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A study of antibiotic prescribing: the experience of Lithuanian and Russian GPs

Jaruseviciene, Lina; Radzeviciene-Jurgute, Ruta; Lazarus, Jeffrey V.; Jurgutis, Arnoldas; Ovhed, Ingvar; Strandberg, Eva-Lena LU and Bjerrum, Lars (2012) In Central European Journal of Medicine 7(6). p.790-799
Abstract
Background. Globally, general practitioners (GPs) write more than 90% of all antibiotic prescriptions. This study examines the experiences of Lithuanian and Russian GPs in antibiotic prescription for upper respiratory tract infections, including their perceptions of when it is not indicated clinically or pharmacologically. Methods. 22 Lithuanian and 29 Russian GPs participated in five focus group discussions. Thematic analysis was used to analyse the data. Results. We identified four main thematic categories: patients' faith in antibiotics as medication for upper respiratory tract infections; patient potential to influence a GP's decision to prescribe antibiotics for upper respiratory tract infections; impediments perceived by GPs in... (More)
Background. Globally, general practitioners (GPs) write more than 90% of all antibiotic prescriptions. This study examines the experiences of Lithuanian and Russian GPs in antibiotic prescription for upper respiratory tract infections, including their perceptions of when it is not indicated clinically or pharmacologically. Methods. 22 Lithuanian and 29 Russian GPs participated in five focus group discussions. Thematic analysis was used to analyse the data. Results. We identified four main thematic categories: patients' faith in antibiotics as medication for upper respiratory tract infections; patient potential to influence a GP's decision to prescribe antibiotics for upper respiratory tract infections; impediments perceived by GPs in advocating clinically grounded antibiotic prescribing with their patients, and strategies applied in physician-patient negotiation about antibiotic prescribing for upper respiratory tract infections. Conclusions. Understanding the nature of physician-patient interaction is critical to the effective pursuit of clinically grounded antibiotic use as this study undertaken in Lithuania and the Russian Federation has shown. Both physicians and patients must be targeted to ensure correct antibiotic use. Further, GPs should be supported in enhancing their communication skills about antibiotic use with their patients and encouraged to implement a shared decision-making model in their practices. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Russian Federation, Lithuania, Physician-patient relationships, General practitioners, Upper respiratory tract infections, Antibiotics
in
Central European Journal of Medicine
volume
7
issue
6
pages
790 - 799
publisher
Springer
external identifiers
  • wos:000309857500018
  • scopus:84872687591
ISSN
1644-3640
DOI
10.2478/s11536-012-0062-4
language
English
LU publication?
yes
id
207a9048-bac6-476e-987f-e07b07d59277 (old id 3173992)
date added to LUP
2012-12-03 06:53:18
date last changed
2017-08-27 03:07:30
@article{207a9048-bac6-476e-987f-e07b07d59277,
  abstract     = {Background. Globally, general practitioners (GPs) write more than 90% of all antibiotic prescriptions. This study examines the experiences of Lithuanian and Russian GPs in antibiotic prescription for upper respiratory tract infections, including their perceptions of when it is not indicated clinically or pharmacologically. Methods. 22 Lithuanian and 29 Russian GPs participated in five focus group discussions. Thematic analysis was used to analyse the data. Results. We identified four main thematic categories: patients' faith in antibiotics as medication for upper respiratory tract infections; patient potential to influence a GP's decision to prescribe antibiotics for upper respiratory tract infections; impediments perceived by GPs in advocating clinically grounded antibiotic prescribing with their patients, and strategies applied in physician-patient negotiation about antibiotic prescribing for upper respiratory tract infections. Conclusions. Understanding the nature of physician-patient interaction is critical to the effective pursuit of clinically grounded antibiotic use as this study undertaken in Lithuania and the Russian Federation has shown. Both physicians and patients must be targeted to ensure correct antibiotic use. Further, GPs should be supported in enhancing their communication skills about antibiotic use with their patients and encouraged to implement a shared decision-making model in their practices.},
  author       = {Jaruseviciene, Lina and Radzeviciene-Jurgute, Ruta and Lazarus, Jeffrey V. and Jurgutis, Arnoldas and Ovhed, Ingvar and Strandberg, Eva-Lena and Bjerrum, Lars},
  issn         = {1644-3640},
  keyword      = {Russian Federation,Lithuania,Physician-patient relationships,General practitioners,Upper respiratory tract infections,Antibiotics},
  language     = {eng},
  number       = {6},
  pages        = {790--799},
  publisher    = {Springer},
  series       = {Central European Journal of Medicine},
  title        = {A study of antibiotic prescribing: the experience of Lithuanian and Russian GPs},
  url          = {http://dx.doi.org/10.2478/s11536-012-0062-4},
  volume       = {7},
  year         = {2012},
}