Abstract:
Background:We conducted an educational intervention emphasizing rational antibiotic prescribing in early-career General Practitioners (GP) in vocational training (trainees). The intervention consisted of an online introduction module, an online communication training module, face-to-face workshops, and cases to be discussed one-on-one by the trainee-supervisor dyad during regular scheduled education sessions. Objectives:To explore the participants' experiences with the intervention. Methods:A qualitative study of 14 GP trainees and supervisors. Interviews followed a semi-structured interview guide, were transcribed and analysed using concurrent thematic analysis. Results:Overall, the intervention was well received. Resources were not often used in practice, but GP trainees used the information in communicating with patients. The intervention improved trainees' confidence and provided new communication strategies, e.g. explicitly asking about patients' expectations and talking patients through the examination to form an overall clinical picture. Trainees seemed eager to learn and adapt their practice, whereas GP supervisors rather commented that the intervention was reinforcing. None of the participants reported prescribing conflicts between trainee and supervisor. However, most participants identified conflicts within the GP practice or with specialists: other doctors who prescribe more antibiotics perpetuate patients' ideas that antibiotics will fix everything, which in turn causes conflict with the patient and undermines attempts to improve antibiotic prescribing. Conclusion:The educational intervention was received positively. Early-career GPs thought it influenced their prescribing behaviour and improved their confidence in non-prescribing. Interventions that target teams (e.g. entire practice) could minimize conflict, ensure consistency of messages and support overall antibiotic stewardship in primary care.
journal_name
Fam Practjournal_title
Family practiceauthors
Deckx L,Anthierens S,Magin PJ,Morgan S,McArthur L,Yardley L,Dallas A,Little P,van Driel MLdoi
10.1093/fampra/cmx074subject
Has Abstractpub_date
2018-01-16 00:00:00pages
99-104issue
1eissn
0263-2136issn
1460-2229pii
4062255journal_volume
35pub_type
杂志文章相关文献
FAMILY PRACTICE文献大全abstract:BACKGROUND:People with subthreshold mental health syndromes are common in general practice and represent an important morbidity and disability burden. Management options are currently limited. We examined the acceptability of a novel ultra-brief guided self-help intervention designed specifically for use in this settin...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmr066
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND:A movement is emerging to encourage health providers and health organizations to take action on the social determinants of health. However, few evidence-based interventions exist. Digital tools have not been examined in depth. OBJECTIVE:To assess the acceptability and feasibility of integrating, within rout...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmy129
更新日期:2019-10-08 00:00:00
abstract:BACKGROUND:In Scotland, there has been significant investment in pharmacy teams in general medical practices over recent years, aligned to current government policy. OBJECTIVES:To characterize the national pharmacy workforce including activities undertaken, perceived competence and confidence, as well as perception of...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmz052
更新日期:2020-03-25 00:00:00
abstract::Mothers' beliefs and evaluations of their child's illness were studied in a group of 30 mothers who had consulted a general practitioner because of a cough. Data were collected by tape-recorded semi-structured interviews conducted in their own homes. A major concern for mothers was their fear that their child was goin...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/10.2.193
更新日期:1993-06-01 00:00:00
abstract::The three papers reviewed for this issue deal with unrelated aspects of hypertension, illustrating the broad range of questions that still exist about optimal diagnosis and management. Physicians have for years been unsure about the efficacy, safety, and impact on morbidity of treating ISH. The result of these concern...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/9.1.104
更新日期:1992-03-01 00:00:00
abstract:BACKGROUND:Little is known about doctors' decision-making processes in prescribing antidepressants and how this is handled. OBJECTIVE:To describe and understand doctors' strategies in prescribing mood-modifying drugs, especially when confronted with challenging patients or situations. METHODS:Face-to-face interviews ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmi094
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND:The safety of non-steroids anti-inflammatory drugs (NSAIDs) in the context of pharyngitis is doubtful with contradictory results in the literature. OBJECTIVE:To evaluate the risk of peritonsillar abscess (PTA) associated to NSAIDs consumption during a pharyngitis episode observed in primary care. METHOD:A ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmy111
更新日期:2019-07-31 00:00:00
abstract:BACKGROUND:Primary care revival in Canada and elsewhere is viewed by many as conditional to the introduction of new organizational models. Endorsement by GPs is a key factor in the success of these models, and increasing GPs' job satisfaction is often one of the desired outcomes of the reforms currently underway. OBJE...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cml073
更新日期:2007-04-01 00:00:00
abstract:INTRODUCTION:Musculoskeletal complaints are very common in primary care settings. Lipid-lowering drugs are one of several causes of musculoskeletal symptoms. However, data showing an association of lipid-lowering drug therapy and increased odds of musculoskeletal complaints in primary care patients are lacking. OBJECT...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmp006
更新日期:2009-04-01 00:00:00
abstract::Data from the Danish National Health Service records on activities of each of 146 general practices in the county of North Jutland, Denmark, were studied to determine whether the use of proctoscopy influenced the stage at which cancer of the rectum was recognized. Information for all patients in the county who receive...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/9.2.145
更新日期:1992-06-01 00:00:00
abstract::A survey was undertaken to evaluate an undergraduate general practice preceptorship by means of an open-ended six-item questionnaire given to students at the end of their general practice attachment. The aim of the survey was to evaluate the preceptorship as a learning experience and to examine ways in which the prece...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/9.3.323
更新日期:1992-09-01 00:00:00
abstract::This paper examines the notions of adverse events, error, critical incidents and safety from the specific viewpoint of primary care. We conclude that each term can be defined, but existing work which we reviewed uses many of the terms interchangeably. We recognise that trying to access medical error objectively within...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/cmg302
更新日期:2003-06-01 00:00:00
