ArticleAnnals of family medicine
Managing expectations of antibiotics for upper respiratory tract infections: a qualitative study.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Physicians', pharmacists', and nurses' education of patients about antibiotic use and antimicrobial resistance in primary care settings: a qualitative systematic literature review.Frontiers in antibiotics · 2024Pooled 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
- Systematic Review of Factors Associated with Antibiotic Prescribing for Respiratory Tract Infections.Antimicrobial agents and chemotherapy · 2016Pooled it
- Ambulatory Antibiotic Stewardship through a Human Factors Engineering Approach: A Systematic Review.Journal of the American Board of Family Medicine : JABFMPooled it
- A Brief Shared Decision-Making Intervention for Acute Respiratory Infections on Antibiotic Dispensing Rates in Primary Care: A Cluster Randomized Trial.Annals of family medicineTrial
- Article
- Patient and public understanding of antimicrobial resistance: a systematic review and meta-ethnography.JAC-antimicrobial resistance · 2024Review
- Communication training for general practitioners aimed at improving antibiotic prescribing: a controlled before-after study in multicultural Dutch cities.Frontiers in medicine · 2024Article
- Post-consultation acute respiratory tract infection recovery: a latent class-informed analysis of individual patient data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Article
- GP strategies to avoid imaging overuse. A qualitative study in Norwegian general practice.Scandinavian journal of primary health care · 2022Article
- Parental Knowledge, Attitude, and Practices on Antibiotic Use for Childhood Upper Respiratory Tract Infections during COVID-19 Pandemic in Greece.Antibiotics (Basel, Switzerland) · 2021Article
- Antibiotic Prescribing and Doctor-Patient Communication During Consultations for Respiratory Tract Infections: A Video Observation Study in Out-of-Hours Primary Care.Frontiers in medicine · 2021Article
- Review
- Risks of use and non-use of antibiotics in primary care: qualitative study of prescribers' views.BMJ open · 2020Article
- Revisiting patient expectations and experiences of antibiotics in an era of antimicrobial resistance: Qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- What matters when managing childhood fever in the emergency department? A discrete-choice experiment comparing the preferences of parents and healthcare professionals in the UK.Archives of disease in childhood · 2020Article
- Relationship between microbiology of throat swab and clinical course among primary care patients with acute cough: a prospective cohort study.Family practice · 2020Article
- Dissonant views - GPs' and parents' perspectives on antibiotic prescribing for young children with respiratory tract infections.BMC family practice · 2019Article
- Intrinsic and external determinants of antibiotic prescribing: a multi-level path analysis of primary care prescriptions in Hubei, China.Antimicrobial resistance and infection control · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeCommunication experts have suggested that it is good practice to ask patients' directly whether they expect to receive antibiotics as part of asking about the triad of ideas, concerns, and expectations for health care. Our aim was to explore the views and experiences of family physicians about using this strategy with their patients, focusing the interview on the problem of eliciting expectations of antibiotics as a possible treatment for upper respiratory tract infections.
methodsWe conducted a qualitative study using semistructured interviews with 20 family physicians in South Wales, United Kingdom, and performing thematic analysis.
resultsFamily physicians assumed most patients or parents wanted antibiotics, as well as wanting to be "checked out" to make sure the illness was "nothing serious." Physicians said they did not ask direct questions about expectations, as that might lead to confrontation. They preferred to elicit expectations for antibiotics in an indirect manner, before performing a physical examination. The majority described reporting their findings of the examination as a "running commentary" so as to influence expectations and help avoid generating resistance to a soon-to-be-made-explicit plan not to prescribe antibiotics. The physicians used the running commentary to preserve and enhance the physician-patient relationship.
conclusionsReal-world family physicians use indirect methods to explore expectations for treatment and, on the basis of their physical examination, build an argument for reassuring the patient or parent. In contrast to proposed models in the communication literature, interventions to promote appropriate antibiotic prescribing might include a focus on training in communication skills that (1) integrates these indirect methods as part of building collaborative physician-patient relationships and (2) uses the running commentary of examination findings to facilitate participation in clinical decisions.
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