Search: onr:"swepub:oai:gup.ub.gu.se/297697" >
Interventions for p...
Interventions for prudent antibiotic use in primary healthcare: an econometric analysis
-
- Lampi, Elina, 1967 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för nationalekonomi med statistik,CARe - Centrum för antibiotikaresistensforskning,Department of Economics,Centre for antibiotic resistance research, CARe
-
- Carlsson, Fredrik, 1968 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för nationalekonomi med statistik,CARe - Centrum för antibiotikaresistensforskning,Department of Economics,Centre for antibiotic resistance research, CARe
-
- Sundvall, Pär-Daniel (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
-
show more...
-
Torres, M. J. (author)
-
Ulleryd, P. (author)
-
- Åhrén, Christina (author)
- Gothenburg University,Göteborgs universitet,CARe - Centrum för antibiotikaresistensforskning,Institutionen för biomedicin, avdelningen för infektionssjukdomar,Centre for antibiotic resistance research, CARe,Institute of Biomedicine, Department of Infectious Medicine
-
- Jacobsson, Gunnar, 1960 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för biomedicin, avdelningen för infektionssjukdomar,CARe - Centrum för antibiotikaresistensforskning,Institute of Biomedicine, Department of Infectious Medicine,Centre for antibiotic resistance research, CARe
-
show less...
-
(creator_code:org_t)
- 2020-09-23
- 2020
- English.
-
In: BMC Health Services Research. - : Springer Science and Business Media LLC. - 1472-6963. ; 20:1
- Related links:
-
https://bmchealthser...
-
show more...
-
https://gup.ub.gu.se...
-
https://doi.org/10.1...
-
show less...
Abstract
Subject headings
Close
- Background Rational antibiotic prescribing is crucial to combat antibiotic resistance. Optimal strategies to improve antibiotic use are not known. Strama, the Swedish strategic program against antibiotic resistance, has been successful in reducing antibiotic prescription rates. This study investigates whether two specific interventions directed toward healthcare centers, an informational visit and a self-evaluation meeting, played a role in observed reduction in rates of antibiotic prescriptions in primary healthcare. Methods The study was a retrospective, observational, empirical analysis exploiting the variation in the timing of the interventions and considering past prescriptions through use of estimations from dynamic panel data models. Primary healthcare data from 2011 to 2014 were examined. Data were from public and private primary healthcare centers in western Sweden. The key variables were prescription of antibiotics and indicator variables for the two interventions. Results The first intervention, an educational information intervention, decreased the number of prescriptions among public healthcare centers, but this effect was only temporary. We found no proof that the second intervention, a self-evaluation meeting at the healthcare center, had an impact on the reduction of prescriptions. Conclusions Single educational interventions aimed at influencing rates of antibiotic prescriptions have limited impact. A multifaceted approach is needed in efforts to reduce the use of antibiotics in primary health care.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
Keyword
- Health services research
- Primary healthcare
- Quality improvement
- Antibiotics
- Intervention
- Self-evaluation
- patients expectations
- general-practice
- resistance
- infections
- gmm
- Health Care Sciences & Services
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
To the university's database