ArticleQuality & safety in health care2007
Antibiotic prescribing in primary care: first choice and restrictive prescribing are two different traits.
Article in Quality & safety in health care, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Methods to derive composite indicators used for quality and safety measurement and monitoring in healthcare: a scoping review.Frontiers in health services · 2026Pooled it
- Quality indicators assessing antibiotic use in the outpatient setting: a systematic review followed by an international multidisciplinary consensus procedure.The Journal of antimicrobial chemotherapy · 2018Pooled it
- Quality assessment of diagnosis and antibiotic treatment of infectious diseases in primary care: a systematic review of quality indicators.Scandinavian journal of primary health care · 2016Pooled it
- Identifying AWaRe indicators for appropriate antibiotic use: a narrative review.The Journal of antimicrobial chemotherapy · 2024Review
- Knowledge, attitudes, and practices regarding antibiotic use in Bangladesh: Findings from a cross-sectional study.PloS one · 2024Article
- Antibiotic prescribing for common infections in UK general practice: variability and drivers.The Journal of antimicrobial chemotherapy · 2019Observational
- Patterns of Antibiotic Prescription in Children: Tirana, Albania Region.Open access Macedonian journal of medical sciences · 2018Article
- Study protocol: the Registrar Clinical Encounters in Training (ReCEnT) study.BMC family practice · 2012Article
- Getting a grip on guidelines: how to make them more relevant for practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- On the trail of quality and safety in health care.BMJ (Clinical research ed.) · 2008Article
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Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the quality of antibiotic prescribing in primary care using quality indicators and the relatedness of these indicators. To determine the influence of general practice and practice population characteristics on the indicator scores.
methodsData on performance were collected during the Second National Survey of General Practice over 1 year between May 2000 and April 2002 in The Netherlands. The study was carried out in 104 computerised general practices, comprising 195 general practitioners and about 400,000 patients. From a preliminary set of quality indicators on antibiotic prescribing (n = 15), eight were selected covering various medical conditions. Indicator scores were derived. A factor analysis was performed to examine the relatedness of these indicators. Composite scores were calculated for the indicators loading on the same factor. The influence of general practice and practice population characteristics on the quality of antibiotic prescribing was investigated.
resultsConsiderable variation was found between indicator scores (32.8-94.2%) and between practices. The factor analysis discovered two interpretable factors-namely, "first choice prescribing" and "restrictive prescribing". The composite scores were 64% and 68%, respectively. No significant correlation was found between the two composite scores. Practice and population characteristics explained only a small proportion of the variance between practices.
conclusionsAlthough different quality indicators on antibiotic prescribing are grouped together over several medical conditions, there is large variation between those indicators. General practices performing well on first choice prescribing do not automatically perform well on restrictive prescribing. There is room for improvement on both aspects of prescribing. The variation between practices is clearly present and should be further investigated.
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