A study of guidelines for respiratory tract infections and their references from Swedish GPs : a qualitative analysis
(2020) In Scandinavian Journal of Primary Health Care 38(1). p.83-91- Abstract
Background: National guidelines are important instruments in reducing inappropriate antibiotic prescriptions. Low adherence to guidelines is an acknowledged problem that needs to be addressed. Method: We evaluated established characteristics for guidelines in the guidelines for lower respiratory tract infection, acute otitis media and pharyngotonsillitis in primary care. We studied how doctors used these guidelines by analysing interviews with 29 general practitioners (GPs) in Sweden. Results: We found important between-guidelines differences, which we believe affects adherence. The GPs reported persistent preconceptions about diagnosis and treatment, which we believe reduces their adherence to the guidelines. Conclusion: To increase... (More)
Background: National guidelines are important instruments in reducing inappropriate antibiotic prescriptions. Low adherence to guidelines is an acknowledged problem that needs to be addressed. Method: We evaluated established characteristics for guidelines in the guidelines for lower respiratory tract infection, acute otitis media and pharyngotonsillitis in primary care. We studied how doctors used these guidelines by analysing interviews with 29 general practitioners (GPs) in Sweden. Results: We found important between-guidelines differences, which we believe affects adherence. The GPs reported persistent preconceptions about diagnosis and treatment, which we believe reduces their adherence to the guidelines. Conclusion: To increase adherence, it is important to consider doctors’ preconceptions when creating new guidelines.
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- author
- Tyrstrup, M. LU ; André, M. ; Brorsson, A. LU ; Gröndal, H. ; Strandberg, E. L. LU and Hedin, K. LU
- organization
- publishing date
- 2020-02
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Adherence to guidelines, antibiotic prescribing, general practice, national guidelines, respiratory tract infections
- in
- Scandinavian Journal of Primary Health Care
- volume
- 38
- issue
- 1
- pages
- 10 pages
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:85079442908
- pmid:32031035
- ISSN
- 0281-3432
- DOI
- 10.1080/02813432.2020.1717073
- language
- English
- LU publication?
- yes
- id
- cc984afb-851f-48e7-b8b4-277ea755a36d
- date added to LUP
- 2020-02-28 13:33:58
- date last changed
- 2024-08-22 16:22:39
@article{cc984afb-851f-48e7-b8b4-277ea755a36d, abstract = {{<p>Background: National guidelines are important instruments in reducing inappropriate antibiotic prescriptions. Low adherence to guidelines is an acknowledged problem that needs to be addressed. Method: We evaluated established characteristics for guidelines in the guidelines for lower respiratory tract infection, acute otitis media and pharyngotonsillitis in primary care. We studied how doctors used these guidelines by analysing interviews with 29 general practitioners (GPs) in Sweden. Results: We found important between-guidelines differences, which we believe affects adherence. The GPs reported persistent preconceptions about diagnosis and treatment, which we believe reduces their adherence to the guidelines. Conclusion: To increase adherence, it is important to consider doctors’ preconceptions when creating new guidelines.</p>}}, author = {{Tyrstrup, M. and André, M. and Brorsson, A. and Gröndal, H. and Strandberg, E. L. and Hedin, K.}}, issn = {{0281-3432}}, keywords = {{Adherence to guidelines; antibiotic prescribing; general practice; national guidelines; respiratory tract infections}}, language = {{eng}}, number = {{1}}, pages = {{83--91}}, publisher = {{Taylor & Francis}}, series = {{Scandinavian Journal of Primary Health Care}}, title = {{A study of guidelines for respiratory tract infections and their references from Swedish GPs : a qualitative analysis}}, url = {{http://dx.doi.org/10.1080/02813432.2020.1717073}}, doi = {{10.1080/02813432.2020.1717073}}, volume = {{38}}, year = {{2020}}, }