Dissonant views - GPs' and parents' perspectives on antibiotic prescribing for young children with respiratory tract infections.
Identifieur interne : 000A20 ( Main/Exploration ); précédent : 000A19; suivant : 000A21Dissonant views - GPs' and parents' perspectives on antibiotic prescribing for young children with respiratory tract infections.
Auteurs : Ruby Biezen [Australie] ; Danilla Grando [Australie] ; Danielle Mazza [Australie] ; Bianca Brijnath [Australie]Source :
- BMC family practice [ 1471-2296 ] ; 2019.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Antibactériens (usage thérapeutique), Attitude du personnel soignant (MeSH), Attitude envers la santé (MeSH), Australie (MeSH), Femelle (MeSH), Humains (MeSH), Infections de l'appareil respiratoire (traitement médicamenteux), Jeune adulte (MeSH), Mâle (MeSH), Médecins généralistes (MeSH), Parents (MeSH), Sujet âgé (MeSH).
- MESH :
- traitement médicamenteux : Infections de l'appareil respiratoire.
- usage thérapeutique : Antibactériens.
- Adulte, Adulte d'âge moyen, Attitude du personnel soignant, Attitude envers la santé, Australie, Femelle, Humains, Jeune adulte, Mâle, Médecins généralistes, Parents, Sujet âgé.
- Wicri :
- geographic : Australie.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Anti-Bacterial Agents (therapeutic use), Attitude of Health Personnel (MeSH), Attitude to Health (MeSH), Australia (MeSH), Female (MeSH), General Practitioners (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Parents (MeSH), Respiratory Tract Infections (drug therapy), Young Adult (MeSH).
- MESH :
- chemical , therapeutic use : Anti-Bacterial Agents.
- geographic : Australia.
- drug therapy : Respiratory Tract Infections.
- Adult, Aged, Attitude of Health Personnel, Attitude to Health, Female, General Practitioners, Humans, Male, Middle Aged, Parents, Young Adult.
Abstract
BACKGROUND
Antibiotics are not recommended for treating uncomplicated respiratory tract infections (RTIs), despite this, antibiotic prescribing for this is widespread. General practitioners (GPs) report parental pressure and fear of losing patients if they do not prescribe antibiotics, however, parental views on antibiotics for RTIs are unclear. Therefore, this study examined GPs' and parents' perceptions regarding antibiotic prescribing for RTIs in young children.
METHODS
We conducted semi-structured interviews with 20 GPs, and a survey and focus groups with 50 parents and carers of children under the age of five between June 2014 and July 2015 in Melbourne, Australia. Qualitative data were thematically analysed using NVivo and quantitative data were analysed using SPSS.
RESULTS
GPs believed that parents expect antibiotics for RTIs and were more likely to prescribe them if parents were insistent. They believed parents would go elsewhere if they did not prescribe antibiotics. GPs suggested that there would be less conflict if parents were better educated on appropriate antibiotics use. In contrast, parents demonstrated good knowledge of RTIs and appropriate antibiotic use. Their main expectation from GPs was to obtain a diagnosis, discuss management, and receive reassurance that the illness was not serious. Parental satisfaction with GPs was not dependent on receiving antibiotics (r = 0.658, p < 0.001), and they would not seek another GP if antibiotics were not prescribed (r = 0.655, p < 0.001).
CONCLUSION
GPs and parents have dissonant views on antibiotic prescribing for RTI in young children. GPs perceived parents wanting a diagnosis and reassurance that their child is not severely ill as pressure to prescribe antibiotic. To overcome these barriers, targeted training for both GPs and parents to improve communication and reassurance that satisfaction is not related to receiving antibiotics may reduce unnecessary antibiotic prescribing for RTI in young children.
