This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Contact me when this article is cited  Related Content  • Similar articles in this journal

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

I read with great interest the article by Huang and Stafford¹ on the increasing tendency of ambulatory care physicians to prescribe fluoroquinolones and nitrofurantoin to patients with urinary tract infections. The authors have argued that probably subspecialty culture and increasing pharmaceutical promotions are the 2 main reasons for such deviant behavior.

Recent studies from the United Kingdom have indicated that there maybe many additional reasons why physicians do not implement evidence-based therapies.² A similar trend has been also reported in the Netherlands³ and Australia.⁴ In a qualitative analysis of physicians interviewed from the United Kingdom,² 6 themes were identified that affected the implementation of evidenced-based therapies. These included the personal and professional experiences of the physician, the patient-physician relationship, perceived tensions between primary care physicians and specialists, physicians' feelings about their patients and the evidence, words used by the physicians, and the logistics of general practice. Also, the perception that . . . [Full Text of this Article]