.2.278",
language = "English",
volume = "32",
pages = "278--286",
journal = "Journal of Korean Medical Science",
issn = "1011-8934",
publisher = "Korean Academy of Medical Science",
number = "2",

}

From visiting a physician to expecting antibiotics : Korean perspectives and practices toward respiratory tract infections. / Freidoony, Leila; Kim, Chun Bae; Haghani, Hamid; Park, Myung Bae; Chang, Sei Jin; Kim, Sangha; Koh, Sangbaek.

In: Journal of Korean medical science, Vol. 32, No. 2, 01.01.2017, p. 278-286.

Research output: Contribution to journalArticle

TY - JOUR

T1 - From visiting a physician to expecting antibiotics

T2 - Korean perspectives and practices toward respiratory tract infections

AU - Freidoony, Leila

AU - Kim, Chun Bae

AU - Haghani, Hamid

AU - Park, Myung Bae

AU - Chang, Sei Jin

AU - Kim, Sangha

AU - Koh, Sangbaek

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Antibiotic resistance is steadily rising worldwide. Respiratory tract infections (RTIs) are common indications, mostly imprudent, for antibiotic prescriptions in outpatient setting. In Korea, antibiotic prescription rate for RTIs is still high. As physician visit and antibiotic prescribing are influenced by patient's perceptions and beliefs, we aimed to explore the general public's perspectives and practices toward RTIs and to develop the 'RTI clinical iceberg.' A cross-sectional survey was conducted in Wonju Severance Christian Hospital (WSCH) among 550 adults attending outpatient departments during January 2016. Differences in distributions between groups were examined using two-tailed Pearson χ2 test. Using the Andersen's behavioral model as a conceptual framework, we constructed logistic regression models to assess factors associated with physician visit. Of 547 participants with complete questionnaires, 62.9% reported having experienced an RTI in the previous six months; 59.3% visited a physician for the illness, most commonly because the symptoms were severe or prolonged, and approximately 16% of them expected an antibiotic prescription from the visit. Perceptions of symptoms severity, the need factor, most strongly influenced physician visit. Predisposing and enabling factors such as inappropriate expectations for antibiotic for a sore throat or having national health insurance also influenced physician visit. Almost all participants who reported asking for an antibiotic were prescribed one, with a 37.1% non-adherence rate. Conclusively, public education on self-care for RTI symptoms that addresses their main concerns may reduce physician visits. Improving physician-patient relationship and informing patients about the lack of antibiotic benefit for most RTIs may also reduce antibiotic prescriptions.

AB - Antibiotic resistance is steadily rising worldwide. Respiratory tract infections (RTIs) are common indications, mostly imprudent, for antibiotic prescriptions in outpatient setting. In Korea, antibiotic prescription rate for RTIs is still high. As physician visit and antibiotic prescribing are influenced by patient's perceptions and beliefs, we aimed to explore the general public's perspectives and practices toward RTIs and to develop the 'RTI clinical iceberg.' A cross-sectional survey was conducted in Wonju Severance Christian Hospital (WSCH) among 550 adults attending outpatient departments during January 2016. Differences in distributions between groups were examined using two-tailed Pearson χ2 test. Using the Andersen's behavioral model as a conceptual framework, we constructed logistic regression models to assess factors associated with physician visit. Of 547 participants with complete questionnaires, 62.9% reported having experienced an RTI in the previous six months; 59.3% visited a physician for the illness, most commonly because the symptoms were severe or prolonged, and approximately 16% of them expected an antibiotic prescription from the visit. Perceptions of symptoms severity, the need factor, most strongly influenced physician visit. Predisposing and enabling factors such as inappropriate expectations for antibiotic for a sore throat or having national health insurance also influenced physician visit. Almost all participants who reported asking for an antibiotic were prescribed one, with a 37.1% non-adherence rate. Conclusively, public education on self-care for RTI symptoms that addresses their main concerns may reduce physician visits. Improving physician-patient relationship and informing patients about the lack of antibiotic benefit for most RTIs may also reduce antibiotic prescriptions.

UR - http://www.scopus.com/inward/record.url?scp=85011710018&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85011710018&partnerID=8YFLogxK

U2 - 10.3346/jkms.2017.32.2.278

DO - 10.3346/jkms.2017.32.2.278

M3 - Article

VL - 32

SP - 278

EP - 286

JO - Journal of Korean Medical Science

JF - Journal of Korean Medical Science

SN - 1011-8934

IS - 2

ER -