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 | |
| Publication status | Published - Oct 23 2013 |
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ASJC Scopus subject areas
- Agricultural and Biological Sciences(all)
- Biochemistry, Genetics and Molecular Biology(all)
- Medicine(all)
Cite this
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
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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
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U2 - 10.1371/journal.pone.0076691
DO - 10.1371/journal.pone.0076691
M3 - Article
VL - 8
JO - PLoS One
JF - PLoS One
SN - 1932-6203
IS - 10
M1 - e76691
ER -