Abstract
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.
MeSH terms
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Adult
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Age Factors
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Antitubercular Agents / therapeutic use
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Attitude of Health Personnel
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Clinical Competence / standards
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Cross-Sectional Studies
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Directly Observed Therapy / standards
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Education, Medical
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Guideline Adherence / standards*
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Health Knowledge, Attitudes, Practice
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Health Services Research
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Humans
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Iran
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Logistic Models
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Medicine* / organization & administration
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Needs Assessment
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Outcome and Process Assessment, Health Care
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Physicians, Family* / education
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Physicians, Family* / organization & administration
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Physicians, Family* / psychology
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Practice Guidelines as Topic / standards*
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Practice Patterns, Physicians' / standards*
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Private Sector / standards*
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Quality Indicators, Health Care / standards
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Specialization*
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Surveys and Questionnaires
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Tuberculosis, Pulmonary* / diagnosis
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Tuberculosis, Pulmonary* / drug therapy