BJGP Open最新文献_第9页

Primary mental healthcare for adults with mild intellectual disabilities: care professionals' perspectives. 轻度智障成人的初级精神保健：护理专业人员的观点。

BJGP Open Pub Date : 2024-06-12 DOI: 10.3399/BJGPO.2023.0247

Katrien Pm Pouls, Mathilde Mastebroek, Suzanne Ligthart, Willem Assendelft, Monique Cj Koks-Leensen, Geraline Leusink

{"title":"Primary mental healthcare for adults with mild intellectual disabilities: care professionals' perspectives.","authors":"Katrien Pm Pouls, Mathilde Mastebroek, Suzanne Ligthart, Willem Assendelft, Monique Cj Koks-Leensen, Geraline Leusink","doi":"10.3399/BJGPO.2023.0247","DOIUrl":"https://doi.org/10.3399/BJGPO.2023.0247","url":null,"abstract":"Background: General practitioners (GPs) and mental health nurse practitioners (MHNPs) often feel ill equipped to provide mental health (MH) care to people with mild intellectual disabilities (MID). This is worrying, as insufficient primary MH care may lead to more severe or chronic problems. To improve primary MH care for this patient group, account must be taken of the experiences and needs of GPs and MHNPs providing the care.Aim: To explore GPs' and MHNPs' experiences, needs, and recommendations for improvement regarding primary MH care for adults with MID.Design & setting: Focus group study among GPs and MHNPs.Method: Focus groups, guided by topics based on an interview study with adults with MID receiving primary MH care. Transcripts were analysed by thematic analysis.Results: Four focus groups, with 19 GPs and 9 MHNPs, revealed four themes describing the needs and perceived complexity involved in providing MH care to patients with both MID and MH problems: 1] GPs' and MHNPs' struggles with adapting to challenging patient characteristics; 2] importance and difficulties of establishing a good doctor-patient relationship; 3] facilitating and hampering roles of the patient's network; 4] GPs' and MHNPs' challenges to provide care in the healthcare chain.Conclusion: GPs and MHNPs often experience providing care and support to this patient group as burdensome. It is important to consider the MID throughout the MH trajectory, to invest in a strong doctor-patient relationship, and to establish a stable, sustainable network and coordinated collaborative care around the patient.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141311848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating the benefits of machine learning for diagnosing deep vein thrombosis compared to gold standard ultrasound- a feasibility study. 评估机器学习在诊断深静脉血栓方面与金标准超声波相比的优势--一项可行性研究。

BJGP Open Pub Date : 2024-06-12 DOI: 10.3399/BJGPO.2024.0057

Kerstin Nothnagel, Mohammed Farid Aslam

{"title":"Evaluating the benefits of machine learning for diagnosing deep vein thrombosis compared to gold standard ultrasound- a feasibility study.","authors":"Kerstin Nothnagel, Mohammed Farid Aslam","doi":"10.3399/BJGPO.2024.0057","DOIUrl":"https://doi.org/10.3399/BJGPO.2024.0057","url":null,"abstract":"Background: This study evaluates the feasibility of remote deep venous thrombosis (DVT) diagnosis via ultrasound sequences facilitated by ThinkSono Guidance, an artificial intelligence (AI)-app, for point-of-care ultrasound (POCUS).Aim: The aim is to assess the effectiveness of AI-guided POCUS conducted by non-specialists in capturing valid ultrasound images for remote diagnosis of DVT.Design & setting: Over a 3.5-month period, patients with suspected DVT underwent AI-guided POCUS conducted by non-specialists using a handheld ultrasound probe connected to the app. These ultrasound sequences were uploaded to a cloud-dashboard for remote specialist review. Additionally, participants received a formal DVT scans.Method: Patients underwent AI-guided POCUS using handheld probes connected to the AI-app, followed by formal DVT scans. Ultrasound sequences acquired during the AI-guided scan were uploaded to a cloud-dashboard for remote specialist review, where image quality was assessed, and diagnoses were provided.Results: Among 91 predominantly elderly female participants, 18% of scans were incomplete. Of the rest, 91% had sufficient quality, with 64% categorised by remote clinicians as \"compressible\" or \"incompressible.\" Sensitivity and specificity for adequately imaged scans were 100% and 91%, respectively. Notably, 53% were low risk, potentially obviating formal scans.Conclusion: ThinkSono Guidance effectively directed non-specialists, streamlining DVT diagnosis and treatment. It may reduce the need for formal scans, particularly with negative findings, and extend diagnostic capabilities to primary care. The study highlights AI-assisted POCUS potential in improving DVT assessment.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141311845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'Hammering nails with a screwdriver': how GPs perceive video consultations. 用螺丝刀敲钉子"：全科医生如何看待视频会诊。

