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Are Patient Views about Antibiotics Related to Clinician Perceptions, Management and Outcome? A Multi-Country Study in Outpatients with Acute Cough

Author

Listed:
  • Samuel Coenen
  • Nick Francis
  • Mark Kelly
  • Kerenza Hood
  • Jacqui Nuttall
  • Paul Little
  • Theo J M Verheij
  • Hasse Melbye
  • Herman Goossens
  • Christopher C Butler
  • on behalf of the GRACE Project Group

Abstract

Background: Outpatients with acute cough who expect, hope for or ask for antibiotics may be more unwell, benefit more from antibiotic treatment, and be more satisfied with care when they are prescribed antibiotics. Clinicians may not accurately identify those patients. Objective: To explore whether patient views (expecting, hoping for or asking for antibiotics) are associated with illness presentation and resolution, whether patient views are accurately perceived by clinicians, and the association of all these factors with antibiotic prescribing and patient satisfaction with care. Methods: Prospective observational study of 3402 adult patients with acute cough presenting in 14 primary care networks. Correlations and associations tested with multilevel logistic regression and McNemar ‘s tests, and Cohen’s Kappa, positive agreement (PA) and negative agreement (NA) calculated as appropriate. Results: 1,213 (45.1%) patients expected, 1,093 (40.6%) hoped for, and 275 (10.2%) asked for antibiotics. Clinicians perceived 840 (31.3%) as wanting to be prescribed antibiotics (McNemar’s test, p

Suggested Citation

  • Samuel Coenen & Nick Francis & Mark Kelly & Kerenza Hood & Jacqui Nuttall & Paul Little & Theo J M Verheij & Hasse Melbye & Herman Goossens & Christopher C Butler & on behalf of the GRACE Project Grou, 2013. "Are Patient Views about Antibiotics Related to Clinician Perceptions, Management and Outcome? A Multi-Country Study in Outpatients with Acute Cough," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-9, October.
    • Handle: RePEc:plo:pone00:0076691
    DOI: 10.1371/journal.pone.0076691
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