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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 BMJ+Open
2016 ; 6
(10
): e012244
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Why do general practitioners prescribe antibiotics for upper respiratory tract
infections to meet patient expectations: a mixed methods study
#MMPMID27798010
Fletcher-Lartey S
; Yee M
; Gaarslev C
; Khan R
BMJ Open
2016[Oct]; 6
(10
): e012244
PMID27798010
show ga
OBJECTIVES: To describe the role patient expectations play in general
practitioners (GPs) antibiotic prescribing for upper respiratory tract infections
(URTI). METHODS: Concurrent explanatory mixed methods approach using a
cross-sectional survey and semistructured interviews. SETTINGS: Primary care GPs
in Australia. PARTICIPANTS: 584 GPs (response rate of 23.6%) completed the
cross-sectional survey. 32 GPs were interviewed individually. OUTCOME MEASURE:
Prescribing of antibiotics for URTI. RESULTS: More than half the GP respondents
to the survey in Australia self-reported that they would prescribe antibiotics
for an URTI to meet patient expectations. Our qualitative findings suggest that
'patient expectations' may be the main reason given for inappropriate
prescribing, but it is an all-encompassing phrase that includes other reasons.
These include limited time, poor doctor-patient communication and diagnostic
uncertainty. We have identified three role archetypes to explain the behaviour of
GPs in reference to antibiotic prescribing for URTIs. The main themes emerging
from the qualitative component was that many GPs did not think that antibiotic
prescribing in primary care was responsible for the development of antibiotic
resistance nor that their individual prescribing would make any difference in
light of other bigger issues like hospital prescribing or veterinary use. For
them, there were negligible negative consequences from their inappropriate
prescribing. CONCLUSIONS: There is a need to increase awareness of the scope and
magnitude of antibiotic resistance and the role primary care prescribing plays,
and of the contribution of individual prescribing decisions to the problem of
antibiotic resistance.