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Published on: August 30, 2018
Injudicious antibiotic use: an unforeseen consequence of the emphasis on patient satisfaction?
1Orange Grove Pediatrics, Department of Pediatrics, University of Arizona, Tucson 85704-1117, USA. shapiroe@email.arizona.edu
Background:
Antibiotic resistance is an increasingly serious problem in the United States and many other parts of the world. One of the causes is the injudicious prescribing of antibiotics for self-limited viral infections. Physicians often cite parent and patient pressure as factors in their decisions to prescribe antibiotics for viral upper respiratory tract infections.
Objective:
This article draws from the literature to determine the extent of patient and physician knowledge of appropriate antibiotic prescribing and to seek evidence for a link between antibiotic prescribing and patient satisfaction. Physician perception of patients' expectations regarding antibiotic use is also discussed.
Conclusions:
Both patients and physicians demonstrate poor knowledge regarding appropriate antibiotic prescribing for respiratory infections. Physicians are unable to judge patients' expectations accurately. Educational efforts aimed at both physicians and patients hold the most promise in decreasing unnecessary antibiotic use. These efforts include informing physicians that patient satisfaction is generally linked much more to communication than to the writing of a prescription.
Insights
Antibiotic resistance is a growing global threat, often fueled by unnecessary prescriptions for viral infections. Improving patient and physician knowledge about appropriate antibiotic use is crucial to combat this issue.
Area of Science:
- Infectious Diseases
- Public Health
- Pharmacology
Background:
- Antibiotic resistance poses a significant global health challenge.
- Injudicious antibiotic prescribing for viral infections contributes to resistance.
- Physician prescribing is often influenced by patient and parent pressure.
Purpose of the Study:
- To assess patient and physician knowledge of appropriate antibiotic prescribing.
- To investigate the relationship between antibiotic prescribing and patient satisfaction.
- To examine physician perceptions of patient expectations regarding antibiotics.
Main Methods:
- Literature review to synthesize existing research.
- Analysis of studies on antibiotic prescribing practices.
- Examination of patient and physician knowledge levels.
Main Results:
- Both patients and physicians exhibit inadequate knowledge of appropriate antibiotic use for respiratory infections.
- Physicians inaccurately perceive patient expectations for antibiotic prescriptions.
- Patient satisfaction is more closely associated with effective communication than prescription writing.
Conclusions:
- Enhanced educational initiatives for both patients and physicians are essential to reduce inappropriate antibiotic prescribing.
- Improving communication skills for physicians can positively impact patient satisfaction, decreasing demand for unnecessary antibiotics.
- Addressing knowledge gaps is key to mitigating the public health crisis of antibiotic resistance.
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