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Not a magic pill: a qualitative exploration of provider perspectives on antibiotic prescribing in the outpatient setting

Overview of attention for article published in BMC Primary Care, June 2018
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  • Above-average Attention Score compared to outputs of the same age (51st percentile)
  • Above-average Attention Score compared to outputs of the same age and source (51st percentile)

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Citations

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42 Dimensions

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107 Mendeley
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Title
Not a magic pill: a qualitative exploration of provider perspectives on antibiotic prescribing in the outpatient setting
Published in
BMC Primary Care, June 2018
DOI 10.1186/s12875-018-0788-4
Pubmed ID
Authors

Traci D. Yates, Marion E. Davis, Yhenneko J. Taylor, Lisa Davidson, Crystal D. Connor, Katherine Buehler, Melanie D. Spencer

Abstract

Inappropriate prescribing of antibiotics poses an urgent public health threat. Limited research has examined factors associated with antibiotic prescribing practices in outpatient settings. The goals of this study were to explore elements influencing provider decisions to prescribe antibiotics, identify provider recommendations for interventions to reduce inappropriate antibiotic use, and inform the clinical management of patients in the outpatient environment for infections that do not require antibiotics. This was a qualitative study using semi-structured interviews with key informants. Seventeen outpatient providers (10 medical doctors and 7 advanced care practitioners) within a large healthcare system in Charlotte, North Carolina, participated. Interviews were audio recorded, transcribed, and analyzed for themes. Primary barriers to reducing inappropriate antibiotic prescribing included patient education and expectations, system-level factors, and time constraints. Providers indicated they would be interested in having system-wide, evidence-based guidelines to inform their prescribing decisions and that they would also be receptive to efforts to improve their awareness of their own prescribing practices. Results further suggested that providers experience a high demand for antibiotic prescriptions; consequently, patient education around appropriate use would be beneficial. Findings suggest that antibiotic prescribing in the outpatient setting is influenced by many pressures, including patient demand and patient satisfaction. Training on appropriate antibiotic prescribing, guideline-based decision support, feedback on prescribing practices, and patient education are recommended interventions to improve levels of appropriate prescribing.

X Demographics

X Demographics

The data shown below were collected from the profiles of 5 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 107 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 107 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 22 21%
Researcher 19 18%
Student > Bachelor 8 7%
Other 6 6%
Student > Doctoral Student 5 5%
Other 14 13%
Unknown 33 31%
Readers by discipline Count As %
Medicine and Dentistry 21 20%
Nursing and Health Professions 14 13%
Pharmacology, Toxicology and Pharmaceutical Science 7 7%
Social Sciences 6 6%
Immunology and Microbiology 4 4%
Other 14 13%
Unknown 41 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. 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 12 September 2019.
All research outputs
#14,283,318
of 25,385,509 outputs
Outputs from BMC Primary Care
#1,205
of 2,359 outputs
Outputs of similar age
#164,846
of 342,125 outputs
Outputs of similar age from BMC Primary Care
#38
of 81 outputs
Altmetric has tracked 25,385,509 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,359 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one is in the 47th percentile – i.e., 47% of its peers scored the same or lower than it.
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 342,125 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 51% of its contemporaries.
We're also able to compare this research output to 81 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 51% of its contemporaries.