Evidence map›Paper›PMID 21144201›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2010

Delayed prescribing for upper respiratory tract infections: a qualitative study of GPs' views and experiences.

Sigurd Høye, Jan Frich, Morten Lindbœk

Open access · bronzeAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Antibiotic prescribing for acute respiratory tract infections in primary care: an updated and expanded meta-ethnography.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Pooled it
  2. Pooled it
  3. Effects on antibiotic dispensing rates of interventions to promote delayed prescribing for respiratory tract infections in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 4 countries.

Sigurd HøyeDepartment of Health Management and Health Economics, Institute of Health and Society, University of Oslo, Norway. sigurd.hoye@medisin.uio.no
Jan Frich
Morten Lindbœk
Antibiotic (Bulgaria) · BGUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelayed prescribing has been promoted as a strategy that meets patients' expectations and helps to avoid unnecessary use of antibiotics in upper respiratory tract infections.

aimTo explore GPs' views on and experiences with delayed prescribing in patients with acute upper respiratory tract infections. DESIGN OF STUDY: Qualitative study involving focus groups. Setting Norwegian general practice.

methodQualitative analysis of data collected from five focus groups comprising 33 GPs who took part in a quality-improvement programme of antibiotic prescribing.

resultsThe views of GPs differed on the usefulness of delayed prescribing. GPs who endorsed the strategy emphasised shared decision making and the creation of opportunities for educating patients, whereas GPs who were negative applied the strategy mainly when being pressed to prescribe. Mild and mainly harmless conditions of a possible bacterial origin, such as acute sinusitis and acute otitis, were considered most suitable for delayed prescribing. A key argument for issuing a wait-and-see prescription was that it helped patients avoid seeking after-hours care. For issuing a wait-and-see prescription, the GPs required that the patient was 'knowledgeable', able to understand the indications for antibiotics, and motivated for shared decision making. GPs emphasised that patients should be informed thoroughly when receiving a wait-and-see prescription.

conclusionNot all GPs endorse delayed prescribing; however, it appears to be a feasible approach for managing patients with early symptoms of mild upper respiratory tract infections of a possible bacterial origin. Informing the patients properly while issuing wait-and-see prescriptions is essential.

Indexed as

Attitude of Health PersonnelAdultAgedAnti-Bacterial AgentsEpidemiologic MethodsFamily PracticeFemaleHumansMaleMiddle AgedPatient Education as TopicPatient SatisfactionPhysician-Patient RelationsPractice Patterns, Physicians'Respiratory Tract InfectionsAnti-Bacterial Agents

Identifiers

PMID21144201
PMCPMC2991744
OpenAlexW1992248081

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.