Academic Journal
Context and general practitioner decision-making - a scoping review of contextual influence on antibiotic prescribing
| العنوان: | Context and general practitioner decision-making - a scoping review of contextual influence on antibiotic prescribing |
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| المؤلفون: | Al-Azzawi, Resha, Halvorsen, Peder Andreas, Risør, Torsten |
| بيانات النشر: | BMC |
| سنة النشر: | 2021 |
| المجموعة: | University of Tromsø: Munin Open Research Archive |
| مصطلحات موضوعية: | VDP::Medisinske fag: 700::Klinisk medisinske fag: 750::Allmennmedisin: 751, VDP::Midical sciences: 700::Clinical medical sciences: 750::General practice: 751, VDP::Medisinske fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801, VDP::Midical sciences: 700::Health sciences: 800::Community medicine, social medicine: 801, Allmennmedisin / General Practice, Antibiotika / Antibiotics, Antibiotikaforbruk / Use of antibiotics, Beslutningstaking / Decision making, Fastlege / General practitioner, Kontekstualisering / Contextualization |
| الوصف: | Background - How contextual factors may influence GP decisions in real life practice is poorly understood. The authors have undertaken a scoping review of antibiotic prescribing in primary care, with a focus on the interaction between context and GP decision-making, and what it means for the decisions made. Method - The authors searched Medline, Embase and Cinahl databases for English language articles published between 1946 and 2019, focusing on general practitioner prescribing of antibiotics. Articles discussing decision-making, reasoning, judgement, or uncertainty in relation to antibiotic prescribing were assessed. As no universal definition of context has been agreed, any papers discussing terms synonymous with context were reviewed. Terms encountered included contextual factors, non-medical factors, and non-clinical factors. Results - Three hundred seventy-seven full text articles were assessed for eligibility, resulting in the inclusion of 47. This article documented the experiences of general practitioners from over 18 countries, collected in 47 papers, over the course of 3 decades. Contextual factors fell under 7 themes that emerged in the process of analysis. These were space and place, time, stress and emotion, patient characteristics, therapeutic relationship, negotiating decisions and practice style, managing uncertainty, and clinical experience. Contextual presence was in every part of the consultation process, was vital to management, and often resulted in prescribing. Conclusion - Context is essential in real life decision-making, and yet it does not feature in current representations of clinical decision-making. With an incomplete picture of how doctors make decisions in real life practice, we risk missing important opportunities to improve decision-making, such as antibiotic prescribing. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1471-2296 |
| Relation: | BMC Family Practice; Al-Azzawi, Halvorsen, Risør. Context and general practitioner decision-making - a scoping review of contextual influence on antibiotic prescribing. BMC Family Practice. 2021; FRIDAID 1955576; https://hdl.handle.net/10037/23057 |
| DOI: | 10.1186/s12875-021-01574-x |
| الاتاحة: | https://hdl.handle.net/10037/23057 https://doi.org/10.1186/s12875-021-01574-x |
| Rights: | openAccess ; Copyright 2021 The Author(s) |
| رقم الانضمام: | edsbas.346C96BC |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 14712296 |
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| DOI: | 10.1186/s12875-021-01574-x |