BJGP Open Pub Date : 2024-06-12 DOI: 10.3399/BJGPO.2024.0010

Magnus Repstad Wanderås, Eirik Abildsnes, Elin Thygesen, Santiago Gil Martinez

{"title":"'Hammering nails with a screwdriver': how GPs perceive video consultations.","authors":"Magnus Repstad Wanderås, Eirik Abildsnes, Elin Thygesen, Santiago Gil Martinez","doi":"10.3399/BJGPO.2024.0010","DOIUrl":"https://doi.org/10.3399/BJGPO.2024.0010","url":null,"abstract":"Background: Early in the Covid-19 pandemic, the use of video consultation (VC) expanded considerably, with GPs indicating high satisfaction with it. However, use of VC declined as lock-down measures were eased.Aim: To explore reasons why VC use has declined in Norwegian general practice by investigating GPs' experiences with VC since the start of the pandemic and their attitudes towards it in a post-pandemic setting.Design & setting: Qualitative study design. Semi-structured interviews with 13 GPs in southern Norway.Method: The method of data analysis was Braun & Clarke's reflexive thematic analysis.Results: Although the implementation of VCs was unplanned, most participants were able to use this modality without much problem. Several GPs initially envisioned long-term VC use. However, despite certain positives, VCs were largely sidelined in favour of face-to-face and telephone consultations due to their practicality and VC's limited usefulness when considering the extra effort required. Nonetheless, GPs recognised ways of using VC that might exploit its strengths, but they highlighted how its sustained use would require them to replace other consultation modalities. They also identified extrinsic factors that might lead to the increased use of VC, including improved VC technology and patient demand.Conclusion: Although VC is now part of many GPs' consultation toolbox, its perceived relative lack of usefulness and extra effort compared to other remote consultation modalities mean that most GPs have chosen to abandon it as a routine consultation modality.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141311846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Glaucoma treatment and deprivation: time-series analysis of general practice prescribing in England. 青光眼治疗与贫困：英格兰全科处方的时间序列分析。

BJGP Open Pub Date : 2024-05-28 DOI: 10.3399/BJGPO.2024.0005

Jeremy Hooper, Cecilia Helen Fenerty, James Roach, Robert Anthony Harper

{"title":"Glaucoma treatment and deprivation: time-series analysis of general practice prescribing in England.","authors":"Jeremy Hooper, Cecilia Helen Fenerty, James Roach, Robert Anthony Harper","doi":"10.3399/BJGPO.2024.0005","DOIUrl":"https://doi.org/10.3399/BJGPO.2024.0005","url":null,"abstract":"Background: Despite advances in glaucoma management, topical eyedrop treatment has been paramount, with prostaglandin analogues (PGAs) being first-line agents. While late presentation is linked with deprivation, there is no recent research examining associations between deprivation and prescribing within primary care.Aim: To explore PGA prescribing in general practice over a 6-year timeline, assessing for associations with deprivation.Design & setting: Analysis of NHS Business Services Authority data for general practice prescribing in England from April 2016-March 2022.Method: Glaucoma treatments by GP prescriber were extracted, identifying ~9.11-9.58 million prescriptions/annum. Data were linked to indices of multiple deprivation (IMD) quintiles of GP practices. Crude rates per 1,000 population were calculated using population data from NHS Digital. Time-series analyses facilitated comparison in prescribing nationally and in deprived areas. Autoregressive Integrated Moving Average (ARIMA) modelling facilitated measurement of synchrony between time-series using cross correlation.Results: PGAs and fixed combination eyedrops account for approximately two-thirds of glaucoma-related prescribing. Prescriptions per month increased slightly over a 6-year timeline, but rates per 1,000 of population reduced in 2020-21. PGA prescriptions dispensed in deprived areas is lower than all other quintiles. Cross-correlation analysis indicates a lag of ~12 months between average PGA prescribing nationally versus more deprived areas.Conclusion: The rate of PGA prescribing in primary care is substantially lower in deprived versus affluent areas, with delayed uptake of PGAs in more deprived areas of ~12 months. Further research is needed to explore reasons for this discrepancy, permitting strategies to be developed to reduce unwarranted variation.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enabling patient-physician continuity in Swedish primary care: the importance of a named GP. 在瑞典初级医疗中实现病人与医生的连续性：指定全科医生的重要性。

