RESUMO
We determined the knowledge and practice of private sector physicians in three cites regarding management of pulmonary tuberculosis (TB) and their determinants. A random sample questionnaire survey was conducted of 732 private physicians. Stratified analysis and logistic regression were used to identify the adjusted determinants of the two outcomes. A high proportion of the doctors had correct knowledge about the major diagnostic criteria but there was a low level of knowledge and practice of TB management. Significant risk factors for poor knowledge were age > or = 36 years, being a GP rather than a specialist and no attendance in TB training courses or attendance in courses held by institutions other than the public health system. Age > or = 36 years was the only significant risk factor for poor practice.
Assuntos
Fidelidade a Diretrizes/normas , Medicina , Médicos de Família , Guias de Prática Clínica como Assunto/normas , Padrões de Prática Médica/normas , Setor Privado/normas , Especialização , Tuberculose Pulmonar , Adulto , Fatores Etários , Antituberculosos/uso terapêutico , Atitude do Pessoal de Saúde , Competência Clínica/normas , Estudos Transversais , Terapia Diretamente Observada/normas , Educação Médica , Conhecimentos, Atitudes e Prática em Saúde , Pesquisa sobre Serviços de Saúde , Humanos , Irã (Geográfico) , Modelos Logísticos , Medicina/organização & administração , Avaliação das Necessidades , Avaliação de Processos e Resultados em Cuidados de Saúde , Médicos de Família/educação , Médicos de Família/organização & administração , Médicos de Família/psicologia , Indicadores de Qualidade em Assistência à Saúde/normas , Inquéritos e Questionários , Tuberculose Pulmonar/diagnóstico , Tuberculose Pulmonar/tratamento farmacológicoRESUMO
We determined the knowledge and practice of private sector physicians in three cites regarding management of pulmonary tuberculosis [TB] and their determinants. A random sample questionnaire survey was conducted of 732 private physicians. Stratified analysis and logistic regression were used to identify the adjusted determinants of the two outcomes. A high proportion of the doctors had correct knowledge about the major diagnostic criteria but there was a low level of knowledge and practice of TB management. Significant risk factors for poor knowledge were age > / = 36 years, being a GP rather than a specialist and no attendance in TB training courses or attendance in courses held by institutions other than the public health system. Age > / = 36 years was the only significant risk factor for poor practice
