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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2020
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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. |
format | Online Article Text |
id | pubmed-7054917 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
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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