| Physician specialty is associated with adherence to treatment guidelines for acute otitis media in children. | |
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MedLine Citation:
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PMID: 23057496 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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AIM: To identify physician and visit characteristics affecting adherence to guidelines recommending delayed antibiotic therapy for acute otitis media (AOM). METHODS: We used physician visit data from an Israeli health maintenance organization to identify children ages 0-15 diagnosed with AOM. We defined early antibiotic treatment as purchase, within 3 days of diagnosis, of antibiotics prescribed by the diagnosing physician. We considered the effect of physician specialty (pediatrician, otolaryngologist, family physician), day of the week, setting (urgent care/clinic), and clinic location (peripheral/central) on the rate of early treatment. RESULTS: Proportion of cases receiving early treatment dropped from 2002 to 2009 in cases treated by otolaryngologists (47% to 36%) and pediatricians (46% to 42%), and increased in cases treated by family physicians (43% to 50%). Treatment rate was higher in cases treated on weekends than on weekdays (48% vs. 44%), in urgent care as compared to clinic settings (51% vs 44%), and in children living in peripheral as compared to central areas (52% vs 38%). CONCLUSIONS: Successful implementation of delayed treatment of otitis media guidelines requires addressing factors associated with increased early treatment rates. © 2012 The Author(s)/Acta Paediatrica © 2012 Foundation Acta Paediatrica. |
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Authors:
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Zachi Grossman; Barbara G Silverman; Dan Miron |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-10-12 |
Journal Detail:
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Title: Acta paediatrica (Oslo, Norway : 1992) Volume: - ISSN: 1651-2227 ISO Abbreviation: Acta Paediatr. Publication Date: 2012 Oct |
Date Detail:
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Created Date: 2012-10-12 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9205968 Medline TA: Acta Paediatr Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2012 The Author(s)/Acta Paediatrica © 2012 Foundation Acta Paediatrica. |
Affiliation:
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Maccabi Health Services, Tel Aviv, Israel. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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