Document Detail


A bitter pill to swallow: nonadherence with prophylactic antibiotics during the anthrax attacks and the role of private physicians.
MedLine Citation:
PMID:  15588055     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To generate recommendations for improving adherence to public health advice during public health crises, we conducted semi-structured interviews with employees at the Brentwood Road Postal Facility and on Capitol Hill to identify key themes associated with decisions to adhere to recommended antibiotic prophylaxis during the 2001 anthrax attacks. Factors used in deciding to adhere to recommended prophylactic antibiotics and concerns about the official response were similar in Brentwood and Capitol Hill employees, and in adherent and nonadherent participants. All participants used multiple sources of information and support as they weighed the risk from anthrax against the advantages and disadvantages of antibiotics. We found that nonadherent participants were commonly following the advice of private physicians, whereas adherent participants commonly described ongoing support from multiple sources when discussing their decisions. Our findings highlight the need for better integration between the public and private health care systems during public health crises and the importance of equipping private physicians for their key role in aiding decision-making during a public health crisis. Special attention also should be given to enhancing support and information from multiple sources throughout the entire period of risk.
Authors:
Bradley D Stein; Terri L Tanielian; Gery W Ryan; Hilary J Rhodes; Shalanda D Young; Janice C Blanchard
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Biosecurity and bioterrorism : biodefense strategy, practice, and science     Volume:  2     ISSN:  1538-7135     ISO Abbreviation:  Biosecur Bioterror     Publication Date:  2004  
Date Detail:
Created Date:  2004-12-13     Completed Date:  2005-02-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101156085     Medline TA:  Biosecur Bioterror     Country:  United States    
Other Details:
Languages:  eng     Pagination:  175-85     Citation Subset:  IM    
Affiliation:
Center for Domestic and International Health Security, RAND Corporation 90407-2138, USA. stein@rand.org
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MeSH Terms
Descriptor/Qualifier:
Anthrax / drug therapy*
Antibiotic Prophylaxis*
Decision Making
District of Columbia
Humans
Physician's Role*
Physicians, Family
Postal Service
Public Health
Treatment Refusal*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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