DOI: 10.1186/s12875-019-0936-5
PubMed: 30922238
PubMed Central: PMC6437946
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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wicri:level="1"><nlm:affiliation>School of Science, RMIT University, Building 223, Level 1, Bundoora Campus, Plenty Road, Bundoora, VIC, 3083, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Science, RMIT University, Building 223, Level 1, Bundoora Campus, Plenty Road, Bundoora, VIC, 3083</wicri:regionArea><wicri:noRegion>3083</wicri:noRegion></affiliation></author><author><name sortKey="Mazza, Danielle" sort="Mazza, Danielle" uniqKey="Mazza D" first="Danielle" last="Mazza">Danielle Mazza</name><affiliation wicri:level="1"><nlm:affiliation>Department of General Practice, Monash University, Building 1, 270 Ferntree Gully Road, Notting Hill, VIC, 3168, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of General Practice, Monash University, Building 1, 270 Ferntree Gully Road, Notting Hill, VIC, 3168</wicri:regionArea><wicri:noRegion>3168</wicri:noRegion></affiliation></author><author><name sortKey="Brijnath, Bianca" sort="Brijnath, Bianca" uniqKey="Brijnath B" first="Bianca" last="Brijnath">Bianca Brijnath</name><affiliation wicri:level="1"><nlm:affiliation>National Ageing Research Institute LTD, 34-54 Poplar Road, Parkville, VIC, 3052, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>National Ageing Research Institute LTD, 34-54 Poplar Road, Parkville, VIC, 3052</wicri:regionArea><wicri:noRegion>3052</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC family practice</title><idno type="eISSN">1471-2296</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Anti-Bacterial Agents (therapeutic use)</term><term>Attitude of Health Personnel (MeSH)</term><term>Attitude to Health (MeSH)</term><term>Australia (MeSH)</term><term>Female (MeSH)</term><term>General Practitioners (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Parents (MeSH)</term><term>Respiratory Tract Infections (drug therapy)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Antibactériens (usage thérapeutique)</term><term>Attitude du personnel soignant (MeSH)</term><term>Attitude envers la santé (MeSH)</term><term>Australie (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Infections de l'appareil respiratoire (traitement médicamenteux)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Médecins généralistes (MeSH)</term><term>Parents (MeSH)</term><term>Sujet âgé (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Bacterial Agents</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Australia</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Respiratory Tract Infections</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Infections de l'appareil respiratoire</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antibactériens</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Attitude of Health Personnel</term><term>Attitude to Health</term><term>Female</term><term>General Practitioners</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Parents</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attitude du personnel soignant</term><term>Attitude envers la santé</term><term>Australie</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Médecins généralistes</term><term>Parents</term><term>Sujet âgé</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Australie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Antibiotics are not recommended for treating uncomplicated respiratory tract infections (RTIs), despite this, antibiotic prescribing for this is widespread. General practitioners (GPs) report parental pressure and fear of losing patients if they do not prescribe antibiotics, however, parental views on antibiotics for RTIs are unclear. Therefore, this study examined GPs' and parents' perceptions regarding antibiotic prescribing for RTIs in young children.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We conducted semi-structured interviews with 20 GPs, and a survey and focus groups with 50 parents and carers of children under the age of five between June 2014 and July 2015 in Melbourne, Australia. Qualitative data were thematically analysed using NVivo and quantitative data were analysed using SPSS.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>GPs believed that parents expect antibiotics for RTIs and were more likely to prescribe them if parents were insistent. They believed parents would go elsewhere if they did not prescribe antibiotics. GPs suggested that there would be less conflict if parents were better educated on appropriate antibiotics use. In contrast, parents demonstrated good knowledge of RTIs and appropriate antibiotic use. Their main expectation from GPs was to obtain a diagnosis, discuss management, and receive reassurance that the illness was not serious. Parental satisfaction with GPs was not dependent on receiving antibiotics (r = 0.658, p < 0.001), and they would not seek another GP if antibiotics were not prescribed (r = 0.655, p < 0.001).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>GPs and parents have dissonant views on antibiotic prescribing for RTI in young children. GPs perceived parents wanting a diagnosis and reassurance that their child is not severely ill as pressure to prescribe antibiotic. To overcome these barriers, targeted training for both GPs and parents to improve communication and reassurance that satisfaction is not related to receiving antibiotics may reduce unnecessary antibiotic prescribing for RTI in young children.