Title
Exploring patients' views of primary care consultations with contrasting interventions for acute cough : a six-country European qualitative studyExploring patients' views of primary care consultations with contrasting interventions for acute cough : a six-country European qualitative study
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Research group
Primary and interdisciplinary care Antwerp (ELIZA)
Vaccine & Infectious Disease Institute (VAXINFECTIO)
Publication type
article
Publication
Subject
Human medicine
Source (journal)
NPJ Primary Care Respiratory Medicine
Volume/pages
24(2014), 6 p.
ISSN
2055-1010
Article Reference
14026
ISI
000345386400002
Carrier
E-only publicatie
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
Background: In a pan-European randomised controlled trial (GRACE INTRO) of two interventions, (i) a point-of-care C-reactive protein test and/or (ii) training in communication skills and use of an interactive patient booklet, both interventions resulted in large reductions in antibiotic prescribing for acute cough. Aims: This process evaluation explored patients views of primary care consultations using the two interventions in six European countries. Methods: Sixty-two interviews were conducted with patients who had participated in the GRACE INTRO trial. Interviews were transcribed verbatim and translated into English where necessary. Analysis used techniques from thematic and framework analysis. Results: Most patients were satisfied with their consultation despite many not receiving an antibiotic. Patients appeared to accept the use of both intervention approaches. A minority, but particularly in the trial arm with both interventions, reported that they would wait longer before consulting for cough in future. Conclusions: Patients perceived that both interventions supported the general practitioners (GPs) prescribing decisions by helping them understand when an antibiotic was, and was not, needed. Patients consulting with acute cough had largely positive views about the GPs enhanced communication skills, which included understanding their concerns, and the use of a near-patient test as an additional investigation.
Full text (open access)
https://repository.uantwerpen.be/docman/irua/466439/4cacd0e1.pdf
E-info
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000345386400002&DestLinkType=RelatedRecords&DestApp=ALL_WOS&UsrCustomerID=ef845e08c439e550330acc77c7d2d848
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000345386400002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=ef845e08c439e550330acc77c7d2d848
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000345386400002&DestLinkType=CitingArticles&DestApp=ALL_WOS&UsrCustomerID=ef845e08c439e550330acc77c7d2d848
Handle