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Article: The all-powerful and 'happy' drug: The use of steroids among primary care doctors in Hong Kong

TitleThe all-powerful and 'happy' drug: The use of steroids among primary care doctors in Hong Kong
Authors
KeywordsHong Kong
Prescription
Primary care
Steroid
Issue Date2006
PublisherBlackwell Publishing Ltd
Citation
Journal Of Clinical Pharmacy And Therapeutics, 2006, v. 31 n. 2, p. 173-178 How to Cite?
Abstract
Background: Steroids are commonly used, but their prescribing pattern and factors associated with their use in the primary care setting are largely unknown. Methods: Using diagnosis and drug data obtained from logbooks submitted by participants in the Diploma in Family Medicine course between 1999 and 2004, we selected and analysed all patients with a prescription of steroid as well as conditions in which it was prescribed. Factors, relating to patients or doctors, which could be associated with steroid prescription were recorded for both the prescribed and the non-prescribed groups. The results were compared using chi-square tests. Results: Steroids were prescribed in 7·1% of all patient encounters, of which dermatological and respiratory diseases were the most two common conditions. Upper respiratory tract infections accounted for a third of all respiratory diseases in which steroid was prescribed. Female or 'minor' patients (OR 1·16, 95% CI 1·01-1·32 and 1·16, 1·00-1·36 respectively) were more likely to be given a steroid and younger doctors (1·52, 1·25-1·86) were more likely to prescribe them. Conclusion: Some patterns of poor prescribing practice were demonstrated in this study. Campaigns by professional bodies may improve prescribing among our community doctors and effective public education programmes are needed to modify the health beliefs and expectations of the general public. © 2006 Blackwell Publishing Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/132442
ISSN
2013 Impact Factor: 1.533
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWong, WCWen_HK
dc.contributor.authorYou, JHSen_HK
dc.date.accessioned2011-03-28T09:24:38Z-
dc.date.available2011-03-28T09:24:38Z-
dc.date.issued2006en_HK
dc.identifier.citationJournal Of Clinical Pharmacy And Therapeutics, 2006, v. 31 n. 2, p. 173-178en_HK
dc.identifier.issn0269-4727en_HK
dc.identifier.urihttp://hdl.handle.net/10722/132442-
dc.description.abstractBackground: Steroids are commonly used, but their prescribing pattern and factors associated with their use in the primary care setting are largely unknown. Methods: Using diagnosis and drug data obtained from logbooks submitted by participants in the Diploma in Family Medicine course between 1999 and 2004, we selected and analysed all patients with a prescription of steroid as well as conditions in which it was prescribed. Factors, relating to patients or doctors, which could be associated with steroid prescription were recorded for both the prescribed and the non-prescribed groups. The results were compared using chi-square tests. Results: Steroids were prescribed in 7·1% of all patient encounters, of which dermatological and respiratory diseases were the most two common conditions. Upper respiratory tract infections accounted for a third of all respiratory diseases in which steroid was prescribed. Female or 'minor' patients (OR 1·16, 95% CI 1·01-1·32 and 1·16, 1·00-1·36 respectively) were more likely to be given a steroid and younger doctors (1·52, 1·25-1·86) were more likely to prescribe them. Conclusion: Some patterns of poor prescribing practice were demonstrated in this study. Campaigns by professional bodies may improve prescribing among our community doctors and effective public education programmes are needed to modify the health beliefs and expectations of the general public. © 2006 Blackwell Publishing Ltd.en_HK
dc.languageengen_US
dc.publisherBlackwell Publishing Ltden_US
dc.relation.ispartofJournal of Clinical Pharmacy and Therapeuticsen_HK
dc.subjectHong Kongen_HK
dc.subjectPrescriptionen_HK
dc.subjectPrimary careen_HK
dc.subjectSteroiden_HK
dc.titleThe all-powerful and 'happy' drug: The use of steroids among primary care doctors in Hong Kongen_HK
dc.typeArticleen_HK
dc.identifier.emailWong, WCW:wongwcw@hku.hken_HK
dc.identifier.authorityWong, WCW=rp01457en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.1365-2710.2006.00721.xen_HK
dc.identifier.pmid16635052en_HK
dc.identifier.scopuseid_2-s2.0-33645466644en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33645466644&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume31en_HK
dc.identifier.issue2en_HK
dc.identifier.spage173en_HK
dc.identifier.epage178en_HK
dc.identifier.eissn1365-2710-
dc.identifier.isiWOS:000237472300009-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridWong, WCW=25230779000en_HK
dc.identifier.scopusauthoridYou, JHS=35231883000en_HK
dc.identifier.citeulike575580-

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