TITLE

Antibiotic prescribing and patient satisfaction in primary care in England: cross-sectional analysis of national patient survey data and prescribing data

AUTHOR(S)
Ashworth, Mark; White, Patrick; Jongsma, Hannah; Schofield, Peter; Armstrong, David
PUB. DATE
January 2016
SOURCE
British Journal of General Practice;Jan2016, Vol. 66 Issue 642, pe40
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
Background: Concerns about adverse effects on patient satisfaction may be an important obstacle to attempts to curtail antibiotic prescribing.Aim: To determine the relationship between antibiotic prescribing in general practice and reported patient satisfaction.Design and Setting: Retrospective cross-sectional study of general practices in England.Method: Data were obtained from the General Practice Patient Survey (GPPS) in 2012 (2.7 million questionnaires in England; 982 999 responses; response rate 36%); the national Quality and Outcomes Framework dataset for England, 2011-2012 (8164 general practices); and general practice and demographic characteristics. Standardised measures of antibiotic prescribing volumes were obtained for each practice in England during 2012-2013, together with 12 other nationally available prescribing variables. The role of antibiotic prescribing volume was identified as a determinant of GPPS scores and adjusted for demographic and practice factors using multiple linear regression.Results: The final dataset consisted of 7800 (95.5%) practices. A total of 33.7 million antibiotic prescriptions were issued to a registered population of 53.8 million patients. Antibiotic prescribing volume was a significant positive predictor of all 'doctor satisfaction' and 'practice satisfaction' scores in the GPPS, and was the strongest predictor of overall satisfaction out of 13 prescribing variables. A theoretical 25% reduction in antibiotic prescribing volume would be associated with 0.5-1.0% lower patient satisfaction scores, a drop of 3-6 centile points in national satisfaction ranking.Conclusion: Patients were less satisfied in practices with frugal antibiotic prescribing. A cautious approach to antibiotic prescribing may require a trade-off in terms of patient satisfaction.
ACCESSION #
111816422

 

Related Articles

  • Prescription medication use among an aboriginal population accessing addiction treatment. Wardman, Dennis; Khan, Nadia; el-Guebaly, Nady // Canadian Journal of Psychiatry;May2002, Vol. 47 Issue 4, p355 

    Objectives: Inappropriate prescription medication use can have significant consequences. Although it is suspected that Aboriginal populations within Canada have high rates of inappropriate use, published information is lacking. To better understand this issue, we studied an...

  • Factors associated with first-fill adherence rates for diabetic medications: a cohort study. Shah, Nirav R.; Hirsch, Annemarie G.; Zacker, Christopher; Taylor, Scott; Wood, G. Craig; Stewart, Walter F. // JGIM: Journal of General Internal Medicine;Feb2009, Vol. 24 Issue 2, p233 

    Background: Little is known about first-fill adherence rates for diabetic medications and factors associated with non-fill.Objective: To assess the proportion of patients who fill their initial prescription for a diabetes medication, understand characteristics...

  • Prevalence of practice system tools for improving depression care among primary care clinics: the DIAMOND initiative. Margolis, Karen L.; Solberg, Leif I.; Crain, A. Lauren; Whitebird, Robin R.; Ohnsorg, Kristin A.; Jaeckels, Nancy; Oftedahl, Gary; Glasgow, Russell E. // JGIM: Journal of General Internal Medicine;Sep2011, Vol. 26 Issue 9, p999 

    Background: Practice system tools improve chronic disease care, but are generally lacking for the care of depression in most primary care settings.Objective: To describe the frequency of various depression-related practice system tools among Minnesota primary care...

  • Comparison of multimodal, sliding scale acute pain protocols with traditional prescribing in non-surgical patients. Pawasauskas, Jayne; Kelley, Michelle; Gill, Christian; Facente, Michael // Postgraduate Medicine;Jan2020, Vol. 132 Issue 1, p37 

    Objective: Our institution implemented six multimodal, sliding scale protocols for managing pain in non-surgical inpatients. The purpose of this study was to compare the use of these acute pain protocols with traditional prescribing in regard to pain management efficacy and safety...

  • A nationwide survey of patient centered medical home demonstration projects. Bitton, Asaf; Martin, Carina; Landon, Bruce E. // JGIM: Journal of General Internal Medicine;Jun2010, Vol. 25 Issue 6, p584 

    Background: The patient centered medical home has received considerable attention as a potential way to improve primary care quality and limit cost growth. Little information exists that systematically compares PCMH pilot projects across the country.Design:...

  • Impact of availability on gambling: a longitudinal study. Jacques, Christian; Ladouceur, Robert; Ferland, Francine; Jacques, C; Ladouceur, R; Ferland, F // Canadian Journal of Psychiatry;Nov2000, Vol. 45 Issue 9, p810 

    Objective: Legalized gambling opportunities have markedly increased in most industrialized countries. While most authors agree that the rate of pathological gamblers is related to the accessibility of gambling activities, no published studies have yet empirically estimated the...

  • Importation of prescription medications: experiences, opinions, and intended behaviors of U.S. community pharmacists. Pickard, A. Simon; Nau, David P.; McKercher, Patrick L.; Schumock, Glen T. // Journal of the American Pharmacists Association: JAPhA;Nov/Dec2004, Vol. 44 Issue 6, p666 

    Objective: To describe community pharmacists' experiences with consumer demand for imported pharmaceuticals and their opinions about economic, policy, and patient care issues surrounding importation of medications and their willingness to procure these products from international...

  • Comparison of antibiotic prescriptions in adults and children with upper respiratory tract infections in Bangka Tengah primary health care centers. Novan Y. I., Pratama; Primadi, Avianto; Mahfudz; Suharjono // Journal of Basic & Clinical Physiology & Pharmacology;Nov2019, Vol. 30 Issue 6, pN.PAG 

    Background: Inappropriate antibiotic therapy is accelerating the development of antimicrobial resistance (AMR). Upper respiratory tract infections (URTIs) are predominantly caused by viruses, resulting in the prescription of antibiotics to a few selected patients. Previous studies in primary...

  • Immigrant status and having a regular medical doctor among Canadian adults. Degelman, Michelle L.; Herman, Katya M. // Canadian Journal of Public Health;2016, Vol. 107 Issue 1, pe75 

    Objective: New immigrants generally arrive in Canada with a health advantage over their Canadian counterparts, but lose that advantage over time. Difficulties in acquiring a physician may contribute. Past studies relied on older data, and lacked control for many confounders and...

  • Electronic prescribing improves medication safety in community-based office practices. Kaushal, Rainu; Kern, Lisa M.; Barrón, Yolanda; Quaresimo, Jill; Abramson, Erika L.; Barrón, Yolanda // JGIM: Journal of General Internal Medicine;Jun2010, Vol. 25 Issue 6, p530 

    Background: Although electronic prescribing (e-prescribing) holds promise for preventing prescription errors in the ambulatory setting, research on its effectiveness is inconclusive.Objective: To assess the impact of a stand-alone e-prescribing system on the rates and...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics