Research UNE

DC Field	Value	Language
dc.contributor.author	Kasse, Gashaw Enbiyale	en
dc.contributor.author	Humphries, Judy	en
dc.contributor.author	Cosh, Suzanne M	en
dc.contributor.author	Islam, Md Shahidul	en
dc.date.accessioned	2024-06-12T23:35:28Z	-
dc.date.available	2024-06-12T23:35:28Z	-
dc.date.issued	2024-01-02	-
dc.identifier.citation	BMC Primary Care, v.25, p. 1-27	en
dc.identifier.issn	2731-4553	en
dc.identifier.uri	https://hdl.handle.net/1959.11/60664	-
dc.language	en	en
dc.publisher	BioMed Central Ltd	en
dc.relation.ispartof	BMC Primary Care	en
dc.rights	Attribution 4.0 International	*
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/	*
dc.title	Factors contributing to the variation in antibiotic prescribing among primary health care physicians: a systematic review	en
dc.type	Journal Article	en
dc.identifier.doi	10.1186/s12875-023-02223-1	en
dcterms.accessRights	UNE Green	en
local.contributor.firstname	Gashaw Enbiyale	en
local.contributor.firstname	Judy	en
local.contributor.firstname	Suzanne M	en
local.contributor.firstname	Md Shahidul	en
local.profile.school	School of Health	en
local.profile.school	School of Health	en
local.profile.school	School of Psychology	en
local.profile.school	School of Health	en
local.profile.email	gkasse@myune.edu.au	en
local.profile.email	jharris2@une.edu.au	en
local.profile.email	scosh@une.edu.au	en
local.profile.email	mislam27@une.edu.au	en
local.output.category	C1	en
local.record.place	au	en
local.record.institution	University of New England	en
local.publisher.place	United Kingdom	en
local.identifier.runningnumber	8	en
local.format.startpage	1	en
local.format.endpage	27	en
local.peerreviewed	Yes	en
local.identifier.volume	25	en
local.title.subtitle	a systematic review	en
local.access.fulltext	Yes	en
local.contributor.lastname	Kasse	en
local.contributor.lastname	Humphries	en
local.contributor.lastname	Cosh	en
local.contributor.lastname	Islam	en
dc.identifier.staff	une-id:gkasse	en
dc.identifier.staff	une-id:jharris2	en
dc.identifier.staff	une-id:scosh	en
dc.identifier.staff	une-id:mislam27	en
local.profile.orcid	0000-0001-8463-1624	en
local.profile.orcid	0000-0002-8003-3704	en
local.profile.orcid	0000-0001-8984-8689	en
local.profile.role	author	en
local.profile.role	author	en
local.profile.role	author	en
local.profile.role	author	en
local.identifier.unepublicationid	une:1959.11/60664	en
dc.identifier.academiclevel	Student	en
dc.identifier.academiclevel	Academic	en
dc.identifier.academiclevel	Academic	en
dc.identifier.academiclevel	Academic	en
local.abstract.english	<p><b>Background</b> Antibiotic resistance is growing globally. The practice of health professionals when prescribing antibiotics in primary health care settings significantly impacts antibiotic resistance. Antibiotic prescription is a complex process influenced by various internal and external factors. This systematic review aims to summarize the available evidence regarding factors contributing to the variation in antibiotic prescribing among physicians in primary healthcare settings.</p> <p><b>Methods</b> This systematic review was conducted based on PRISMA guidelines. We included qualitative, quantitative and mixed methods studies that examined factors influencing prescription practice and variability among primary healthcare physicians. We excluded editorials, opinions, systematic reviews and studies published in languages other than English. We searched studies from electronic databases: PubMed, ProQuest Health and Medicine, Web Science, and Scopus. The quality of the included studies was appraised using the Mixed Methods Appraisal Tool (Version 2018). Narrative synthesis was employed to synthesize the result and incorporate quantitative studies.</p> <p><b>Results</b> Of the 1816 identified studies, 49 studies spanning 2000–2023 were eligible for review. The factors influencing antibiotic prescription practice and variability were grouped into physician-related, patient-related, and healthcare system-related factors. Clinical guidelines, previous patient experience, physician experience, colleagues’ prescribing practice, pharmaceutical pressure, time pressure, and financial considerations were found to be influencing factors of antibiotic prescribing practice. In addition, individual practice patterns, practice volume, and relationship with patients were also other factors for the variability of antibiotic prescription, especially for intra-physician prescription variability.</p> <p><b>Conclusion</b> Antibiotic prescription practice in primary health care is a complex practice, influenced by a combination of different factors and this may account for the variation. To address the factors that influence the variability of antibiotic prescription (intra- and inter-physician), interventions should aim to reduce diagnostic uncertainty and provide continuous medical education and training to promote patient-centred care.</p>	en
local.title.maintitle	Factors contributing to the variation in antibiotic prescribing among primary health care physicians	en
local.output.categorydescription	C1 Refereed Article in a Scholarly Journal	en
local.search.author	Kasse, Gashaw Enbiyale	en
local.search.author	Humphries, Judy	en
local.search.author	Cosh, Suzanne M	en
local.search.author	Islam, Md Shahidul	en
local.open.fileurl	https://rune.une.edu.au/web/retrieve/2b6e5068-58e9-4a29-9e95-ac874327b72d	en
local.uneassociation	Yes	en
local.atsiresearch	No	en
local.sensitive.cultural	No	en
local.year.published	2024	en
local.fileurl.open	https://rune.une.edu.au/web/retrieve/2b6e5068-58e9-4a29-9e95-ac874327b72d	en
local.fileurl.openpublished	https://rune.une.edu.au/web/retrieve/2b6e5068-58e9-4a29-9e95-ac874327b72d	en
local.subject.for2020	420315 One health	en
local.subject.for2020	420319 Primary health care	en
local.subject.for2020	420699 Public health not elsewhere classified	en
local.subject.seo2020	200499 Public health (excl. specific population health) not elsewhere classified	en
local.subject.seo2020	200201 Determinants of health	en
local.subject.seo2020	200310 Primary care	en
local.profile.affiliationtype	UNE Affiliation	en
local.profile.affiliationtype	UNE Affiliation	en
local.profile.affiliationtype	UNE Affiliation	en
local.profile.affiliationtype	UNE Affiliation	en
Appears in Collections:	Journal Article School of Health School of Psychology

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