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

Overview of attention for article published in BMC Family Practice, January 2015
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (86th percentile)

Mentioned by

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15 tweeters
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1 Facebook page

Citations

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33 Dimensions

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59 Mendeley
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Title
Prescribing style and variation in antibiotic prescriptions for sore throat: cross-sectional study across six countries
Published in
BMC Family Practice, January 2015
DOI 10.1186/s12875-015-0224-y
Pubmed ID
Authors

Gloria Cordoba, Volkert Siersma, Beatriz Lopez-Valcarcel, Lars Bjerrum, Carl Llor, Rune Aabenhus, Marjukka Makela

Abstract

BackgroundVariation 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.MethodsCross-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.ResultsIn 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.ConclusionPrescribing 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.

Twitter Demographics

The data shown below were collected from the profiles of 15 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 59 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 1 2%
Unknown 58 98%

Demographic breakdown

Readers by professional status Count As %
Researcher 16 27%
Student > Master 9 15%
Student > Postgraduate 7 12%
Student > Ph. D. Student 6 10%
Other 3 5%
Other 10 17%
Unknown 8 14%
Readers by discipline Count As %
Medicine and Dentistry 28 47%
Social Sciences 4 7%
Psychology 3 5%
Nursing and Health Professions 2 3%
Agricultural and Biological Sciences 1 2%
Other 7 12%
Unknown 14 24%

Attention Score in Context

This research output has an Altmetric Attention Score of 10. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 May 2015.
All research outputs
#2,842,126
of 21,224,592 outputs
Outputs from BMC Family Practice
#357
of 1,845 outputs
Outputs of similar age
#43,649
of 321,956 outputs
Outputs of similar age from BMC Family Practice
#1
of 1 outputs
Altmetric has tracked 21,224,592 research outputs across all sources so far. Compared to these this one has done well and is in the 86th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,845 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.3. This one has done well, scoring higher than 80% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 321,956 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 86% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them