[Antibiotic use in general practice in Belgium and France: between collective factors and individual responsibility].
The mechanisms that might explain the antibiotic use in ambulatory practices go widely beyond microbiology and epidemiology. Sociocultural factors (help-seeking behaviour) and structural factors (liberal fee-for system), similar in France and Belgium, explain how an inappropriate health demand and an inappropriate supply are supporting each other, to keep the two countries high in European ranking. Beyond these collective factors of antibiotic use, the general practitioners' individual responsibility is also discussed.
Centre académique de médecine générale, université catholique de Louvain, tour Pasteur 5360, 53, avenue Mounier, 1200 Bruxelles, Belgique. Jean-Marc.Feron@cumg.ucl.ac.be
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Tulkens
D000900:Anti-Bacterial Agents / Q000600:supply & distribution / Q000627:therapeutic use*; D001530:Belgium; D003469:Culture; D011307:Drug Prescriptions / Q000706:statistics & numerical data; D004352:Drug Resistance, Microbial; D004363:Drug Utilization / Q000706:statistics & numerical data; D005194:Family Practice / Q000706:statistics & numerical data*; D005602:France; D006801:Humans; D010342:Patient Acceptance of Health Care; D010817:Physician-Patient Relations; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D012941:Social Responsibility; D035501:Uncertainty
D000900:Anti-Bacterial Agents
Prescription d'antibiotiques en médecine générale en Belgique et en France: entre déterminants collectifs et responsabilité individuelle.