The relationship between treatment objectives and practice patterns in the management of urinary tract infections

Stephen D. Flach, J. Craig Longenecker, Thomas Gerald Tape, Teresa J. Bryan, Connie Parenti, Robert Swift Wigton

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Objective. To describe physicians' goals when treating uncomplicated urinary tract infections (UTIs) and the relationship between goals and practice patterns. Study design. Analysis of survey results. Population. Primary care physicians. Outcomes measured. Self-reported treatment objectives and practice patterns. Results. Most physicians reported their UTI management was convenient for the patient (81.3%). Fewer stated they minimized patients' costs (53.4%), made an accurate diagnosis (56.7%), or avoided unnecessary antibiotics (40.9%). Physicians who stressed convenience or minimizing patient expenses were less likely to use many resources (urine culture, microscopic urinalysis, followup visits and tests, and prolonged antibiotic treatment) and more likely to use telephone treatment. Physicians who stressed accurate diagnoses or avoiding unnecessary antibiotics were more likely to use the same resources and less likely to use telephone treatment. Conclusion. UTI management goals vary across physicians and are associated with different clinical approaches. Differences in treatment objectives may help explain variations in practice patterns.

Original languageEnglish (US)
Pages (from-to)131-139
Number of pages9
JournalMedical Decision Making
Volume23
Issue number2
DOIs
Publication statusPublished - Mar 1 2003

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Keywords

  • Diagnostic testing
  • Practice patterns
  • Resource utilization
  • Treatment objectives
  • Urinary tract infections

ASJC Scopus subject areas

  • Health Policy

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