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 Hupkova; Kristin 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

doi:10.1371/journal.pone.0076691

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

Fondazione IRCCS Ca' Granda- Ospedale Maggiore Policlinico

Research output: Contribution to journal › Article › peer-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 language	English
Article number	e76691
Journal	PLoS One
Volume	8
Issue number	10
DOIs	https://doi.org/10.1371/journal.pone.0076691
Publication status	Published - Oct 23 2013

ASJC Scopus subject areas

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

Access to Document

10.1371/journal.pone.0076691

Fingerprint Dive into the research topics of 'Are Patient Views about Antibiotics Related to Clinician Perceptions, Management and Outcome? A Multi-Country Study in Outpatients with Acute Cough'. Together they form a unique fingerprint.

Cite this

Coenen, S., Francis, N., Kelly, M., Hood, K., Nuttall, J., Little, P., Verheij, T. J. M., Melbye, H., Goossens, H., Butler, C. C., Arvai, Z., Bielicka, Z., Borras, A., Brugman, C., Coast, J., Davies, M., Dirven, K., Hering, I., Holczerné, J., ... Worby, T. (2013). Are Patient Views about Antibiotics Related to Clinician Perceptions, Management and Outcome? A Multi-Country Study in Outpatients with Acute Cough. PLoS One, 8(10), [e76691]. https://doi.org/10.1371/journal.pone.0076691

Are Patient Views about Antibiotics Related to Clinician Perceptions, Management and Outcome? A Multi-Country Study in Outpatients with Acute Cough. / Coenen, Samuel; Francis, Nick; Kelly, Mark; Hood, Kerenza; Nuttall, Jacqui; Little, Paul; Verheij, Theo J M; Melbye, Hasse; Goossens, Herman; Butler, Christopher C.; Arvai, Zseraldina; Bielicka, Zuzana; Borras, Alicia; Brugman, Curt; Coast, Joanna; Davies, Mel; Dirven, Kristien; Hering, Iris; Holczerné, Judit; Hupkova, Helena; Jakobsen, Kristin Alise; Kovaks, Bernadette; Lannering, Christina; Leus, Frank; Loens, Katherine; Moore, Michael; Muras, Magdalena; Pascoe, Carol; Smith, Richard; Swain, Jackie; Tarsia, Paolo; Valve, Kirsi; Veen, Robert; Worby, Tricia.

In: PLoS One, Vol. 8, No. 10, e76691, 23.10.2013.

Research output: Contribution to journal › Article › peer-review

Coenen, S, Francis, N, Kelly, M, Hood, K, Nuttall, J, Little, P, Verheij, TJM, Melbye, H, Goossens, H, Butler, CC, Arvai, Z, Bielicka, Z, Borras, A, Brugman, C, Coast, J, Davies, M, Dirven, K, Hering, I, Holczerné, J, Hupkova, H, Jakobsen, KA, Kovaks, B, Lannering, C, Leus, F, Loens, K, Moore, M, Muras, M, Pascoe, C, Smith, R, Swain, J, Tarsia, P, Valve, K, Veen, R & Worby, T 2013, 'Are Patient Views about Antibiotics Related to Clinician Perceptions, Management and Outcome? A Multi-Country Study in Outpatients with Acute Cough', PLoS One, vol. 8, no. 10, e76691. https://doi.org/10.1371/journal.pone.0076691

Coenen, Samuel ; Francis, Nick ; Kelly, Mark ; Hood, Kerenza ; Nuttall, Jacqui ; Little, Paul ; Verheij, Theo J M ; Melbye, Hasse ; Goossens, Herman ; Butler, Christopher C. ; Arvai, Zseraldina ; Bielicka, Zuzana ; Borras, Alicia ; Brugman, Curt ; Coast, Joanna ; Davies, Mel ; Dirven, Kristien ; Hering, Iris ; Holczerné, Judit ; Hupkova, Helena ; Jakobsen, Kristin Alise ; Kovaks, Bernadette ; Lannering, Christina ; Leus, Frank ; Loens, Katherine ; Moore, Michael ; Muras, Magdalena ; Pascoe, Carol ; Smith, Richard ; Swain, Jackie ; Tarsia, Paolo ; Valve, Kirsi ; Veen, Robert ; Worby, Tricia. / Are Patient Views about Antibiotics Related to Clinician Perceptions, Management and Outcome? A Multi-Country Study in Outpatients with Acute Cough. In: PLoS One. 2013 ; Vol. 8, No. 10.

@article{96a365d7b2f4457ba8d7d1c664c36136,

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

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",

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

year = "2013",

month = oct,

day = "23",

doi = "10.1371/journal.pone.0076691",

language = "English",

volume = "8",

journal = "PLoS One",

issn = "1932-6203",

publisher = "Public Library of Science",

number = "10",

}

TY - JOUR

T1 - Are Patient Views about Antibiotics Related to Clinician Perceptions, Management and Outcome? A Multi-Country Study in Outpatients with Acute Cough

AU - Coenen, Samuel

AU - Francis, Nick

AU - Kelly, Mark

AU - Hood, Kerenza

AU - Nuttall, Jacqui

AU - Little, Paul

AU - Verheij, Theo J M

AU - Melbye, Hasse

AU - Goossens, Herman

AU - Butler, Christopher C.

AU - Arvai, Zseraldina

AU - Bielicka, Zuzana

AU - Borras, Alicia

AU - Brugman, Curt

AU - Coast, Joanna

AU - Davies, Mel

AU - Dirven, Kristien

AU - Hering, Iris

AU - Holczerné, Judit

AU - Hupkova, Helena

AU - Jakobsen, Kristin Alise

AU - Kovaks, Bernadette

AU - Lannering, Christina

AU - Leus, Frank

AU - Loens, Katherine

AU - Moore, Michael

AU - Muras, Magdalena

AU - Pascoe, Carol

AU - Smith, Richard

AU - Swain, Jackie

AU - Tarsia, Paolo

AU - Valve, Kirsi

AU - Veen, Robert

AU - Worby, Tricia

PY - 2013/10/23

Y1 - 2013/10/23

N2 - 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

AB - 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

UR - http://www.scopus.com/inward/record.url?scp=84886256085&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84886256085&partnerID=8YFLogxK

U2 - 10.1371/journal.pone.0076691

DO - 10.1371/journal.pone.0076691

M3 - Article

C2 - 24194845

AN - SCOPUS:84886256085

VL - 8

JO - PLoS One

JF - PLoS One

SN - 1932-6203

IS - 10

M1 - e76691

ER -