TY - JOUR
T1 - General Practitioners' views on the acceptability and applicability of using Quality Indicators as an intervention to reduce unnecessary prescription of antibiotics in four South American countries
AU - Urbiztondo Sabrido, Ines
AU - de Oliveira, Sandi Michele
AU - Hernández-Flores, Nieves
AU - Caballero, Lidia
AU - Suarez, Miguel Angel
AU - Bjerrum, Lars
AU - Cordoba Currea, Gloria Cristina
PY - 2018/9
Y1 - 2018/9
N2 - As part of the quality improvement program “Health Alliance for Prudent Prescribing, Yield And Use of anti-microbial Drugs In the Treatment of respiratory tract infections” (HAPPY AUDIT) South America, we planned to implement an intervention based on the use of quality indicators as a means to influence General Practitioners’ (GPs) prescribing decision. Knowledge on the acceptability and applicability of an intervention is crucial to decide whether the intervention is suitable and will achieve the expected outcomes. This study explores GPs’ views about the acceptability and applicability of using quality indicators as an intervention to influence their prescribing decision in patients with suspected Respiratory Tract Infections (RTIs) across four countries in South-America. In March 2015, GPs that were participating in HAPPY AUDIT South America were invited to participate in focus groups. A discussion guide covering the domains acceptability and applicability was used. Data was analyzed through systematic text condensation with an inductive approach. 171 GPs were invited and 48% participated. Acceptability ranged from totally acceptable to slightly acceptable. This spectrum of GPs views on acceptability was influenced by themes concerning applicability. In conclusion, there is a positive attitude towards the use of quality indicators. Nonetheless, applicability challenges have to be taken into consideration and solved if we are to achieve a large effect with the implementation of this intervention.
AB - As part of the quality improvement program “Health Alliance for Prudent Prescribing, Yield And Use of anti-microbial Drugs In the Treatment of respiratory tract infections” (HAPPY AUDIT) South America, we planned to implement an intervention based on the use of quality indicators as a means to influence General Practitioners’ (GPs) prescribing decision. Knowledge on the acceptability and applicability of an intervention is crucial to decide whether the intervention is suitable and will achieve the expected outcomes. This study explores GPs’ views about the acceptability and applicability of using quality indicators as an intervention to influence their prescribing decision in patients with suspected Respiratory Tract Infections (RTIs) across four countries in South-America. In March 2015, GPs that were participating in HAPPY AUDIT South America were invited to participate in focus groups. A discussion guide covering the domains acceptability and applicability was used. Data was analyzed through systematic text condensation with an inductive approach. 171 GPs were invited and 48% participated. Acceptability ranged from totally acceptable to slightly acceptable. This spectrum of GPs views on acceptability was influenced by themes concerning applicability. In conclusion, there is a positive attitude towards the use of quality indicators. Nonetheless, applicability challenges have to be taken into consideration and solved if we are to achieve a large effect with the implementation of this intervention.
KW - Faculty of Health and Medical Sciences
KW - Quality Indicators, Health Care
KW - Antibiotic prescribing
KW - antibiotic resistance
KW - antimicrobial resistance
KW - South America
KW - Doctor-patient communication
KW - QUALITATIVE RESEARCH
KW - focus groups
KW - respiratory tract infections
KW - Happy Audit
U2 - 10.3390/antibiotics7030057
DO - 10.3390/antibiotics7030057
M3 - Journal article
C2 - 29976893
SN - 2079-6382
VL - 7(3)
SP - 1
EP - 11
JO - Antibiotics
JF - Antibiotics
IS - 57
ER -