Can physicians treat tuberculosis? Report on a national survey of physician practices

• Published in: American journal of public health (1971) Vol. 87; no. 12; pp. 2008 - 2011
• Main Authors: Sumartojo, E M, Geiter, L J, Miller, B, Hale, B E
• Format: Journal Article
• Language: English
• Published: Washington, DC Am Public Health Assoc 01.12.1997; American Public Health Association
• Subjects: Biological and medical sciences; Centers for Disease Control and Prevention (U.S.); Disease control; Doctors; Drug resistance; Family physicians; Family Practice; Female; Guideline Adherence; Health care; Health Knowledge, Attitudes, Practice; Health participants; Humans; Infections; Infectious diseases; Male; Medicaid; Medical diagnosis; Medical sciences; Medicine; National surveys; Nursing homes; Patients; Physicians; Polls & surveys; Practice Guidelines as Topic; Practice Patterns, Physicians' - standards; Public health; Public health. Hygiene; Public health. Hygiene-occupational medicine; Regression analysis; Reporting requirements; Response rates; Specialization; Strategies; Surveys and Questionnaires; Time Factors; Treatment; Tuberculosis; Tuberculosis - therapy; United States; USA; United States; Human; Professional experience; General practitioner; Mycobacterial infection; Recommendation; Infection; Treatment; Tuberculosis; Medical prescription; Professional practice; Bacteriosis; Health worker; Therapeutic protocol; Medical specialty; Comparative study
• ISSN: 0090-0036; 1541-0048
• DOI: 10.2105/AJPH.87.12.2008

Researchers examined physicians' treatment strategies for tuberculosis to determine whether they would follow recommendations of the Centers for Disease Control and Prevention and the American Thoracic Society. A national survey sampled 1772 physicians. Analyses tested correlates of recommended treatment regimens. Among respondents, 59.4% described a recommended regimen. Specialists; physicians aware of professional publications, treatment recommendations, and reporting requirements; and those having more than 50% of patients in nursing homes were more likely to describe recommended regimens. Physicians who had been in practice longer, relied on personal experience, or had more than 50% of patients receiving Medicaid were less likely to describe recommended regimens. Physicians who treat tuberculosis require training and support. Policymakers should consider who should treat tuberculosis and how recommended practice should be ensured.