Author, as appears in the article.: Cals, J.W. Little, P. Goossens, H. Verheij, T.J.M. Butler, C.C. Godycki-Cwirko, M. Coenen, S. Yardley, L. Llor, C. Krawczyk, J. Fernandez-Vandellos, P. Brugman, C. Francis, N.A. Anthierens, S. Tonkin-Crine, S.
Department: Medicina i Cirurgia
e-ISSN: 2055-1010
URV's Author/s: Sarah Tonkin-Crine, Sibyl Anthierens, Nick A Francis, Curt Brugman, Patricia Fernandez-Vandellos, Jaroslaw Krawczyk, Carl Llor, Lucy Yardley, Samuel Coenen, Maciek Godycki-Cwirko, Christopher C Butler, Theo JM Verheij, Herman Goossens, Paul Little and Jochen W Cals
Abstract: BACKGROUND: In a pan-European randomised controlled trial (GRACE INTRO) of two interventions, (i) a point-of-care C-reactive protein test and/or (ii) training in communication skills and use of an interactive patient booklet, both interventions resulted in large reductions in antibiotic prescribing for acute cough. AIMS: This process evaluation explored patients' views of primary care consultations using the two interventions in six European countries. METHODS: Sixty-two interviews were conducted with patients who had participated in the GRACE INTRO trial. Interviews were transcribed verbatim and translated into English where necessary. Analysis used techniques from thematic and framework analysis. RESULTS: Most patients were satisfied with their consultation despite many not receiving an antibiotic. Patients appeared to accept the use of both intervention approaches. A minority, but particularly in the trial arm with both interventions, reported that they would wait longer before consulting for cough in future. CONCLUSIONS: Patients perceived that both interventions supported the general practitioner's (GP's) prescribing decisions by helping them understand when an antibiotic was, and was not, needed. Patients consulting with acute cough had largely positive views about the GP's enhanced communication skills, which included understanding their concerns, and the use of a near-patient test as an additional investigation.
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Keyword in other language: antibiotic therapy adult C-reactive protein antibiotic agent
Journal volume: 24
Papper version: info:eu-repo/semantics/publishedVersion
Link to the original source: http://www.nature.com/articles/npjpcrm201426
Article's DOI: https://doi.org/10.1038/npjpcrm.2014.26
Entity: Universitat Rovira i Virgili.
Journal publication year: 2014
Repositori URV