ArticleFrontiers in sociology2020
Prescribing Antibiotics in Rural China: The Influence of Capital on Clinical Realities.
Article in Frontiers in sociology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors influencing physicians' antimicrobial prescribing decisions: A systematic review of qualitative studies.British journal of clinical pharmacology · 2025Pooled it
- Trial
- Antimicrobial resistance as a multicultural challenge: a decolonized approach to science communication in the Global South.JAC-antimicrobial resistance · 2026Review
- Healthcare consumers' perceptions of incentive-linked prescribing: A scoping review.PLOS global public health · 2024Article
- Antibiotics in Catalan Primary Care: Prescription, Use and Remedies for a Crisis of Care.Medical anthropology · 2023Article
- Antibiotic Prescription Patterns for Acute Respiratory Infections in Rural Primary Healthcare Settings in Guangdong, China: Analysis of 162,742 Outpatient Prescriptions.Antibiotics (Basel, Switzerland) · 2023Article
- Antibiotic Prescribing in Outpatient Settings: Rural Patients Are More Likely to Receive Fluoroquinolones and Longer Antibiotic Courses.Antibiotics (Basel, Switzerland) · 2023Article
- Prevalence, drivers and surveillance of antibiotic resistance and antibiotic use in rural China: Interdisciplinary study.PLOS global public health · 2023Article
- Impacts of Antibiotic Residues in the Environment on Bacterial Resistance and Human Health in Eastern China: An Interdisciplinary Mixed-Methods Study Protocol.International journal of environmental research and public health · 2022Article
- Differences in service and antibiotics use following symptomatic respiratory tract infections between 2016 and 2021 in rural Anhui, China.Epidemiology and infection · 2022Article
- Identifying key influences on antibiotic use in China: a systematic scoping review and narrative synthesis.BMJ open · 2022Article
- Understanding antimicrobial use in subsistence farmers in Chikwawa District Malawi, implications for public awareness campaigns.PLOS global public health · 2022Article
- Understanding antibiotic use: practices, structures and networks.JAC-antimicrobial resistance · 2021Review
- The impact of COVID-19 on primary health care and antibiotic prescribing in rural China: qualitative study.BMC health services research · 2021Article
- Antimicrobial stewardship in rural and remote primary health care: a narrative review.Antimicrobial resistance and infection control · 2021Review
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Primary care clinicians in rural China are required to balance their immediate duty of care to their patients with patient expectations for antibiotics, financial pressures, and their wider responsibilities to public health. The clinicians in our sample appear to make greater efforts in managing immediate clinical risks and personal reputation than in considering the long-term consequences of their actions as potentially contributing to antimicrobial resistance. This paper employs Bourdieu's theory of capital to examine the perspectives and practices of Chinese primary care clinicians prescribing antibiotics at low-level health facilities in rural Anhui province, China. We examine the institutional context and clinical realities of these rural health facilities and identify how these influence the way clinicians utilize antibiotics in the management of common upper respiratory tract infections. Confronted with various official regulations and institutional pressures to generate revenues, informants' desire to maintain good relations with patients coupled with their concerns for patient safety result in tensions between their professional knowledge of "rational" antibiotic use and their actual prescribing practices. Informants often deferred responsibility for antimicrobial stewardship to the government or upper echelons of the healthcare system and drew on the powerful public discourse of "
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