Publication
Title
Exploring patients' views of primary care consultations with contrasting interventions for acute cough : a six-country European qualitative study
Author
Institution/Organisation
GRACE INTRO Team
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.
Language
English
Source (journal)
NPJ Primary Care Respiratory Medicine
Publication
2014
ISSN
2055-1010
Volume/pages
24(2014), 6 p.
Article Reference
14026
ISI
000345386400002
Medium
E-only publicatie
Full text (Publisher's DOI)
Full text (open access)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 28.07.2014
Last edited 18.06.2017
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