BJGP Open Pub Date : 2024-05-28 DOI: 10.3399/BJGPO.2024.0118

Lina Maria Maria Ellegård, Anders Anell, Gustav Kjellsson

{"title":"Enabling patient-physician continuity in Swedish primary care: the importance of a named GP.","authors":"Lina Maria Maria Ellegård, Anders Anell, Gustav Kjellsson","doi":"10.3399/BJGPO.2024.0118","DOIUrl":"https://doi.org/10.3399/BJGPO.2024.0118","url":null,"abstract":"Background: Continuity of care is important for patients with chronic conditions. Assigning patients to a named GP may increase continuity.Aim: To examine if patients who were registered with a named GP at the onset of their first chronic disease had higher continuity at subsequent visits than patients who were only registered at a practice.Design & setting: Registry-based observational study in Region Skåne, Sweden. The study population included 66,063 patients registered at the same practice at least 1 year before the first chronic condition onset in 2009-2015.Method: We compared patients registered with a named GP with patients only registered at a practice over a four-year follow-up period. The primary outcome was the Usual Provider of Care (UPC) index, for all visits and for visits related to the chronic disease. Secondary outcomes were the number of GP, nurse and out-of-hours visits, ED visits, hospital admissions, and mortality. We used linear regression models, adjusted for patient characteristics (using entropy balancing weights) and for practice-level fixed effects.Results: Patients with a named GP at onset had 3-4 percentage points higher UPC, but the difference decreased and was not statistically significant after adjusting for patient and practice characteristics. Patients with a named GP made more visits, though not for the chronic condition. There were no statistically significant differences for the other outcomes.Conclusion: Registration with a GP at onset does not imply higher continuity at visits and is not linked to other relevant outcomes for patients diagnosed with their first chronic condition.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'I feel many of my reflections are forced': a mixed methods qualitative study of international medical graduates' perspectives on reflection in UK general practice training. 我觉得我的很多反思都是被迫的"：对国际医学毕业生在英国全科培训中的反思视角的混合方法定性研究。

BJGP Open Pub Date : 2024-05-28 DOI: 10.3399/BJGPO.2023.0210

Laura Jayne Emery, Ben Jackson, Caroline Mitchell

{"title":"'I feel many of my reflections are forced': a mixed methods qualitative study of international medical graduates' perspectives on reflection in UK general practice training.","authors":"Laura Jayne Emery, Ben Jackson, Caroline Mitchell","doi":"10.3399/BJGPO.2023.0210","DOIUrl":"https://doi.org/10.3399/BJGPO.2023.0210","url":null,"abstract":"Background: UK general practice training requires trainees to evidence clinical competencies through reflective writing entries in online portfolios. Trainees who complete their medical degree in the UK experience reflection as an undergraduate, whereas 80% of international medical graduates (IMGs) have no previous experience of reflection.Aim: To explore international graduates' perspectives on the positive and negative aspects of reflection in the context of postgraduate GP training.Design & setting: Qualitative 'free text' survey data obtained in 2021 was analysed with themes further explored by semi-structured interviews conducted 2022-2023.Method: Participants were IMGs with experience of the UK GP training scheme. Verbatim open question survey data underwent content analysis. Broad themes identified were used to develop the interview topic guide. A geographically dispersed, purposive sample of participants were recruited for semi structured interviews. Interview and survey data were then analysed thematically.Results: 433 participants data sets are included: 422 of 485 responses to a UK wide survey including open questions and 11 interview transcripts. IMGs considered reflection to provide an effective approach for learning, an opportunity for self-assessment and professional development and a means of developing self-awareness. Concerns were expressed about how time-consuming recording reflection is, how its mandated aspect makes it forced, and fears regarding the medico-legal consequences of reflective writing.Conclusion: Despite a lack of previous experience in reflection, most international graduates showed an understanding of the benefits of reflection in GP training. However, the challenges of reflection must be addressed, to avoid devaluing reflection for clinical learning.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Family medicine journals' endorsement of reporting guidelines and clinical trial registration: a cross-sectional analysis. 全科医学期刊对报告指南和临床试验注册的认可：横断面分析。

