Prescribing style and variation in antibiotic prescriptions for sore throat: cross-sectional study across six countries

Research output: Contribution to journalJournal articleResearchpeer-review

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Prescribing style and variation in antibiotic prescriptions for sore throat : cross-sectional study across six countries. / Cordoba Currea, Gloria Cristina; Siersma, Volkert Dirk; Lopez-Valcarcel, Beatriz Gonzalez; Bjerrum, Lars; Llor, Carl; Aabenhus, Rune Munck; Mäkelä, Marja-Leena Marjukka.

In: B M C Family Practice, Vol. 16, 7, 29.01.2015, p. 1-8.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Cordoba Currea, GC, Siersma, VD, Lopez-Valcarcel, BG, Bjerrum, L, Llor, C, Aabenhus, RM & Mäkelä, M-LM 2015, 'Prescribing style and variation in antibiotic prescriptions for sore throat: cross-sectional study across six countries', B M C Family Practice, vol. 16, 7, pp. 1-8. https://doi.org/10.1186/s12875-015-0224-y

APA

Cordoba Currea, G. C., Siersma, V. D., Lopez-Valcarcel, B. G., Bjerrum, L., Llor, C., Aabenhus, R. M., & Mäkelä, M-L. M. (2015). Prescribing style and variation in antibiotic prescriptions for sore throat: cross-sectional study across six countries. B M C Family Practice, 16, 1-8. [7]. https://doi.org/10.1186/s12875-015-0224-y

Vancouver

Cordoba Currea GC, Siersma VD, Lopez-Valcarcel BG, Bjerrum L, Llor C, Aabenhus RM et al. Prescribing style and variation in antibiotic prescriptions for sore throat: cross-sectional study across six countries. B M C Family Practice. 2015 Jan 29;16:1-8. 7. https://doi.org/10.1186/s12875-015-0224-y

Author

Cordoba Currea, Gloria Cristina ; Siersma, Volkert Dirk ; Lopez-Valcarcel, Beatriz Gonzalez ; Bjerrum, Lars ; Llor, Carl ; Aabenhus, Rune Munck ; Mäkelä, Marja-Leena Marjukka. / Prescribing style and variation in antibiotic prescriptions for sore throat : cross-sectional study across six countries. In: B M C Family Practice. 2015 ; Vol. 16. pp. 1-8.

Bibtex

@article{737e831a07d844aeb4b7c96e5781efb4,
title = "Prescribing style and variation in antibiotic prescriptions for sore throat: cross-sectional study across six countries",
abstract = "Background: Variation in prescription of antibiotics in primary care can indicate poor clinical practice that contributes to the increase of resistant strains. General Practitioners (GPs), as a professional group, are expected to have a fairly homogeneous prescribing style. In this paper, we describe variation in prescribing style within and across groups of GPs from six countries.Methods: Cross-sectional study with the inclusion of 457 GPs and 6394 sore throat patients. We describe variation in prescribing antibiotics for sore throat patients across six countries and assess whether variation in “prescribing style” – understood as a subjective tendency to prescribe – has an important effect on variation in prescription of antibiotics by using the concept of prescribing style as a latent variable in a multivariable model. We report variation as a Median Odds Ratio (MOR) which is the transformation of the random effect variance onto an odds ratio; Thus, MOR=1 means similar odds or strict homogeneity between GPs’ prescribing style, while a MOR higher than 1 denotes heterogeneity in prescribing style.Results: In all countries some GPs always prescribed antibiotics to all their patients, while other GPs never did. After adjusting for patient and GP characteristics, prescribing style in the group of GPs from Russia was about three times more heterogeneous than the prescribing style in the group of GPs from Denmark – Median Odds Ratio ( 6.8, 95{\%}CI 3.1;8.8 ) and ( 2.6, 95{\%}CI 2.2;4.4 ) respectively. Conclusion: Prescribing style is an important source of variation in prescription of antibiotics within and across countries, even after adjusting for patient and GP characteristics. Interventions aimed at influencing the prescribing style of GPs must encompass context-specific actions at the policy-making level alongside GP-targeted interventions to enable GPs to react more objectively to the external demands that are in place when making the decision of prescribing antibiotics or not.",
keywords = "Faculty of Health and Medical Sciences, Antibiotic variation , GP prescribing style",
author = "{Cordoba Currea}, {Gloria Cristina} and Siersma, {Volkert Dirk} and Lopez-Valcarcel, {Beatriz Gonzalez} and Lars Bjerrum and Carl Llor and Aabenhus, {Rune Munck} and M{\"a}kel{\"a}, {Marja-Leena Marjukka}",
year = "2015",
month = "1",
day = "29",
doi = "10.1186/s12875-015-0224-y",
language = "English",
volume = "16",
pages = "1--8",
journal = "B M C Family Practice",
issn = "1471-2296",
publisher = "BioMed Central Ltd.",

