ArticleScandinavian journal of primary health care2014
Management of patients with sore throats in relation to guidelines: an interview study in Sweden.
Article in Scandinavian journal of primary health care, 2014. 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.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Outcomes of guidelines from health technology assessment organizations in community-based primary care: a systematic mixed studies review.International journal of technology assessment in health care · 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
- Barriers and enablers to using evidence-based antibiotic prescription guidelines in primary care: a qualitative systematic review and synthesis using the theoretical domains framework.Implementation science communications · 2026Review
- Knowledge, attitudes and practices of clinicians in Shenzhen regarding pediatric streptococcal pharyngitis diagnosis and treatment.Frontiers in cellular and infection microbiology · 2026Article
- Access to automated comparative feedback reports in primary care - a study of intensity of use and relationship with clinical performance among Swedish primary care practices.BMC health services research · 2024Article
- Article
- Luteolin Binds Streptolysin O Toxin and Inhibits Its Hemolytic Effects and Cytotoxicity.Frontiers in pharmacology · 2022Article
- Seasonal variations in use and outcome of rapid antigen detection tests and cultures in pharyngotonsillitis: a register study in primary care.BMC infectious diseases · 2021Article
- Article
- Article
- Pediatrician's approach to diagnosis and management of group A streptococcal pharyngitis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020Article
- A study of guidelines for respiratory tract infections and their references from Swedish GPs: a qualitative analysis.Scandinavian journal of primary health care · 2020Article
- Change in the use of diagnostic tests in the management of lower respiratory tract infections: a register-based study in primary care.BJGP open · 2020Article
- Management of sore throat in Danish general practices.BMC family practice · 2019Article
- Quality assessment in general practice: diagnosis and antibiotic treatment of acute respiratory tract infections.Scandinavian journal of primary health care · 2018Article
- Improving pediatric emergency department physicians' adherence to clinical practice guidelines on the diagnosis and management of group A beta-hemolytic streptococcal pharyngitis-a cross-sectional study.International journal of emergency medicine · 2018Article
- Are formalised implementation activities associated with aspects of quality of care in general practice? A cross-sectional study.BJGP open · 2017Article
- Antibiotic prescribing in relation to diagnoses and consultation rates in Belgium, the Netherlands and Sweden: use of European quality indicators.Scandinavian journal of primary health care · 2017Article
- Antibiotic knowledge, attitudes and behaviours of Albanian health care professionals and patients - a qualitative interview study.Journal of pharmaceutical policy and practice · 2017Article
- Reduction in antibiotic prescribing for respiratory tract infections in Swedish primary care- a retrospective study of electronic patient records.BMC infectious diseases · 2016Article
Corrections and comments
- Commented on byBugging bugs.2015
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore how a group of Swedish general practitioners (GPs) manage patients with a sore throat in relation to current guidelines as expressed in interviews.
designQualitative content analysis was used to analyse semi-structured interviews.
settingSwedish primary care. SUBJECTS: A strategic sample of 25 GPs.
main outcome measuresPerceived management of sore throat patients.
resultsIt was found that nine of the interviewed GPs were adherent to current guidelines for sore throat and 16 were non-adherent. The two groups differed in terms of guideline knowledge, which was shared within the team for adherent GPs while idiosyncratic knowledge dominated for the non-adherent GPs. Adherent GPs had no or low concerns for bacterial infections and differential diagnosis whilst non-adherent GPs believed that in patients with a sore throat any bacterial infection should be identified and treated with antibiotics. Patient history and examination was mainly targeted by adherent GPs whilst for non-adherent GPs it was often redundant. Non-adherent GPs reported problems getting patients to abstain from antibiotics, whilst no such problems were reported in adherent GPs.
conclusionThis interview study of sore throat management in a strategically sampled group of Swedish GPs showed that while two-thirds were non-adherent and had a liberal attitude to antibiotics one-third were guideline adherent with a restricted view on antibiotics. Non-adherent GPs revealed significant knowledge gaps. Adherent GPs had discussed guidelines within the primary care team while non-adherent GPs had not. Guideline implementation thus seemed to be promoted by knowledge shared in team discussions.
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