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

Samuel Coenen, Nick Francis, Mark Kelly, Kerenza Hood, Jacqui Nuttall, Paul Little, Theo J M Verheij, Hasse Melbye, Herman Goossens, Christopher C. Butler, Zseraldina Arvai, Zuzana Bielicka, Alicia Borras, Curt Brugman, Joanna Coast, Mel Davies, Kristien Dirven, Iris Hering, Judit Holczerné, Helena HupkovaKristin Alise Jakobsen, Bernadette Kovaks, Christina Lannering, Frank Leus, Katherine Loens, Michael Moore, Magdalena Muras, Carol Pascoe, Richard Smith, Jackie Swain, Paolo Tarsia, Kirsi Valve, Robert Veen, Tricia Worby

Research output: Contribution to journalArticlepeer-review

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

Original languageEnglish
Article numbere76691
JournalPLoS One
Volume8
Issue number10
DOIs
Publication statusPublished - Oct 23 2013

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

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