Evidence map›Paper›PMID 26639947›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2016

Antibiotic prescribing and patient satisfaction in primary care in England: cross-sectional analysis of national patient survey data and prescribing data.

Mark Ashworth, Patrick White, Hannah Jongsma, Peter Schofield, David Armstrong

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
12.4field-weighted citation impact, top 1% 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

57 citing papers in PubMed, 122 citations in OpenAlex.

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  3. Uncomplicated Urinary Tract Infections: From an Invisible Impact to a Visible Change in Complex Care.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
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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

5 authors at 1 institution in 1 country.

Mark AshworthDepartment of Primary Care and Public Health Sciences, King's College London, UK.
Patrick WhiteDepartment of Primary Care and Public Health Sciences, King's College London, UK.
Hannah JongsmaDepartment of Primary Care and Public Health Sciences, King's College London, UK.
Peter SchofieldDepartment of Primary Care and Public Health Sciences, King's College London, UK.
David ArmstrongDepartment of Primary Care and Public Health Sciences, King's College London, UK.
King's College London · GB

Funding

Department of Health
6 · The paper itself

Abstract

backgroundConcerns about adverse effects on patient satisfaction may be an important obstacle to attempts to curtail antibiotic prescribing.

aimTo determine the relationship between antibiotic prescribing in general practice and reported patient satisfaction. DESIGN AND

settingRetrospective cross-sectional study of general practices in England.

methodData were obtained from the General Practice Patient Survey (GPPS) in 2012 (2.7 million questionnaires in England; 982 999 responses; response rate 36%); the national Quality and Outcomes Framework dataset for England, 2011-2012 (8164 general practices); and general practice and demographic characteristics. Standardised measures of antibiotic prescribing volumes were obtained for each practice in England during 2012-2013, together with 12 other nationally available prescribing variables. The role of antibiotic prescribing volume was identified as a determinant of GPPS scores and adjusted for demographic and practice factors using multiple linear regression.

resultsThe final dataset consisted of 7800 (95.5%) practices. A total of 33.7 million antibiotic prescriptions were issued to a registered population of 53.8 million patients. Antibiotic prescribing volume was a significant positive predictor of all 'doctor satisfaction' and 'practice satisfaction' scores in the GPPS, and was the strongest predictor of overall satisfaction out of 13 prescribing variables. A theoretical 25% reduction in antibiotic prescribing volume would be associated with 0.5-1.0% lower patient satisfaction scores, a drop of 3-6 centile points in national satisfaction ranking.

conclusionPatients were less satisfied in practices with frugal antibiotic prescribing. A cautious approach to antibiotic prescribing may require a trade-off in terms of patient satisfaction.

Indexed as

Population SurveillancePractice Patterns, Physicians'AdultAgedAnti-Bacterial AgentsCross-Sectional StudiesDrug PrescriptionsEnglandFemaleFollow-Up StudiesHealth Care SurveysHumansIncidenceInfectionsMaleMiddle AgedAnti-Bacterial Agentsantibiotic prescribingantibioticspatient experiencepatient satisfactionprimary health care

Identifiers

PMID26639947
PMCPMC4684034
OpenAlexW2196410762

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.