Evidence map›Paper›PMID 37462880›Full record

ArticleThe patient2023

Exploring the Preferences of the Australian Public for Antibiotic Treatments: A Discrete Choice Experiment.

Chris Degeling, Trent Yarwood, Alberto Nettel-Aguirre, Judy Mullan, Nina Reynolds, Gang Chen

Abstract read
In one paragraph

Article in The patient, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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

6 authors.

Chris DegelingAustralian Centre for Health Engagement Evidence and Values, University of Wollongong, Wollongong, NSW, 2522, Australia. degeling@uow.edu.au.ORCID 0000-0003-4279-3443
Trent YarwoodCairns and Hinterland Hospital and Health Service, Cairns, QLD, Australia.ORCID 0000-0002-9783-2764
Alberto Nettel-AguirreCentre for Health and Social Analytics, University of Wollongong, NIASRA, Wollongong, NSW, 2522, Australia.ORCID 0000-0001-6604-0652
Judy MullanGraduate School of Medicine, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW, Australia.ORCID 0000-0003-3772-7986
Nina ReynoldsSchool of Business, Faculty of Business and Law, University of Wollongong, Wollongong, NSW, Australia.
Gang ChenCentre for Health Economics, Monash University, Monash Business School, Melbourne, Australia. gang.chen@monash.edu.ORCID 0000-0002-8385-5965

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIdentify Australian public preferences for antibiotic treatments in the context of antibiotic stewardship.

methodsA discrete choice experiment (DCE) was conducted in Australia to investigate the importance of seven attributes associated with antibiotic treatments and related stewardship practices: contribution to antimicrobial resistance (AMR), treatment duration, side effects, days needed to recover, days before taking antibiotics, treatment failure and out-of-pocket costs. The DCE data were analysed using conditional logit, mixed logit and latent class conditional logit models. The relative importance of each attribute was calculated.

resultsA total of 1882 respondents completed the survey; the main study sample consist of 1658 respondents (mean age 48 years) who passed quality checks. All seven attributes significantly influenced respondents' preferences for antibiotic treatments. Based on the designed attribute levels in the DCE, on average, out-of-pocket costs (32.8%) and contribution to antibiotic resistance (30.3%) were the most important attributes, followed by side effects (12.9%). Days before starting medication was least important (3.9%). Three latent classes were identified. Class 1 (including respondents who were more likely to be older and more health literate; 24.5%) gave contribution to antibiotic resistance greater importance in treatment preferences. Class 2 (including respondents more likely to report poorer health; 25.2%) gave out-of-pocket costs greater importance. The remaining (50.4%), who were generally healthier, perceived side effects as the most important attribute.

conclusionsDespite concerted public awareness raising campaigns, our results suggest that several factors may influence the preferences of Australians when considering antibiotic use. However, for those more likely to be aware of the need to preserve antibiotics, out-of-pocket costs and limiting the contribution to antibiotic resistance are the dominant influence. Delays in starting treatment were not important for any latent class, suggesting public tolerance for this measure. These results could help inform strategies to promote prudent antibiotic stewardship.

Indexed as

Anti-Bacterial AgentsChoice BehaviorAustraliaHealth ExpendituresHealth StatusHumansMiddle AgedPatient PreferenceSurveys and QuestionnairesAnti-Bacterial Agents

Identifiers

PMID37462880
PMCPMC10409829

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.