From Visiting a Physician to Expecting Antibiotics: Korean Perspectives and Practices Toward Respiratory Tract Infections
ORIGINAL ARTICLE Respiratory Diseases https://doi.org/10.3346/jkms.2017.32.2.278 • J Korean Med Sci 2017; 32: 278-286 From Visiting a Physician to Expecting Antibiotics: Korean Perspectives and Practices toward Respiratory Tract Infections Leila Freidoony,1,2 Chun-Bae Kim,1,2,4 Antibiotic resistance is steadily rising worldwide. Respiratory tract infections (RTIs) are Hamid Haghani,3 Myung-Bae Park,1,2 common indications, mostly imprudent, for antibiotic prescriptions in outpatient setting. Sei-Jin Chang,1,4 Sang-Ha Kim,5 In Korea, antibiotic prescription rate for RTIs is still high. As physician visit and antibiotic and Sang Baek Koh1,4 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 1Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju, iceberg.’ A cross-sectional survey was conducted in Wonju Severance Christian Hospital Korea; 2Institute for Poverty Alleviation and (WSCH) among 550 adults attending outpatient departments during January 2016. International Development, Yonsei University, Differences in distributions between groups were examined using two-tailed Pearson χ2 3 Wonju, Korea; Department of Biostatistics, School test. Using the Andersen’s behavioral model as a conceptual framework, we constructed of Public Health, Iran University of Medical Sciences, Tehran, Iran; 4Institute of Occupation and logistic regression models to assess factors associated with physician visit. Of 547 Environmental Medicine, Yonsei University Wonju participants with complete questionnaires, 62.9% reported having experienced an RTI in College of Medicine, Wonju, Korea; 5Department of the previous six months; 59.3% visited a physician for the illness, most commonly because Internal Medicine, Yonsei University Wonju College the symptoms were severe or prolonged, and approximately 16% of them expected an of Medicine, Wonju, Korea antibiotic prescription from the visit.
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