Martijn Sijbom

89 Determinants of inappropriate antibiotic prescription in primary care in developed countries with general practitioners as gatekeepers 3 Framework Culture of healthcare consumption Patient factors and experiences Culture of professional medicine Clinician attitudes and beliefs Practice environment The patient-clinician interaction Received antibiotics in previous year 11-24 year career versus < 11 year career Workload > 150 days/year >25 year career versus < 11 year career 25-44 patients/ day versus < 25 patients/day Medical education outside Canada or United States > 45 patients/ day versus < 25 patients/day Fee for service provider versus salaried provider Female Frequency of office visits (per 2 visit increase to the same primary care provider) Age patient < 60 Comorbidity 3 or more versus 0 Female patients Rural practice location Number of comorbid conditions Larger practice size Office visit frequency

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