BJGP Open Pub Date : 2024-05-28 DOI: 10.3399/BJGPO.2023.0183

Wyatt Compton, Brody Dennis, Payton Clark, Caleb A Smith, Danya Nees, Griffin Hughes, Matt Vassar

{"title":"Family medicine journals' endorsement of reporting guidelines and clinical trial registration: a cross-sectional analysis.","authors":"Wyatt Compton, Brody Dennis, Payton Clark, Caleb A Smith, Danya Nees, Griffin Hughes, Matt Vassar","doi":"10.3399/BJGPO.2023.0183","DOIUrl":"https://doi.org/10.3399/BJGPO.2023.0183","url":null,"abstract":"Background: Family medicine, vital for patient care but underfunded, prompts an evaluation of how family medicine journals endorse, require, and advocate for reporting guidelines (RGs), clinical trial, and systematic review registration.Aim: Assess endorsement and requirement of RGs, and the stance on clinical trial and systematic review registration in family medicine journals, impacting research quality and transparency.Design & setting: A cross-sectional analysis of 43 \"Family Practice\" journals, identified through the 2021 Scopus CiteScore. Editors-in-Chief were contacted to confirm article types. Data extracted from \"instructions to authors\" pages focused on RG recommendations, requirements, and trial registration.Method: To ensure confidentiality and prevent bias, authors independently extracted data on RG utilisation, adherence, and clinical trial registration provide a overview of research standards.Results: Of 43 journals, the most recommended guidelines were CONSORT (69%), PRISMA (58%), and STROBE (60%). The most required were PRISMA (16%) and CONSORT (11%). Clinical trial registration was recommended or required by 67% of journals. Additionally, 40 out of the 43 (93%) journals cited at least one reporting guideline in their instructions to authors.Conclusion: Family medicine journals exhibit varied endorsement and requirement patterns for RGs and clinical trial registration. While guidelines like CONSORT, PRISMA, and STROBE are acknowledged, caution is needed in presuming a direct link to enhanced research quality. A nuanced approach, promoting diverse reporting guidelines and rigorous study registration, is essential for elevating transparency and advancing research standards in family medicine.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How patients experience discussing couple relationship problems with general practitioners: an interview study. 病人如何与全科医生讨论夫妻关系问题：一项访谈研究。

BJGP Open Pub Date : 2024-05-28 DOI: 10.3399/BJGPO.2024.0044

Siri Dalsmo Berge, Mette Brekke, Eivind Meland, Thomas Mildestvedt

{"title":"How patients experience discussing couple relationship problems with general practitioners: an interview study.","authors":"Siri Dalsmo Berge, Mette Brekke, Eivind Meland, Thomas Mildestvedt","doi":"10.3399/BJGPO.2024.0044","DOIUrl":"https://doi.org/10.3399/BJGPO.2024.0044","url":null,"abstract":"Background: Couple relationship satisfaction is related to good physical and mental health and longevity. Many patients have discussed or wish to discuss their couple relationship with their general practitioner (GP) and look for personalised care and support when discussing topics they perceive as sensitive.Aim: To explore patient experiences of discussing couple relationship problems in GP consultations.Design & setting: Qualitative study employing semi-structured interviews with patients from general practice.Method: Individual interviews with 18 patients who had discussed their couple relationship with their GP. Participants were recruited through both social and traditional media, and all interviews were digitally recorded. The purposive sample comprised thirteen women and five men, representing diverse age groups, backgrounds, and relationship problems. All participants identified as heterosexual. We analysed interview data thematically using systematic text condensation.Results: Three main themes emerged: (i) GPs in a facilitating role, not on an assembly line; (ii) Navigating the \"elephant in the room\"; (iii) GPs as biomedically competent life witnesses. GP continuity was vital in fostering the trust required to discuss sensitive topics, such as relationship issues. Participants valued a biopsychosocial approach which incorporated knowledge of close relationships into medical consultations. They appreciated both GP support and constructive challenges that prompted them to take responsibility for relationship improvements.Conclusion: Patients value their GPs' holistic, supportive, and direct approach in addressing couple relationship problems, although they perceive that GPs do not always have sufficient time. They welcome relevant challenges that can drive positive change.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Will anybody listen?" parents' views on childhood asthma care: a qualitative study. "父母对儿童哮喘护理的看法：定性研究 "有人会听吗？