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30922238</PMID><DateCompleted><Year>2020</Year><Month>02</Month><Day>10</Day></DateCompleted><DateRevised><Year>2020</Year><Month>03</Month><Day>09</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2296</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>1</Issue><PubDate><Year>2019</Year><Month>03</Month><Day>28</Day></PubDate></JournalIssue><Title>BMC family practice</Title><ISOAbbreviation>BMC Fam Pract</ISOAbbreviation></Journal><ArticleTitle>Dissonant views - GPs' and parents' perspectives on antibiotic prescribing for young children with respiratory tract infections.</ArticleTitle><Pagination><MedlinePgn>46</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12875-019-0936-5</ELocationID><Abstract><AbstractText Label="BACKGROUND">Antibiotics are not recommended for treating uncomplicated respiratory tract infections (RTIs), despite this, antibiotic prescribing for this is widespread. General practitioners (GPs) report parental pressure and fear of losing patients if they do not prescribe antibiotics, however, parental views on antibiotics for RTIs are unclear. Therefore, this study examined GPs' and parents' perceptions regarding antibiotic prescribing for RTIs in young children.</AbstractText><AbstractText Label="METHODS">We conducted semi-structured interviews with 20 GPs, and a survey and focus groups with 50 parents and carers of children under the age of five between June 2014 and July 2015 in Melbourne, Australia. Qualitative data were thematically analysed using NVivo and quantitative data were analysed using SPSS.</AbstractText><AbstractText Label="RESULTS">GPs believed that parents expect antibiotics for RTIs and were more likely to prescribe them if parents were insistent. They believed parents would go elsewhere if they did not prescribe antibiotics. GPs suggested that there would be less conflict if parents were better educated on appropriate antibiotics use. In contrast, parents demonstrated good knowledge of RTIs and appropriate antibiotic use. Their main expectation from GPs was to obtain a diagnosis, discuss management, and receive reassurance that the illness was not serious. Parental satisfaction with GPs was not dependent on receiving antibiotics (r = 0.658, p < 0.001), and they would not seek another GP if antibiotics were not prescribed (r = 0.655, p < 0.001).</AbstractText><AbstractText Label="CONCLUSION">GPs and parents have dissonant views on antibiotic prescribing for RTI in young children. GPs perceived parents wanting a diagnosis and reassurance that their child is not severely ill as pressure to prescribe antibiotic. To overcome these barriers, targeted training for both GPs and parents to improve communication and reassurance that satisfaction is not related to receiving antibiotics may reduce unnecessary antibiotic prescribing for RTI in young children.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Biezen</LastName><ForeName>Ruby</ForeName><Initials>R</Initials><Identifier Source="ORCID">0000-0003-1736-9675</Identifier><AffiliationInfo><Affiliation>Department of General Practice, Monash University, Building 1, 270 Ferntree Gully Road, Notting Hill, VIC, 3168, Australia. ruby.biezen@monash.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Grando</LastName><ForeName>Danilla</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>School of Science, RMIT University, Building 223, Level 1, Bundoora Campus, Plenty Road, Bundoora, VIC, 3083, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mazza</LastName><ForeName>Danielle</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of General Practice, Monash University, Building 1, 270 Ferntree Gully Road, Notting Hill, VIC, 3168, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brijnath</LastName><ForeName>Bianca</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>National Ageing Research Institute LTD, 34-54 Poplar Road, Parkville, VIC, 3052, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>03</Month><Day>28</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Fam Pract</MedlineTA><NlmUniqueID>100967792</NlmUniqueID><ISSNLinking>1471-2296</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000900">Anti-Bacterial Agents</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000900" MajorTopicYN="N">Anti-Bacterial Agents</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="Y">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001294" MajorTopicYN="Y">Attitude to Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001315" MajorTopicYN="N" Type="Geographic">Australia</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058005" MajorTopicYN="Y">General Practitioners</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010290" MajorTopicYN="Y">Parents</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012141" MajorTopicYN="N">Respiratory Tract Infections</DescriptorName><QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Antibiotic prescribing</Keyword><Keyword MajorTopicYN="Y">Antimicrobial resistance</Keyword><Keyword MajorTopicYN="Y">Children</Keyword><Keyword MajorTopicYN="Y">General practitioners</Keyword><Keyword MajorTopicYN="Y">Parents</Keyword><Keyword MajorTopicYN="Y">Primary care</Keyword><Keyword MajorTopicYN="Y">Respiratory tract infection</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>09</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>03</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>3</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>3</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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