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Shared decision making for women with uncomplicated Cystitis in Primary Care in the Netherlands: a qualitative interview study
BACKGROUND: Urinary tract infections (UTIs) are common, especially among women. Antibiotics are commonly used to treat UTIs, but might not always be necessary, for example in the case of uncomplicated UTIs such as cystitis. Shared decision making (SDM) could reduce the risk of unnecessary antibiotic...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9534461/ https://www.ncbi.nlm.nih.gov/pubmed/36199037 http://dx.doi.org/10.1186/s12875-022-01867-9 |
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author | van Horrik, Tessa M.Z.X.K. Laan, Bart J. van Seben, Rosanne Rodenburg, Gerda Heeregrave, Edwin J. Geerlings, Suzanne E. |
author_facet | van Horrik, Tessa M.Z.X.K. Laan, Bart J. van Seben, Rosanne Rodenburg, Gerda Heeregrave, Edwin J. Geerlings, Suzanne E. |
author_sort | van Horrik, Tessa M.Z.X.K. |
collection | PubMed |
description | BACKGROUND: Urinary tract infections (UTIs) are common, especially among women. Antibiotics are commonly used to treat UTIs, but might not always be necessary, for example in the case of uncomplicated UTIs such as cystitis. Shared decision making (SDM) could reduce the risk of unnecessary antibiotic prescriptions for uncomplicated cystitis. We investigated the current management and the use of SDM for uncomplicated cystitis in primary care. METHODS: We performed a qualitative semi-structured interview study among 23 women with a history of cystitis, 12 general practitioner (GP) assistants, and 12 GPs in the Netherlands from July to October 2020. All interviews were individually performed by telephone. The data were analyzed through the use of using open and axial coding. RESULTS: The GP assistants managed the initial diagnostics and treatment of uncomplicated cystitis in all general practices. Usually, antibiotics were considered the standard treatment of cystitis. In most general practices, SDM was not used in the treatment of uncomplicated cystitis, mainly because of a lack of time. Women reported that they valued being involved in the treatment decision-making process, but they were not always involved. Further, both GP assistants and GPs indicated that SDM would improve the care pathway of uncomplicated UTIs. CONCLUSION: In our study, SDM was infrequently used to help women with uncomplicated cystitis. To reduce the use of antibiotics for uncomplicated UTIs, a tailored intervention is needed to implement SDM for the treatment of uncomplicated cystitis in primary care. |
format | Online Article Text |
id | pubmed-9534461 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-95344612022-10-06 Shared decision making for women with uncomplicated Cystitis in Primary Care in the Netherlands: a qualitative interview study van Horrik, Tessa M.Z.X.K. Laan, Bart J. van Seben, Rosanne Rodenburg, Gerda Heeregrave, Edwin J. Geerlings, Suzanne E. BMC Prim Care Research BACKGROUND: Urinary tract infections (UTIs) are common, especially among women. Antibiotics are commonly used to treat UTIs, but might not always be necessary, for example in the case of uncomplicated UTIs such as cystitis. Shared decision making (SDM) could reduce the risk of unnecessary antibiotic prescriptions for uncomplicated cystitis. We investigated the current management and the use of SDM for uncomplicated cystitis in primary care. METHODS: We performed a qualitative semi-structured interview study among 23 women with a history of cystitis, 12 general practitioner (GP) assistants, and 12 GPs in the Netherlands from July to October 2020. All interviews were individually performed by telephone. The data were analyzed through the use of using open and axial coding. RESULTS: The GP assistants managed the initial diagnostics and treatment of uncomplicated cystitis in all general practices. Usually, antibiotics were considered the standard treatment of cystitis. In most general practices, SDM was not used in the treatment of uncomplicated cystitis, mainly because of a lack of time. Women reported that they valued being involved in the treatment decision-making process, but they were not always involved. Further, both GP assistants and GPs indicated that SDM would improve the care pathway of uncomplicated UTIs. CONCLUSION: In our study, SDM was infrequently used to help women with uncomplicated cystitis. To reduce the use of antibiotics for uncomplicated UTIs, a tailored intervention is needed to implement SDM for the treatment of uncomplicated cystitis in primary care. BioMed Central 2022-10-05 /pmc/articles/PMC9534461/ /pubmed/36199037 http://dx.doi.org/10.1186/s12875-022-01867-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research van Horrik, Tessa M.Z.X.K. Laan, Bart J. van Seben, Rosanne Rodenburg, Gerda Heeregrave, Edwin J. Geerlings, Suzanne E. Shared decision making for women with uncomplicated Cystitis in Primary Care in the Netherlands: a qualitative interview study |
title | Shared decision making for women with uncomplicated Cystitis in Primary Care in the Netherlands: a qualitative interview study |
title_full | Shared decision making for women with uncomplicated Cystitis in Primary Care in the Netherlands: a qualitative interview study |
title_fullStr | Shared decision making for women with uncomplicated Cystitis in Primary Care in the Netherlands: a qualitative interview study |
title_full_unstemmed | Shared decision making for women with uncomplicated Cystitis in Primary Care in the Netherlands: a qualitative interview study |
title_short | Shared decision making for women with uncomplicated Cystitis in Primary Care in the Netherlands: a qualitative interview study |
title_sort | shared decision making for women with uncomplicated cystitis in primary care in the netherlands: a qualitative interview study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9534461/ https://www.ncbi.nlm.nih.gov/pubmed/36199037 http://dx.doi.org/10.1186/s12875-022-01867-9 |
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