Consultation expectations among patients with respiratory tract infection symptoms

Gitte Bruun Lauridsen, Mette Sejr Sørensen, Malene Plejdrup Hansen, Jette Østergaard Rathe, Dorte Ejg Jarbøl

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)

Abstract

INTRODUCTION: Antibiotic resistance is a growing threat to public health, and antibiotic prescribing increases. About 90% of antibiotics are prescribed in general practice, mostly for acute respiratory tract infections. It is well known that patient expectations and general practitioners' misinterpretation of patients' expectations are associated with antibiotic overuse. The aim of this study was to explore Danish patients' expectations when consulting a general practitioner with symptoms of acute respiratory tract infection, and to determine predictors for these expectations.

METHODS: A questionnaire survey was conducted in Danish primary care during 2014. Patients aged ≥ 18 years were asked about their expectations to the consultation when consulting with symptoms of acute respiratory tract infections. Associations between socio-demographic characteristics, self-reported antibiotic prescription and patients' expectations were also explored.

RESULTS: A total of 567 patients with symptoms of acute respiratory tract infections were recorded as interested in receiving a questionnaire, 361 of whom responded. The majority expected an examination (94.6%) and an explanation (85.9%). About one third expected antibiotic treatment (32.3%). Patients who expected an antibiotic were more than eight times more likely to be prescribed one than were patients not expecting an antibiotic (odds ratio = 8.6 (95% confidence interval: 4.63-16.03); p < 0.001).

CONCLUSIONS: Most Danish patients expected an examination and/or an explanation of their symptoms when consulting with their general practitioner.

FUNDING: The study was, in part, funded by The Council for Quality Assurance in Primary Care in both The Region of Southern Denmark and Region Zealand. Malene Plejdrup Hansen received a postdoctoral scholarship in general practice and family medicine from The Novo Nordic Foundation. The sponsors have not been involved in the design or the development of the study.

TRIAL REGISTRATION: This study was registered with the Danish Data Protection Agency (R. no. 2013-41-2582).

Original languageEnglish
JournalDanish Medical Journal
Volume64
Issue number6
Publication statusPublished - Jun 2017
Externally publishedYes

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Respiratory Tract Infections
Referral and Consultation
Anti-Bacterial Agents
General Practitioners
General Practice
Primary Health Care
Computer Security
Denmark
Microbial Drug Resistance
Prescriptions
Public Health
Odds Ratio
Medicine
Demography
Confidence Intervals

Cite this

Lauridsen, G. B., Sørensen, M. S., Hansen, M. P., Rathe, J. Ø., & Jarbøl, D. E. (2017). Consultation expectations among patients with respiratory tract infection symptoms. Danish Medical Journal, 64(6).
Lauridsen, Gitte Bruun ; Sørensen, Mette Sejr ; Hansen, Malene Plejdrup ; Rathe, Jette Østergaard ; Jarbøl, Dorte Ejg. / Consultation expectations among patients with respiratory tract infection symptoms. In: Danish Medical Journal. 2017 ; Vol. 64, No. 6.
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title = "Consultation expectations among patients with respiratory tract infection symptoms",
abstract = "INTRODUCTION: Antibiotic resistance is a growing threat to public health, and antibiotic prescribing increases. About 90{\%} of antibiotics are prescribed in general practice, mostly for acute respiratory tract infections. It is well known that patient expectations and general practitioners' misinterpretation of patients' expectations are associated with antibiotic overuse. The aim of this study was to explore Danish patients' expectations when consulting a general practitioner with symptoms of acute respiratory tract infection, and to determine predictors for these expectations.METHODS: A questionnaire survey was conducted in Danish primary care during 2014. Patients aged ≥ 18 years were asked about their expectations to the consultation when consulting with symptoms of acute respiratory tract infections. Associations between socio-demographic characteristics, self-reported antibiotic prescription and patients' expectations were also explored.RESULTS: A total of 567 patients with symptoms of acute respiratory tract infections were recorded as interested in receiving a questionnaire, 361 of whom responded. The majority expected an examination (94.6{\%}) and an explanation (85.9{\%}). About one third expected antibiotic treatment (32.3{\%}). Patients who expected an antibiotic were more than eight times more likely to be prescribed one than were patients not expecting an antibiotic (odds ratio = 8.6 (95{\%} confidence interval: 4.63-16.03); p < 0.001).CONCLUSIONS: Most Danish patients expected an examination and/or an explanation of their symptoms when consulting with their general practitioner.FUNDING: The study was, in part, funded by The Council for Quality Assurance in Primary Care in both The Region of Southern Denmark and Region Zealand. Malene Plejdrup Hansen received a postdoctoral scholarship in general practice and family medicine from The Novo Nordic Foundation. The sponsors have not been involved in the design or the development of the study.TRIAL REGISTRATION: This study was registered with the Danish Data Protection Agency (R. no. 2013-41-2582).",
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Lauridsen, GB, Sørensen, MS, Hansen, MP, Rathe, JØ & Jarbøl, DE 2017, 'Consultation expectations among patients with respiratory tract infection symptoms' Danish Medical Journal, vol. 64, no. 6.

