Cristin-resultat-ID: 1717044
Sist endret: 18. februar 2020, 15:02
NVI-rapporteringsår: 2019
Resultat
Vitenskapelig artikkel
2019

General Practitioners’ Attitudes toward Municipal Initiatives to Improve Antibiotic Prescribing — A Mixed-Methods Study

Bidragsytere:
  • Marthe Sunde
  • Marthe Marie Nygaard og
  • Sigurd Høye

Tidsskrift

Antibiotics
ISSN 2079-6382
e-ISSN 2079-6382
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2019
Volum: 8
Hefte: 3
Sider: 1 - 8
Open Access

Importkilder

Scopus-ID: 2-s2.0-85071337586

Beskrivelse Beskrivelse

Tittel

General Practitioners’ Attitudes toward Municipal Initiatives to Improve Antibiotic Prescribing — A Mixed-Methods Study

Sammendrag

Antimicrobial stewardship (AMS) interventions directed at general practitioners (GPs) contribute to an improved antibiotic prescribing. However, it is challenging to implement and maintain such interventions at a national level. Involving the municipalities’ Chief Medical Officer (MCMO) in quality improvement activities may simplify the implementation and maintenance, but may also be perceived challenging for the GPs. In the ENORM (Educational intervention in NORwegian Municipalities for antibiotic treatment in line with guidelines) study, MCMOs acted as facilitators of an AMS intervention for GPs. We explored GPs’ views on their own antibiotic prescribing, and their views on MCMO involvement in improving antibiotic prescribing in general practice. This is a mixed-methods study combining quantitative and qualitative data from two data sources: e-mail interviews with 15 GPs prior to the ENORM intervention, and online-form answers to closed and open-ended questions from 132 GPs participating in the ENORM intervention. The interviews and open-ended responses were analyzed using systematic text condensation. Many GPs admitted to occasionally prescribing antibiotics without medical indication, mainly due to pressure from patients. Too liberal treatment guidelines were also seen as a reason for overtreatment. The MCMO was considered a suitable and acceptable facilitator of quality improvement activities in general practice, and their involvement was regarded as unproblematic (scale 0 (very problematic) to 10 (not problematic at all): mean 8.2, median 10). GPs acknowledge the need and possibility to improve their own antibiotic prescribing, and in doing so, they welcome engagement from the municipality. MCMOs should be involved in quality improvement and AMS in general practice.

Bidragsytere

Marthe Sunde

  • Tilknyttet:
    Forfatter
    ved Nasjonalt senter for selvmordsforskning og -forebygging ved Universitetet i Oslo

Marthe Marie Nygaard

  • Tilknyttet:
    Forfatter
    ved Nasjonalt senter for selvmordsforskning og -forebygging ved Universitetet i Oslo
Aktiv cristin-person

Sigurd Høye

  • Tilknyttet:
    Forfatter
    ved Antibiotikasenteret for primærmedisin ved Universitetet i Oslo
  • Tilknyttet:
    Forfatter
    ved Avdeling for allmennmedisin ved Universitetet i Oslo
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