GPs' views in five European countries of interventions to promote prudent antibiotic use
Open accessAbstract
BACKGROUND: A variety of interventions have been developed to promote a more prudent use of antibiotics by implementing clinical guidelines. It is not yet clear which are most acceptable and feasible for implementation across a wide range of contexts. Previous research has been confined mainly to examining views of individual interventions in a national context. AIM: To explore GPs' views and experiences of strategies to promote a more prudent use of antibiotics, across five countries. DESIGN AND SETTING: Qualitative study using thematic and framework analysis in general practices in Belgium, France, Poland, Spain, and the UK. METHOD: Fifty-two semi-structured interviews explored GPs' views and experiences of strategies aimed at promoting a more prudent use of antibiotics. Interviews were carried out in person or over the telephone, transcribed verbatim, and translated into English where necessary for analysis. RESULTS: Themes were remarkably consistent across the countries. GPs had a preference for interventions that allowed discussion and comparison with local colleagues, which helped them to identify how their practice could improve. Other popular components of interventions included the use of near-patient tests to reduce diagnostic uncertainty, and the involvement of other health professionals to increase their responsibility for prescribing. CONCLUSION: The study findings could be used to inform future interventions to improve their acceptability to GPs. Consistency in views across countries indicates the potential for development of an intervention that could be implemented on a European scale.
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In 52 interviews with GPs from several European countries, GPs valued interventions that allowed discussion of prescribing practices between colleagues and the use of diagnostic tests to ensure appropriate prescribing.
“GPs valued interventions that allowed discussion of prescribing practices between colleagues and the use of diagnostic tests to ensure appropriate prescribing.”
From The Person-Based Approach to Intervention Development: Application to Digital Health-Related Behavior Change Interventions (2015) · cites this paper as [43]
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- Authors
- Tonkin-Crine, S., Yardley, L., Coenen, S., Fernandez-Vandellos, P., Krawczyk, J., Touboul, P., Verheij, T., & Little, P.
- Affiliations
- University of Southampton (GB)
- University of Antwerp (BE)
- Venue
- British Journal of General Practice
- Published
- 2011-05
- Volume
- 61
- Issue
- 586
- Pages
- e252-e261
- ISSN
- 0960-1643 (ISSN-L)
- 1478-5242
- PMC
- PMC3080230
- OpenAlex
- W2128535697
- Cited by
- 49
- References
- 33
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 3 · 2018: 5 · 2017: 1 · 2016: 2 · 2015: 5 · 2014: 7 · 2013: 5 · 2012: 5
- FWCI
- 5.84
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal of General Practice (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- Funders
- European Commission
- Topics
- Life Sciences › Immunology and Microbiology › Applied Microbiology and Biotechnology › Antibiotic Use and Resistance
- Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- rational antibiotic use, antibiotic prescribing, clinical guidelines implementation, treatment acceptability, diagnostic uncertainty, cross-national comparison, general practice
- MeSH terms
- Acute Disease, Adult, Anti-Bacterial Agents, Attitude of Health Personnel, Europe, Feasibility Studies, Female, Humans, Male, Middle Aged, Practice Patterns, Physicians', Drug Prescriptions, Respiratory Tract Infections, Practice Guidelines as Topic, Qualitative Research, General Practice
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