From Visiting A Physician To Expecting Antibiotics: Korean Perspectives And Practices Toward Respiratory Tract Infections | 68479
Journal of Clinical Trials
Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.
This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.
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.
Chun-Bae Kim completed his MD from Chung-Ang University (1987) and PhD from Yonsei University (1996) in Republic of Korea. He is working as a Professor at the Department of Preventive Medicine, Wonju College of Medicine, Yonsei University since 1996. Also, he is participating at the convergence research in the Institute for Poverty Alleviation and International Development, Yonsei University since 2010. Previously, he had studied at University of Minnesota School of Public Health as a Visiting Professor. He has received many honors and awards including Marquis Who’s Who in the World (29th Edition 2012). He has published over 110 papers in the area of Public Health, Preventive Medicine, and Global Health.