AI Article Synopsis
- Misuse and overuse of antibiotics in primary care are prevalent, with many healthcare providers not following established prescribing guidelines.
- A survey of 120 health centers in western Sweden revealed that while most physicians and nurses believe they understand the guidelines, they tend to have an inflated view of their own knowledge compared to their peers (optimism bias).
- The main reason for not following guidelines was stated as patient expectations, showing a gap between perceived and actual knowledge about appropriate antibiotic use that needs to be addressed through targeted interventions.
Article Abstract
Misuse and overuse of antibiotics are common in primary care. Guidelines for prescribing of antibiotics are often not followed We conducted a survey of 120 health centers in western Sweden to investigate to what extent physicians and nurses think they know and comply with the guidelines for prescribing of antibiotics. A large majority of the respondents answered that they know the guidelines well. However, many also believed that physicians/nurses in general know less about and are worse at following the guidelines than themselves, indicating optimism bias. According to the respondents the main reason for non-compliance with guidelines was patient expectations. The survey also showed that both physicians' and nurses' actual knowledge of when it is effective to prescribe antibiotics is incomplete. Interventions to reduce unnecessary antibiotic therapy in primary care should target the failing congruence between the perceived knowledge of guidelines for antibiotic therapy and actual knowledge.
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| http://dx.doi.org/10.1016/j.healthpol.2023.104733 | DOI Listing |
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