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A study of guidelines for respiratory tract infections and their references from Swedish GPs : a qualitative analysis

Tyrstrup, M. LU ; André, M. ; Brorsson, A. LU ; Gröndal, H. ; Strandberg, E. L. LU and Hedin, K. LU (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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Please use this url to cite or link to this publication:
author
; ; ; ; and
organization
publishing date
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
2024-03-04 14:51:06
@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}},
}