Adherence of the private sector to national tuberculosis guidelines in the Islamic Republic of Iran, 2001-02.
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.
Shirzadi
M R
MR
Division of Communicable Disease, Center for Disease Management, Ministry of Health and Medical Education, Tehran, Islamic Republic of Iran.
Majdzadeh
R
R
Pourmalek
F
F
Naraghi
K
K
D000328:Adult; D000367:Age Factors; D000995:Antitubercular Agents / Q000627:therapeutic use; D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards; D003430:Cross-Sectional Studies; D023801:Directly Observed Therapy / Q000592:standards; D004501:Education, Medical; D019983:Guideline Adherence / Q000592:standards*; D007722:Health Knowledge, Attitudes, Practice; D006302:Health Services Research; D006801:Humans; D007492:Iran; D016015:Logistic Models; D008511:Medicine / Q000458:organization & administration; D020380:Needs Assessment; D010043:Outcome and Process Assessment, Health Care; D010821:Physicians, Family / Q000193:education / Q000458:organization & administration / Q000523:psychology; D017410:Practice Guidelines as Topic / Q000592:standards*; D010818:Practice Patterns, Physicians' / Q000592:standards*; D017149:Private Sector / Q000592:standards*; D019984:Quality Indicators, Health Care / Q000592:standards; D013038:Specialization; D011795:Surveys and Questionnaires; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis / Q000188:drug therapy
D000995:Antitubercular Agents