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A study of guidelines for respiratory tract infections and their references from Swedish GPs: a qualitative analysis

Background: National guidelines are important instruments in reducing inappropriate antibiotic prescriptions. Low adherence to guidelines is an acknowledged problem that needs to be addressed. Method: We evaluated established characteristics for guidelines in the guidelines for lower respiratory tra...

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Autores principales: Tyrstrup, M., André, M., Brorsson, A., Gröndal, H., Strandberg, E.-L., Hedin, K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054917/
https://www.ncbi.nlm.nih.gov/pubmed/32031035
http://dx.doi.org/10.1080/02813432.2020.1717073
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author Tyrstrup, M.
André, M.
Brorsson, A.
Gröndal, H.
Strandberg, E.-L.
Hedin, K.
author_facet Tyrstrup, M.
André, M.
Brorsson, A.
Gröndal, H.
Strandberg, E.-L.
Hedin, K.
author_sort Tyrstrup, M.
collection PubMed
description Background: National guidelines are important instruments in reducing inappropriate antibiotic prescriptions. Low adherence to guidelines is an acknowledged problem that needs to be addressed. Method: We evaluated established characteristics for guidelines in the guidelines for lower respiratory tract infection, acute otitis media and pharyngotonsillitis in primary care. We studied how doctors used these guidelines by analysing interviews with 29 general practitioners (GPs) in Sweden. Results: We found important between-guidelines differences, which we believe affects adherence. The GPs reported persistent preconceptions about diagnosis and treatment, which we believe reduces their adherence to the guidelines. Conclusion: To increase adherence, it is important to consider doctors’ preconceptions when creating new guidelines.
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spelling pubmed-70549172020-03-12 A study of guidelines for respiratory tract infections and their references from Swedish GPs: a qualitative analysis Tyrstrup, M. André, M. Brorsson, A. Gröndal, H. Strandberg, E.-L. Hedin, K. Scand J Prim Health Care Research Articles Background: National guidelines are important instruments in reducing inappropriate antibiotic prescriptions. Low adherence to guidelines is an acknowledged problem that needs to be addressed. Method: We evaluated established characteristics for guidelines in the guidelines for lower respiratory tract infection, acute otitis media and pharyngotonsillitis in primary care. We studied how doctors used these guidelines by analysing interviews with 29 general practitioners (GPs) in Sweden. Results: We found important between-guidelines differences, which we believe affects adherence. The GPs reported persistent preconceptions about diagnosis and treatment, which we believe reduces their adherence to the guidelines. Conclusion: To increase adherence, it is important to consider doctors’ preconceptions when creating new guidelines. Taylor & Francis 2020-02-07 /pmc/articles/PMC7054917/ /pubmed/32031035 http://dx.doi.org/10.1080/02813432.2020.1717073 Text en © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Articles
Tyrstrup, M.
André, M.
Brorsson, A.
Gröndal, H.
Strandberg, E.-L.
Hedin, K.
A study of guidelines for respiratory tract infections and their references from Swedish GPs: a qualitative analysis
title A study of guidelines for respiratory tract infections and their references from Swedish GPs: a qualitative analysis
title_full A study of guidelines for respiratory tract infections and their references from Swedish GPs: a qualitative analysis
title_fullStr A study of guidelines for respiratory tract infections and their references from Swedish GPs: a qualitative analysis
title_full_unstemmed A study of guidelines for respiratory tract infections and their references from Swedish GPs: a qualitative analysis
title_short A study of guidelines for respiratory tract infections and their references from Swedish GPs: a qualitative analysis
title_sort study of guidelines for respiratory tract infections and their references from swedish gps: a qualitative analysis
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054917/
https://www.ncbi.nlm.nih.gov/pubmed/32031035
http://dx.doi.org/10.1080/02813432.2020.1717073
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