BJGP Open Pub Date : 2024-05-28 DOI: 10.3399/BJGPO.2024.0070

Daniel Lange, Antje Lindenmeyer, Kate Warren, Shamil Haroon, Prasad Nagakumar

{"title":"\"Will anybody listen?\" parents' views on childhood asthma care: a qualitative study.","authors":"Daniel Lange, Antje Lindenmeyer, Kate Warren, Shamil Haroon, Prasad Nagakumar","doi":"10.3399/BJGPO.2024.0070","DOIUrl":"https://doi.org/10.3399/BJGPO.2024.0070","url":null,"abstract":"Background: Asthma is the most common chronic disease in children, resulting in considerable morbidity and health care utilisation, especially in geographical areas with high deprivation. Parents play a pivotal role in children's asthma management.Aim: To explore the views of parents whose children have asthma, regarding barriers and facilitators to receiving adequate asthma care.Design & setting: A qualitative study conducted in an urban, multi-ethnic setting with high socioeconomic deprivation and paediatric asthma related hospital admissions.Method: The study used a pragmatic approach underpinned by a perspective of critical realism. Parents of children with asthma were recruited through purposive and convenience sampling and data collected through semi-structured interviews. Transcripts were analysed using thematic analysis, facilitated by NVivo software.Results: 10 parents participated in nine interviews. Six themes were identified relating to: (1) the establishment of a new life dynamic following a diagnosis of asthma; (2) the turbulent and drawn-out process of asthma diagnosis; (3) the roles and expectations of the partnership established between parents and healthcare services; (4) the importance of schools in asthma management; (5) sources and access to relevant information; and (6) the importance of social support networks. Parents frequently felt unsupported and misunderstood, particularly during the diagnostic process.Conclusion: Unmet parental educational and emotional needs, particularly around the time of diagnosis were identified as a key barrier to adequate asthma management. Deeper understanding of gaps in support can instruct asthma care delivery and inform co-produced interventions, thus improving asthma outcomes in children.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Antibiotic prescriptions associated with a diagnosis of acute nasopharyngitis by general practitioners in France. 法国全科医生开具的与急性鼻咽炎诊断相关的抗生素处方。

BJGP Open Pub Date : 2024-05-24 DOI: 10.3399/BJGPO.2024.0006

Tran Tue Duong, Matta Matta, Beranger Lekens, Sylvain Diamantis

{"title":"Antibiotic prescriptions associated with a diagnosis of acute nasopharyngitis by general practitioners in France.","authors":"Tran Tue Duong, Matta Matta, Beranger Lekens, Sylvain Diamantis","doi":"10.3399/BJGPO.2024.0006","DOIUrl":"https://doi.org/10.3399/BJGPO.2024.0006","url":null,"abstract":"Background: Rhinopharyngitis is a common viral infection that has led to an overuse of prescription drugs. Antibiotics, which are not indicated for this infection, are frequently misused.Aim: The purpose of this study was to describe drug prescriptions for acute rhinopharyngitis diagnoses in the French general practices.Design & setting: Retrospective study of 1,067,403 prescriptions issued by 2,637 physicians to 754,476 patients residing in metropolitan France for a diagnosis of nasopharyngitis.Method: The data were sourced from the prescription software, Cegedim, for a period spanning from first January 2018 to 31st December 2021 and analysed according to patients and physicians ages.Results: A total of 2,591,584 medications were prescribed by GPs with a median of 3 medications per patient. A total of 171,540 antibiotics were prescribed (16% prescription rates) with amoxicillin being the most frequently prescribed (102,089 prescriptions and 59.5% of antibiotic prescriptions). Amoxicillin prescription increases in extreme age groups (patients less than 9-year-old were prescribed amoxicillin in 18.2% of their visits, those over 80 years-old 10% of the visits, while patients aged 20-29-year-old were prescribed amoxicillin in just 2.9% of their visits), and more prescriptions are issued by older doctors (GPs older than 70 years prescribed antibiotics in 26.4% of the visits vs 3.2% of the visits by GPs aged less than 29 years).Conclusion: Nasopharyngitis is frequently a cause of therapeutical over-prescriptions including antibiotics with an antibiotic prescription rate of 16%. Additional research is required to enhance our understanding of the factors linked to drug prescriptions.","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141094434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0