Understanding General Practitioners' Antibiotic Prescribing Decisions in Out-of-Hours Primary Care: A Video-Elicitation Interview Study

Antibiotics
Annelies ColliersSibyl Anthierens

Abstract

Infections are the most common reason why patients consult out-of-hours (OOH) primary care. Too often there is an overprescribing of antibiotics for self-limiting infections and general practitioners (GPs) do not always choose the guideline recommended antibiotics. To improve antibiotic prescribing quality, a better understanding is needed of the (non) antibiotic prescribing decisions of GPs. This study sets out to unravel GPs' (non) antibiotic prescribing decisions in OOH primary care. We video-recorded 160 consultations on infections during OOH primary care by 21 GPs and performed video-elicitation interviews with each GP. GPs reflected on their decision-making process and communication while watching their consultation. A qualitative thematic analysis was used. GPs found that their (non) antibiotic prescribing decision-making was not only based on objective arguments, but also subconsciously influenced by their own interpretation of information. Often GPs made assumptions (about for example the patients' reason for encounter or expectations for antibiotics) without objectifying or verifying this with the patient. From the beginning of the consultation GPs follow a dichotomous thinking process: urgent versus not urgent, viral...Continue Reading

References

Jul 30, 2004·The Journal of Antimicrobial Chemotherapy·Samuel CoenenJoke Denekens
Dec 25, 2008·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Jan MatthysMyriam Deveugele
Mar 14, 2012·Annals of Family Medicine·Stephen G Henry, Michael D Fetters
Sep 28, 2012·BMJ : British Medical Journal·Ann Van den BruelDavid Mant
Dec 12, 2012·Patient Education and Counseling·Wemke VeldhuijzenCees van der Vleuten
Sep 2, 2014·BMC Medical Research Methodology·Zoe PaskinsAndrew B Hassell
Oct 29, 2014·Scandinavian Journal of Primary Health Care·Linda HuibersPeter Vedsted
Apr 14, 2016·Patient Education and Counseling·Ruth ParryLuke Feathers
Feb 25, 2017·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Vera Ec DebetsUNKNOWN SWAB’s Working Group on Surveillance of Antimicrobial Use
Nov 18, 2018·Perspectives on Medical Education·Marije van BraakEsther Giroldi
Dec 5, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Daniel JonesUna Macleod
May 16, 2019·European Journal of Public Health·Marleen SmitsRobert Verheij
Jan 8, 2020·JAMA : the Journal of the American Medical Association·Donna M ZulmanAbraham Verghese

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NCT03082521

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