Does shared decision-making reduce antibiotic prescribing in primary care?

The Journal of Antimicrobial Chemotherapy
Thamar E M van EschJudith D de Jong

Abstract

Increasing antibiotic resistance is recognized as a major threat to global health and is related to antibiotic prescription rates in primary care. Shared decision-making (SDM), the process in which patients and doctors participate together in making decisions, is argued to possibly promote more appropriate use of antibiotics and reduce prescribing. However, it is unknown whether in practice fewer antibiotics are prescribed where more SDM takes place. To investigate whether more SDM is related to less antibiotic prescribing and whether this relationship differs between subgroups of patients (male/female and age groups). A questionnaire survey was conducted among 2670 members of the Dutch Health Care Consumer Panel to measure SDM (response rate 45%). Average practice-level SDM scores were calculated for 15 general practices. Data from routine electronic health records of 8192 adult patients of these general practices participating in the Nivel Primary Care Database were used to assess relevant illness episodes (acute cough, acute rhinosinusitis and urinary tract infection), the indication for antibiotics and antibiotic prescriptions. Logistic multilevel regression analyses were performed to investigate the relationship between pr...Continue Reading

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Citations

May 1, 2019·The Journal of Antimicrobial Chemotherapy·Victoria PalinTjeerd van Staa
Mar 18, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Hayli R HruzaJorie M Butler
Dec 19, 2020·PloS One·Laura Medina-PeruchaAnna Berenguera
Mar 9, 2021·Applied Health Economics and Health Policy·James BuchananSarah Wordsworth
Mar 27, 2021·NPJ Primary Care Respiratory Medicine·Dan WangChenxi Liu
Apr 8, 2021·Antimicrobial Resistance and Infection Control·Inga PetruschkeUNKNOWN RAI Study Group
Jun 4, 2021·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Leora AizmanJeremy R Etzkorn

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