Patients' and Clinicians' Perceptions of Antibiotic Prescribing for Upper Respiratory Infections in the Acute Care Setting

Medical Decision Making : an International Journal of the Society for Medical Decision Making
David A BroniatowskiValerie F Reyna

Abstract

Reducing inappropriate prescribing is key to mitigating antibiotic resistance, particularly in acute care settings. Clinicians' prescribing decisions are influenced by their judgments and actual or perceived patient expectations. Fuzzy trace theory predicts that patients and clinicians base such decisions on categorical gist representations that reflect the bottom-line understanding of information about antibiotics. However, due to clinicians' specialized training, the categorical gists driving clinicians' and patients' decisions might differ, which could result in mismatched expectations and inefficiencies in targeting interventions. We surveyed clinicians and patients from 2 large urban academic hospital emergency departments (EDs) and a sample of nonpatient subjects regarding their gist representations of antibiotic decisions, as well as relevant knowledge and expectations. Results were analyzed using exploratory factor analysis (EFA) and multifactor regression. In total, 149 clinicians (47% female; 74% white), 519 online subjects (45% female; 78% white), and 225 ED patients (61% female; 56% black) completed the survey. While clinicians demonstrated greater knowledge of antibiotics and concern about side effects than patient...Continue Reading

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Citations

Jun 18, 2019·Journal of Evaluation in Clinical Practice·Hamed KianmehrLeon E Cosler
Aug 20, 2019·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Kerstin EilermannDaniel Wiesen
Feb 6, 2021·British Journal of Psychology·Alistair ThorpeMarie Juanchich
Jan 14, 2022·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Thomas AllenMario Pezzino

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