abstract:BACKGROUND:Ankle-brachial index (ABI) is an excellent method for the diagnosis of peripheral arterial disease (PAD) when it is performed with Doppler. However, this device is not always available for primary care physicians. The ABI measured with stethoscope is an easy alternative approach, but have not been proved to ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmn086
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND:Although both hospitalization and mortality due to heart failure (HF) have been widely studied, less is known about the impact of HF on disability and quality of life. AIM:To assess the degree of disability and quality of life in HF patients attended at family medicine centres. DESIGN AND SETTING:Cross-sec...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/cmz017
更新日期:2019-11-18 00:00:00
abstract:BACKGROUND:Current pandemic influenza plans to place GPs at the front line of a pandemic influenza response. However, little is known about GPs' perceptions of their role and preparedness in the event of a pandemic occurring. OBJECTIVE:Our aim was to assess general practice preparedness to respond to pandemic influenz...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cml014
更新日期:2006-06-01 00:00:00
abstract:BACKGROUND:Child and adolescent psychological problems are rarely brought to the attention of GPs. Children and adolescents with psychological problems who do visit their GP are seldom identified as such by GPs. OBJECTIVE:To investigate in a general population sample of 2,449 Dutch children and adolescents (4-17 years...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmi045
更新日期:2005-10-01 00:00:00
abstract::The electronic version of the second edition of the International Classification of Primary Care, ICPC-2-E, available on the website of Family Practice since 2000, needed an update of the mapping with ICD-10 as a nomenclature and, consequently, of some of its criteria. This is now being made available, together with t...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/19.5.543
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:Recent guidelines on obesity management promote integrated care. There is little knowledge about local opportunities and barriers, faced by health care professionals and patients, that affect implementation of an integrated national health care standard in a local setting. Our aim is to understand experience...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmr072
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:Influenza is a major cause of morbidity and mortality in Japan and worldwide, especially for people of >65 years old and those with high-risk medical conditions. Although the influenza vaccine is effective in reducing the morbidity and mortality, the vaccine coverage rate has not increased adequately in Japa...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/20.2.162
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVE:Poor patient adherence to lipid-lowering medication is a major contributory factor in the lack of success in treating hyperlipidaemia. The objective of this review was to assess the effect of adherence-enhancing interventions for lipid-lowering medication. DESIGN:Systematic review of randomized controlled tr...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/cmm030
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:Pre-diabetes in young people is frequently unrecognized or not treated on time, with the consequent loss of opportunity for diabetes prevention. In Mexico, there is scarce information about the prevalence of pre-diabetes in young adults. OBJECTIVE:To determine the prevalence and risk factors for pre-diabete...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmu047
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Palliative care services have developed mostly in urban areas. Rural areas typically are characterized by the lack of well-organized services, with primary care professionals, specifically GPs and community nurses, having to undertake most of the palliative care. Little is known, however, either of their vie...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/cmg312
更新日期:2003-06-01 00:00:00
abstract::Much of diabetes care needs to be carried out by patients between office visits with their health care providers. Yet, many patients face difficulties carrying out these tasks. In addition, many adults with diabetes cannot count on effective support from their families and friends to help them with their self-manageme...
journal_title:Family practice
pub_type: 杂志文章,收录出版,评审
doi:10.1093/fampra/cmp003
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:The General Practitioner Experiences Questionnaire (GPEQ) measures community mental health centres from the perspective of GP but lacked accessibility scales and documentation of centre level reliability. OBJECTIVES:To assess the psychometric properties of the GPEQ following the inclusion of four new access...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmq042
更新日期:2010-10-01 00:00:00
abstract::A course on the doctor and his feelings was presented as part of a programme for family medicine residents. The course was led by family physicians and behavioural science professionals who taught as an integrated team. Various teaching techniques were utilized to highlight emotional aspects of the doctor-patient rela...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/6.3.199
更新日期:1989-09-01 00:00:00
abstract:BACKGROUND:Skin diseases are a common reason for consulting a GP. This regular occurrence happens despite most GPs' lack of knowledge and training in skin disease. OBJECTIVES:We aimed to explore different diagnostic approaches of GPs in patients presenting with a dermatological problem. In addition, we aimed to identi...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmv056
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Though guidelines for the management of urinary tract infections (UTI) exist in several European countries, little is known about GPs' adherence, and the appropriateness of their management with regard to antibiotic resistance. OBJECTIVES:To describe German GPs' management of female patients with symptoms o...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmh720
更新日期:2005-02-01 00:00:00
abstract:BACKGROUND:Formal randomized controlled trial results are often reported. The difficulties of doing such trial are not. Developing countries represent a new field in which trials can be undertaken. In this context even less is known about the practicalities involved. METHOD AND RESULTS:A randomized, double-blind, para...
journal_title:Family practice
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/fampra/13.1.98
更新日期:1996-02-01 00:00:00
abstract:BACKGROUND:current treatments for chronic low back pain (LBP) appear to be inadequate and there are growing calls for new approaches. This study explores the paired interviews of shared experiences among chronic LBP patients and their physicians with the ultimate goal of improving doctor-patient communication and clini...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmq063
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:recruitment targets to randomized controlled trials (RCTs) are often not met. Many interventions are used to improve recruitment but there is little empirical evidence on whether these approaches work. OBJECTIVE:to examine whether changes to the design and conduct of a primary care-based RCT were associated...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmq050
更新日期:2010-12-01 00:00:00