ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2011
Managing self-limiting respiratory tract infections: a qualitative study of the usefulness of the delayed prescribing strategy.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
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Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Modulation of transient receptor potential (TRP) channels by plant derived substances used in over-the-counter cough and cold remedies.Respiratory research · 2023Pooled it
- Effectiveness of decision support tools on reducing antibiotic use for respiratory tract infections: a systematic review and meta-analysis.Frontiers in pharmacology · 2023Pooled it
- 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 · 2018Pooled it
- Usefulness of C-reactive protein testing in acute cough/respiratory tract infection: an open cluster-randomized clinical trial with C-reactive protein testing in the intervention group.BMC family practice · 2014Trial
- 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 · 2013Trial
- How, why and when are delayed (back-up) antibiotic prescriptions used in primary care? A realist review integrating concepts of uncertainty in healthcare.BMC public health · 2024Review
- Primary Healthcare Physicians' Insufficient Knowledge Is Associated with Antibiotic Overprescribing for Acute Upper Respiratory Tract Infections in China: A Cross-Sectional Study.Antibiotics (Basel, Switzerland) · 2024Article
- Perceptions and attitudes regarding delayed antibiotic prescription for respiratory tract infections: a qualitative study.BMC primary care · 2023Article
- General Practitioners', Pharmacists' and Parents' Views on Antibiotic Use and Resistance in Malta: An Exploratory Qualitative Study.Antibiotics (Basel, Switzerland) · 2022Article
- The Role of Point-of-Care C-Reactive Protein Testing in Antibiotic Prescribing for Respiratory Tract Infections: A Survey among Swiss General Practitioners.Antibiotics (Basel, Switzerland) · 2022Article
- Development of an intervention to support the implementation of evidence-based strategies for optimising antibiotic prescribing in general practice.Implementation science communications · 2021Article
- The emerging role of probiotics as a mitigation strategy against coronavirus disease 2019 (COVID-19).Archives of virology · 2021Review
- Article
- Alternative approaches to managing respiratory tract infections: a survey of public perceptions.BJGP open · 2021Article
- Impact of a Social Marketing Intervention on General Practitioners' Antibiotic Prescribing Practices for Acute Respiratory Tract Complaints in Malta.Antibiotics (Basel, Switzerland) · 2021Article
- Implementing interventions to reduce antibiotic use: a qualitative study in high-prescribing practices.BMC family practice · 2021Article
- Article
- Delayed Antibiotic Prescription by General Practitioners in the UK: A Stated-Choice Study.Antibiotics (Basel, Switzerland) · 2020Article
- General practitioners' accounts of negotiating antibiotic prescribing decisions with patients: a qualitative study on what influences antibiotic prescribing in low, medium and high prescribing practices.BMC family practice · 2019Article
- Use of delayed antibiotic prescription in primary care: a cross-sectional study.BMC family practice · 2019Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite respiratory tract infections usually being viral and self-limiting, most primary care consultations still result in an antibiotic prescription. The National Institute for Health and Clinical Excellence (NICE) introduced the 'delayed prescribing' (DP) strategy. It remains unknown how useful UK clinicians find this approach.
aimTo investigate how DP is used within UK primary care, and the benefits and challenges associated with this strategy. DESIGN AND
settingQualitative interview and focus group study in UK scheduled and unscheduled care primary care settings.
methodData were gathered through semi-structured interviews (n = 49) and six focus groups with GPs, trainee GPs, and nurse prescribers (NPs). An iterative analysis approach, using grounded theory principles, was used to generate themes from the dataset.
resultsPrescribers were familiar with DP but used it infrequently. DP was often used to manage diagnostic uncertainty, although NPs, trainee GPs, and GPs working in unscheduled care services preferred patients to reconsult under these circumstances. Prescribers used DP to avoid conflict, although some had found more effective strategies to achieve this. Prescribers were generally uncomfortable giving clinical responsibility to patients, and DP was perceived to communicate a conflicting message to patients about antibiotic efficacy.
conclusionDP was not considered to be a helpful strategy for managing patients with self-limiting respiratory tract infections within primary care and the findings do not support the centrality of DP in NICE guidelines as a primary means of reducing antibiotic prescribing. Future training and guidelines should encourage alternative ways of communicating empathy, addressing patient beliefs, and encouraging self-management.
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