}

RIS

TY - JOUR

T1 - Prescribing style and variation in antibiotic prescriptions for sore throat

T2 - cross-sectional study across six countries

AU - Cordoba Currea, Gloria Cristina

AU - Siersma, Volkert Dirk

AU - Lopez-Valcarcel, Beatriz Gonzalez

AU - Bjerrum, Lars

AU - Llor, Carl

AU - Aabenhus, Rune Munck

AU - Mäkelä, Marja-Leena Marjukka

PY - 2015/1/29

Y1 - 2015/1/29

N2 - Background: Variation in prescription of antibiotics in primary care can indicate poor clinical practice that contributes to the increase of resistant strains. General Practitioners (GPs), as a professional group, are expected to have a fairly homogeneous prescribing style. In this paper, we describe variation in prescribing style within and across groups of GPs from six countries.Methods: Cross-sectional study with the inclusion of 457 GPs and 6394 sore throat patients. We describe variation in prescribing antibiotics for sore throat patients across six countries and assess whether variation in “prescribing style” – understood as a subjective tendency to prescribe – has an important effect on variation in prescription of antibiotics by using the concept of prescribing style as a latent variable in a multivariable model. We report variation as a Median Odds Ratio (MOR) which is the transformation of the random effect variance onto an odds ratio; Thus, MOR=1 means similar odds or strict homogeneity between GPs’ prescribing style, while a MOR higher than 1 denotes heterogeneity in prescribing style.Results: In all countries some GPs always prescribed antibiotics to all their patients, while other GPs never did. After adjusting for patient and GP characteristics, prescribing style in the group of GPs from Russia was about three times more heterogeneous than the prescribing style in the group of GPs from Denmark – Median Odds Ratio ( 6.8, 95%CI 3.1;8.8 ) and ( 2.6, 95%CI 2.2;4.4 ) respectively. Conclusion: Prescribing style is an important source of variation in prescription of antibiotics within and across countries, even after adjusting for patient and GP characteristics. Interventions aimed at influencing the prescribing style of GPs must encompass context-specific actions at the policy-making level alongside GP-targeted interventions to enable GPs to react more objectively to the external demands that are in place when making the decision of prescribing antibiotics or not.

AB - Background: Variation in prescription of antibiotics in primary care can indicate poor clinical practice that contributes to the increase of resistant strains. General Practitioners (GPs), as a professional group, are expected to have a fairly homogeneous prescribing style. In this paper, we describe variation in prescribing style within and across groups of GPs from six countries.Methods: Cross-sectional study with the inclusion of 457 GPs and 6394 sore throat patients. We describe variation in prescribing antibiotics for sore throat patients across six countries and assess whether variation in “prescribing style” – understood as a subjective tendency to prescribe – has an important effect on variation in prescription of antibiotics by using the concept of prescribing style as a latent variable in a multivariable model. We report variation as a Median Odds Ratio (MOR) which is the transformation of the random effect variance onto an odds ratio; Thus, MOR=1 means similar odds or strict homogeneity between GPs’ prescribing style, while a MOR higher than 1 denotes heterogeneity in prescribing style.Results: In all countries some GPs always prescribed antibiotics to all their patients, while other GPs never did. After adjusting for patient and GP characteristics, prescribing style in the group of GPs from Russia was about three times more heterogeneous than the prescribing style in the group of GPs from Denmark – Median Odds Ratio ( 6.8, 95%CI 3.1;8.8 ) and ( 2.6, 95%CI 2.2;4.4 ) respectively. Conclusion: Prescribing style is an important source of variation in prescription of antibiotics within and across countries, even after adjusting for patient and GP characteristics. Interventions aimed at influencing the prescribing style of GPs must encompass context-specific actions at the policy-making level alongside GP-targeted interventions to enable GPs to react more objectively to the external demands that are in place when making the decision of prescribing antibiotics or not.

KW - Faculty of Health and Medical Sciences

KW - Antibiotic variation

KW - GP prescribing style

U2 - 10.1186/s12875-015-0224-y

DO - 10.1186/s12875-015-0224-y

M3 - Journal article

C2 - 25630870

VL - 16

SP - 1

EP - 8

JO - B M C Family Practice

JF - B M C Family Practice

SN - 1471-2296

M1 - 7

ER -

ID: 45254492