Influence of patients'expectations on antibiotic management of acute lower respiratory tract illness in general practice : questionnaire study.
To assess patients'views and expectations when they consult their general practitioner with acute lower respiratory symptoms and the influence these have on management Design : General practitioners studied consecutive, previously well adults and recorded clinical data, the certainty regarding their prescribing decision, and the influence of non-clinical factors on that decision.
Patients completed a questionnaire at home after the consultation.
76 doctors from suburban, inner city, and rural practices.
1014 eligible patients entered ; 787 (78%) returned the questionnaire.
Main outcome measures
The views of the patient, the views of and antibiotic prescription by the doctor.
Most patients thought that their symptoms were caused by an infection (662) and that antibiotics would help (656) and had both wanted (564) and expected (561) such a prescription. 146 requested an antibiotic, 587 received one.
Of the 643 patients who thought they had an infection, 582 wanted an antibiotic and thought it would help.
Severity of symptoms did not relate to wanting antibiotics.
For those prescribed antibiotics, their doctor thought they were definitely indicated in only 116 cases and not indicated in 126.
Patient pressure most commonly influenced the decision to prescribe even when the doctor thought antibiotics were not indicated. (...)
Mots-clés Pascal : Infection, Appareil respiratoire, Antibiotique, Autoperception, Malade, Prise décision, Médecin, Chimiothérapie, Traitement, Homme, Appareil respiratoire pathologie, Personnel sanitaire
Mots-clés Pascal anglais : Infection, Respiratory system, Antibiotic, Self perception, Patient, Decision making, Physician, Chemotherapy, Treatment, Human, Respiratory disease, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0018039
Code Inist : 002B30A05. Création : 17/04/1998.