TABLE 4

Pediatricians' Self-Reported Determinants of Analgesic Utilization

During Injection, n (%)Postinjection Oral Analgesic, n (%)
Topical AnalgesicOral Analgesic
All reasons specified when analgesics were used (N = 139)
    Parent request69 (49.6)63 (45.3)71 (51.1)
    Personal experience28 (20.1)60 (43.2)95 (68.3)
    Research21 (15.1)34 (24.5)58 (41.7)
    Discussion with colleagues16 (11.5)24 (17.3)38 (27.3)
    Patient factors12 (8.6)18 (12.9)24 (17.3)
    Institutional practices4 (2.9)14 (10.1)21 (15.1)
    Manufacturer1 (0.7)1 (0.7)6 (4.3)
All reasons specified when analgesics were not used (N = 136)
    Personal experience51 (37.5)37 (27.2)25 (18.4)
    Parent did not request40 (29.4)38 (27.9)32 (23.5)
    Time35 (25.7)24 (17.6)7 (5.1)
    Cost22 (16.2)0 (0.0)0 (0.0)
    Discussion with colleagues18 (13.2)11 (8.1)9 (6.6)
    Parent refused16 (11.8)34 (25.0)31 (22.8)
    Research10 (7.4)6 (4.4)6 (4.4)
    Patient factors7 (5.1)10 (7.4)7 (5.1)
    Adverse effects6 (4.4)1 (0.7)2 (1.5)
    Lack of familiarity4 (2.9)0 (0.0)0 (0.0)
    Institutional practices2 (1.5)1 (0.7)1 (0.7)
    Manufacturer2 (1.5)1 (0.7)0 (0.0)