Cargando…
Patients’ Experiences, Expectations, Motivations, and Perspectives around Urinary Tract Infection Care in General Practice: A Qualitative Interview Study
While there are many alternatives to antibiotics for the symptomatic treatment of urinary tract infections (UTIs), their application in practice is limited. Among other things, general practitioners (GPs) often feel pressure from patients to prescribe antibiotics. To gain a better understanding of w...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9952089/ https://www.ncbi.nlm.nih.gov/pubmed/36830152 http://dx.doi.org/10.3390/antibiotics12020241 |
_version_ | 1784893543605600256 |
---|---|
author | Cox, Stefan Vleeming, Maud Giorgi, Wesley Dinant, Geert-Jan Cals, Jochen de Bont, Eefje |
author_facet | Cox, Stefan Vleeming, Maud Giorgi, Wesley Dinant, Geert-Jan Cals, Jochen de Bont, Eefje |
author_sort | Cox, Stefan |
collection | PubMed |
description | While there are many alternatives to antibiotics for the symptomatic treatment of urinary tract infections (UTIs), their application in practice is limited. Among other things, general practitioners (GPs) often feel pressure from patients to prescribe antibiotics. To gain a better understanding of why this happens and where this pressure originates from, we investigated experiences, expectations, motivations, and perspectives of patients with UTIs in general practice. During this qualitative study we performed 14 semi-structured online interviews among female UTI patients in general practice. Interviews were based on a topic list derived from sensitising concepts. All the interviews were recorded, transcribed, and analysed using a constant comparative technique. Three main categories emerged from the data; (1) experienced versus unexperienced patients with UTI, (2) patient’s lack of knowledge, and (3) patients feeling understood. Inexperienced patients consult a general practitioner for both diagnosis and symptom relief, while experienced patients seem to consult specifically to obtain antibiotics. In addition, patients have a lack of knowledge with regard to the diagnosis, treatment, self-care, and cause of UTIs. Finally, patients’ satisfaction is increased by involving them more in the process of decision making, so they feel understood and taken seriously. Patients’ expectations in UTI management in general practice often arise during their first experience(s) and play a major role in subsequent episodes. In conclusion, preventing misconceptions is especially important in the inexperienced patient group, as this may prevent future overtreatment of UTIs. In addition, involving patients in the decision making process will lead to greater understanding of the GP’s treatment choices. |
format | Online Article Text |
id | pubmed-9952089 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99520892023-02-25 Patients’ Experiences, Expectations, Motivations, and Perspectives around Urinary Tract Infection Care in General Practice: A Qualitative Interview Study Cox, Stefan Vleeming, Maud Giorgi, Wesley Dinant, Geert-Jan Cals, Jochen de Bont, Eefje Antibiotics (Basel) Article While there are many alternatives to antibiotics for the symptomatic treatment of urinary tract infections (UTIs), their application in practice is limited. Among other things, general practitioners (GPs) often feel pressure from patients to prescribe antibiotics. To gain a better understanding of why this happens and where this pressure originates from, we investigated experiences, expectations, motivations, and perspectives of patients with UTIs in general practice. During this qualitative study we performed 14 semi-structured online interviews among female UTI patients in general practice. Interviews were based on a topic list derived from sensitising concepts. All the interviews were recorded, transcribed, and analysed using a constant comparative technique. Three main categories emerged from the data; (1) experienced versus unexperienced patients with UTI, (2) patient’s lack of knowledge, and (3) patients feeling understood. Inexperienced patients consult a general practitioner for both diagnosis and symptom relief, while experienced patients seem to consult specifically to obtain antibiotics. In addition, patients have a lack of knowledge with regard to the diagnosis, treatment, self-care, and cause of UTIs. Finally, patients’ satisfaction is increased by involving them more in the process of decision making, so they feel understood and taken seriously. Patients’ expectations in UTI management in general practice often arise during their first experience(s) and play a major role in subsequent episodes. In conclusion, preventing misconceptions is especially important in the inexperienced patient group, as this may prevent future overtreatment of UTIs. In addition, involving patients in the decision making process will lead to greater understanding of the GP’s treatment choices. MDPI 2023-01-24 /pmc/articles/PMC9952089/ /pubmed/36830152 http://dx.doi.org/10.3390/antibiotics12020241 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Cox, Stefan Vleeming, Maud Giorgi, Wesley Dinant, Geert-Jan Cals, Jochen de Bont, Eefje Patients’ Experiences, Expectations, Motivations, and Perspectives around Urinary Tract Infection Care in General Practice: A Qualitative Interview Study |
title | Patients’ Experiences, Expectations, Motivations, and Perspectives around Urinary Tract Infection Care in General Practice: A Qualitative Interview Study |
title_full | Patients’ Experiences, Expectations, Motivations, and Perspectives around Urinary Tract Infection Care in General Practice: A Qualitative Interview Study |
title_fullStr | Patients’ Experiences, Expectations, Motivations, and Perspectives around Urinary Tract Infection Care in General Practice: A Qualitative Interview Study |
title_full_unstemmed | Patients’ Experiences, Expectations, Motivations, and Perspectives around Urinary Tract Infection Care in General Practice: A Qualitative Interview Study |
title_short | Patients’ Experiences, Expectations, Motivations, and Perspectives around Urinary Tract Infection Care in General Practice: A Qualitative Interview Study |
title_sort | patients’ experiences, expectations, motivations, and perspectives around urinary tract infection care in general practice: a qualitative interview study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9952089/ https://www.ncbi.nlm.nih.gov/pubmed/36830152 http://dx.doi.org/10.3390/antibiotics12020241 |
work_keys_str_mv | AT coxstefan patientsexperiencesexpectationsmotivationsandperspectivesaroundurinarytractinfectioncareingeneralpracticeaqualitativeinterviewstudy AT vleemingmaud patientsexperiencesexpectationsmotivationsandperspectivesaroundurinarytractinfectioncareingeneralpracticeaqualitativeinterviewstudy AT giorgiwesley patientsexperiencesexpectationsmotivationsandperspectivesaroundurinarytractinfectioncareingeneralpracticeaqualitativeinterviewstudy AT dinantgeertjan patientsexperiencesexpectationsmotivationsandperspectivesaroundurinarytractinfectioncareingeneralpracticeaqualitativeinterviewstudy AT calsjochen patientsexperiencesexpectationsmotivationsandperspectivesaroundurinarytractinfectioncareingeneralpracticeaqualitativeinterviewstudy AT debonteefje patientsexperiencesexpectationsmotivationsandperspectivesaroundurinarytractinfectioncareingeneralpracticeaqualitativeinterviewstudy |