Antibiotic Prescribing and Doctor-Patient Communication During Consultations for Respiratory Tract Infections: A Video Observation Study in Out-of-Hours Primary Care

Objective: Communication skills can reduce inappropriate antibiotic prescribing, which could help to tackle antibiotic resistance. General practitioners often overestimate patient expectations for an antibiotic. In this study, we describe how general practitioners and patients with respiratory tract...

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Autores principales:	Annelies Colliers, Katrien Bombeke, Hilde Philips, Roy Remmen, Samuel Coenen, Sibyl Anthierens
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	antibiotics respiratory tract infections video observation reason for encounter communication primary care Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/a68bf6a561764fa2aa03b3158ed98636
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spelling	oai:doaj.org-article:a68bf6a561764fa2aa03b3158ed986362021-12-01T22:43:48ZAntibiotic Prescribing and Doctor-Patient Communication During Consultations for Respiratory Tract Infections: A Video Observation Study in Out-of-Hours Primary Care2296-858X10.3389/fmed.2021.735276https://doaj.org/article/a68bf6a561764fa2aa03b3158ed986362021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fmed.2021.735276/fullhttps://doaj.org/toc/2296-858XObjective: Communication skills can reduce inappropriate antibiotic prescribing, which could help to tackle antibiotic resistance. General practitioners often overestimate patient expectations for an antibiotic. In this study, we describe how general practitioners and patients with respiratory tract infections (RTI) communicate about their problem, including the reason for encounter and ideas, concerns, and expectations (ICE), and how this relates to (non-)antibiotic prescribing in out-of-hours (OOH) primary care.Methods: A qualitative descriptive framework analysis of video-recorded consultations during OOH primary care focusing on doctor-patient communication.Results: We analyzed 77 videos from 19 general practitioners. General practitioners using patient-centered communication skills received more information on the perspective of the patients on the illness period. For some patients, the reason for the encounter was motivated by their belief that a general practitioner (GP) visit will alter the course of their illness. The ideas, concerns, and expectations often remained implicit, but the concerns were expressed by the choice of words, tone of voice, repetition of words, etc. Delayed prescribing was sometimes used to respond to implicit patient expectations for an antibiotic. Patients accepted a non-antibiotic management plan well.Conclusion: Not addressing the ICE of patients, or their reason to consult the GP OOH, could drive assumptions about patient expectations for antibiotics early on and antibiotic prescribing later in the consultation.Annelies ColliersKatrien BombekeHilde PhilipsRoy RemmenSamuel CoenenSamuel CoenenSibyl AnthierensFrontiers Media S.A.articleantibioticsrespiratory tract infectionsvideo observationreason for encountercommunicationprimary careMedicine (General)R5-920ENFrontiers in Medicine, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	antibiotics respiratory tract infections video observation reason for encounter communication primary care Medicine (General) R5-920
spellingShingle	antibiotics respiratory tract infections video observation reason for encounter communication primary care Medicine (General) R5-920 Annelies Colliers Katrien Bombeke Hilde Philips Roy Remmen Samuel Coenen Samuel Coenen Sibyl Anthierens Antibiotic Prescribing and Doctor-Patient Communication During Consultations for Respiratory Tract Infections: A Video Observation Study in Out-of-Hours Primary Care
description	Objective: Communication skills can reduce inappropriate antibiotic prescribing, which could help to tackle antibiotic resistance. General practitioners often overestimate patient expectations for an antibiotic. In this study, we describe how general practitioners and patients with respiratory tract infections (RTI) communicate about their problem, including the reason for encounter and ideas, concerns, and expectations (ICE), and how this relates to (non-)antibiotic prescribing in out-of-hours (OOH) primary care.Methods: A qualitative descriptive framework analysis of video-recorded consultations during OOH primary care focusing on doctor-patient communication.Results: We analyzed 77 videos from 19 general practitioners. General practitioners using patient-centered communication skills received more information on the perspective of the patients on the illness period. For some patients, the reason for the encounter was motivated by their belief that a general practitioner (GP) visit will alter the course of their illness. The ideas, concerns, and expectations often remained implicit, but the concerns were expressed by the choice of words, tone of voice, repetition of words, etc. Delayed prescribing was sometimes used to respond to implicit patient expectations for an antibiotic. Patients accepted a non-antibiotic management plan well.Conclusion: Not addressing the ICE of patients, or their reason to consult the GP OOH, could drive assumptions about patient expectations for antibiotics early on and antibiotic prescribing later in the consultation.
format	article
author	Annelies Colliers Katrien Bombeke Hilde Philips Roy Remmen Samuel Coenen Samuel Coenen Sibyl Anthierens
author_facet	Annelies Colliers Katrien Bombeke Hilde Philips Roy Remmen Samuel Coenen Samuel Coenen Sibyl Anthierens
author_sort	Annelies Colliers
title	Antibiotic Prescribing and Doctor-Patient Communication During Consultations for Respiratory Tract Infections: A Video Observation Study in Out-of-Hours Primary Care
title_short	Antibiotic Prescribing and Doctor-Patient Communication During Consultations for Respiratory Tract Infections: A Video Observation Study in Out-of-Hours Primary Care
title_full	Antibiotic Prescribing and Doctor-Patient Communication During Consultations for Respiratory Tract Infections: A Video Observation Study in Out-of-Hours Primary Care
title_fullStr	Antibiotic Prescribing and Doctor-Patient Communication During Consultations for Respiratory Tract Infections: A Video Observation Study in Out-of-Hours Primary Care
title_full_unstemmed	Antibiotic Prescribing and Doctor-Patient Communication During Consultations for Respiratory Tract Infections: A Video Observation Study in Out-of-Hours Primary Care
title_sort	antibiotic prescribing and doctor-patient communication during consultations for respiratory tract infections: a video observation study in out-of-hours primary care
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/a68bf6a561764fa2aa03b3158ed98636
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Antibiotic Prescribing and Doctor-Patient Communication During Consultations for Respiratory Tract Infections: A Video Observation Study in Out-of-Hours Primary Care

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