Consultation expectations among patients with respiratory tract infection symptoms. / Lauridsen, Gitte Bruun; Sørensen, Mette Sejr; Hansen, Malene Plejdrup; Rathe, Jette Østergaard; Jarbøl, Dorte Ejg.

In: Danish Medical Journal, Vol. 64, No. 6, 06.2017.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Consultation expectations among patients with respiratory tract infection symptoms

AU - Lauridsen, Gitte Bruun

AU - Sørensen, Mette Sejr

AU - Hansen, Malene Plejdrup

AU - Rathe, Jette Østergaard

AU - Jarbøl, Dorte Ejg

N1 - Articles published in the DMJ are “open access”. This means that the articles are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits any non-commercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

PY - 2017/6

Y1 - 2017/6

N2 - INTRODUCTION: Antibiotic resistance is a growing threat to public health, and antibiotic prescribing increases. About 90% of antibiotics are prescribed in general practice, mostly for acute respiratory tract infections. It is well known that patient expectations and general practitioners' misinterpretation of patients' expectations are associated with antibiotic overuse. The aim of this study was to explore Danish patients' expectations when consulting a general practitioner with symptoms of acute respiratory tract infection, and to determine predictors for these expectations.METHODS: A questionnaire survey was conducted in Danish primary care during 2014. Patients aged ≥ 18 years were asked about their expectations to the consultation when consulting with symptoms of acute respiratory tract infections. Associations between socio-demographic characteristics, self-reported antibiotic prescription and patients' expectations were also explored.RESULTS: A total of 567 patients with symptoms of acute respiratory tract infections were recorded as interested in receiving a questionnaire, 361 of whom responded. The majority expected an examination (94.6%) and an explanation (85.9%). About one third expected antibiotic treatment (32.3%). Patients who expected an antibiotic were more than eight times more likely to be prescribed one than were patients not expecting an antibiotic (odds ratio = 8.6 (95% confidence interval: 4.63-16.03); p < 0.001).CONCLUSIONS: Most Danish patients expected an examination and/or an explanation of their symptoms when consulting with their general practitioner.FUNDING: The study was, in part, funded by The Council for Quality Assurance in Primary Care in both The Region of Southern Denmark and Region Zealand. Malene Plejdrup Hansen received a postdoctoral scholarship in general practice and family medicine from The Novo Nordic Foundation. The sponsors have not been involved in the design or the development of the study.TRIAL REGISTRATION: This study was registered with the Danish Data Protection Agency (R. no. 2013-41-2582).

AB - INTRODUCTION: Antibiotic resistance is a growing threat to public health, and antibiotic prescribing increases. About 90% of antibiotics are prescribed in general practice, mostly for acute respiratory tract infections. It is well known that patient expectations and general practitioners' misinterpretation of patients' expectations are associated with antibiotic overuse. The aim of this study was to explore Danish patients' expectations when consulting a general practitioner with symptoms of acute respiratory tract infection, and to determine predictors for these expectations.METHODS: A questionnaire survey was conducted in Danish primary care during 2014. Patients aged ≥ 18 years were asked about their expectations to the consultation when consulting with symptoms of acute respiratory tract infections. Associations between socio-demographic characteristics, self-reported antibiotic prescription and patients' expectations were also explored.RESULTS: A total of 567 patients with symptoms of acute respiratory tract infections were recorded as interested in receiving a questionnaire, 361 of whom responded. The majority expected an examination (94.6%) and an explanation (85.9%). About one third expected antibiotic treatment (32.3%). Patients who expected an antibiotic were more than eight times more likely to be prescribed one than were patients not expecting an antibiotic (odds ratio = 8.6 (95% confidence interval: 4.63-16.03); p < 0.001).CONCLUSIONS: Most Danish patients expected an examination and/or an explanation of their symptoms when consulting with their general practitioner.FUNDING: The study was, in part, funded by The Council for Quality Assurance in Primary Care in both The Region of Southern Denmark and Region Zealand. Malene Plejdrup Hansen received a postdoctoral scholarship in general practice and family medicine from The Novo Nordic Foundation. The sponsors have not been involved in the design or the development of the study.TRIAL REGISTRATION: This study was registered with the Danish Data Protection Agency (R. no. 2013-41-2582).

M3 - Article

VL - 64

JO - Danish Medical Journal

JF - Danish Medical Journal

SN - 2245-1919

IS - 6

ER -

Lauridsen GB, Sørensen MS, Hansen MP, Rathe JØ, Jarbøl DE. Consultation expectations among patients with respiratory tract infection symptoms. Danish Medical Journal. 2017 Jun;64(6).