Barriers and facilitators for the implementation of delayed-prescription of antibiotics in family medicine: a qualitative study

Abstract Background Delayed prescription is a strategy used in various countries to reduce antibiotic overuse and contend the effects of antibiotic resistance; however this practice is not yet used in Switzerland. The present qualitative study was thus conducted to investigate Swiss patients’ attitu...

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Main Authors: Aline Rinaldi, Serena Petrocchi, Luca Gabutti, Anna Bullo, Peter Johannes Schulz
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Health Services Research
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Online Access:https://doi.org/10.1186/s12913-024-12200-8
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author Aline Rinaldi
Serena Petrocchi
Luca Gabutti
Anna Bullo
Peter Johannes Schulz
author_facet Aline Rinaldi
Serena Petrocchi
Luca Gabutti
Anna Bullo
Peter Johannes Schulz
author_sort Aline Rinaldi
collection DOAJ
description Abstract Background Delayed prescription is a strategy used in various countries to reduce antibiotic overuse and contend the effects of antibiotic resistance; however this practice is not yet used in Switzerland. The present qualitative study was thus conducted to investigate Swiss patients’ attitudes towards the possible implementation of delayed prescription. Method Five focus groups with the general population based on a fixed script of questions to elicit opinions on delayed prescription. Results A total of 29 participants were involved (M = 39,76 years of age, SD = 15,91; 19 females). Participants naturally polarized into two distinct groups: one expressing attitudes against delayed prescription and the other in favor of such practice. One driver for their opposing stance was their pre-existing negative attitudes about the use of antibiotics. Other relevant themes contributing to the formation of one’s opinion on delayed prescription included the participants’ perceived convenience of this prescribing practice and their desired level of autonomy during and after a medical encounter. Another theme that emerged was the potential impact of these stances on the interpersonal relationship between doctors and their patients. Conclusion The present study highlights the existence of several barriers and facilitators perceived by patients. Should delayed prescription be implemented in Switzerland, these results will inform policymakers about patients’ attitudes towards the practice. Doctors may also benefit from this study as it identifies the limitations to consider when discussing treatment options with patients.
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spelling doaj-art-2ee82074a94b447e8c6b4ec81431cba42025-01-12T12:13:11ZengBMCBMC Health Services Research1472-69632025-01-0125111110.1186/s12913-024-12200-8Barriers and facilitators for the implementation of delayed-prescription of antibiotics in family medicine: a qualitative studyAline Rinaldi0Serena Petrocchi1Luca Gabutti2Anna Bullo3Peter Johannes Schulz4Faculty of Communication, Culture and Society, Università Della Svizzera ItalianaFaculty of Biomedical Sciences, Institute of Family Medicine, Università Della Svizzera ItalianaFaculty of Biomedical Sciences, Institute of Family Medicine, Università Della Svizzera ItalianaFaculty of Communication, Culture and Society, Università Della Svizzera ItalianaFaculty of Communication, Culture and Society, Università Della Svizzera ItalianaAbstract Background Delayed prescription is a strategy used in various countries to reduce antibiotic overuse and contend the effects of antibiotic resistance; however this practice is not yet used in Switzerland. The present qualitative study was thus conducted to investigate Swiss patients’ attitudes towards the possible implementation of delayed prescription. Method Five focus groups with the general population based on a fixed script of questions to elicit opinions on delayed prescription. Results A total of 29 participants were involved (M = 39,76 years of age, SD = 15,91; 19 females). Participants naturally polarized into two distinct groups: one expressing attitudes against delayed prescription and the other in favor of such practice. One driver for their opposing stance was their pre-existing negative attitudes about the use of antibiotics. Other relevant themes contributing to the formation of one’s opinion on delayed prescription included the participants’ perceived convenience of this prescribing practice and their desired level of autonomy during and after a medical encounter. Another theme that emerged was the potential impact of these stances on the interpersonal relationship between doctors and their patients. Conclusion The present study highlights the existence of several barriers and facilitators perceived by patients. Should delayed prescription be implemented in Switzerland, these results will inform policymakers about patients’ attitudes towards the practice. Doctors may also benefit from this study as it identifies the limitations to consider when discussing treatment options with patients.https://doi.org/10.1186/s12913-024-12200-8Delayed prescriptionAntibioticsDoctor-patient communicationGPsAttitudesGeneral population
spellingShingle Aline Rinaldi
Serena Petrocchi
Luca Gabutti
Anna Bullo
Peter Johannes Schulz
Barriers and facilitators for the implementation of delayed-prescription of antibiotics in family medicine: a qualitative study
BMC Health Services Research
Delayed prescription
Antibiotics
Doctor-patient communication
GPs
Attitudes
General population
title Barriers and facilitators for the implementation of delayed-prescription of antibiotics in family medicine: a qualitative study
title_full Barriers and facilitators for the implementation of delayed-prescription of antibiotics in family medicine: a qualitative study
title_fullStr Barriers and facilitators for the implementation of delayed-prescription of antibiotics in family medicine: a qualitative study
title_full_unstemmed Barriers and facilitators for the implementation of delayed-prescription of antibiotics in family medicine: a qualitative study
title_short Barriers and facilitators for the implementation of delayed-prescription of antibiotics in family medicine: a qualitative study
title_sort barriers and facilitators for the implementation of delayed prescription of antibiotics in family medicine a qualitative study
topic Delayed prescription
Antibiotics
Doctor-patient communication
GPs
Attitudes
General population
url https://doi.org/10.1186/s12913-024-12200-8
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