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Antibiotics 2018, 7(3), 57;

General Practitioners’ Views on the Acceptability and Applicability of Using Quality Indicators as an Intervention to Reduce Unnecessary Prescription of Antibiotics in Four South American Countries

The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, 1014 Copenhagen, Denmark
The Institute for English, Germanic and Romance Studies, University of Copenhagen, 2300 Copenhagen, Denmark
Dr. Pedro Baliña Hospital, Public Health Ministry, 3300 Posadas, Misiones, Argentina
Policlínica Central de la Caja Nacional de Salud, La Paz 1086 Bolivia
Author to whom correspondence should be addressed.
Received: 7 June 2018 / Revised: 28 June 2018 / Accepted: 2 July 2018 / Published: 5 July 2018
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As part of the quality improvement program “Health Alliance for Prudent Prescribing, Yield And Use of anti-microbial Drugs In the Treatment of respiratory tract infections” (HAPPY AUDIT) South America, we planned to implement an intervention based on the use of quality indicators as a means to influence General Practitioners’ (GPs) prescribing decision. Knowledge on the acceptability and applicability of an intervention is crucial to decide whether the intervention is suitable and will achieve the expected outcomes. This study explores GPs’ views about the acceptability and applicability of using quality indicators as an intervention to influence their prescribing decision in patients with suspected Respiratory Tract Infections (RTIs) across four countries in South-America. In March 2015, GPs that were participating in HAPPY AUDIT South America were invited to participate in focus groups. A discussion guide covering the domains acceptability and applicability was used. Data was analyzed through systematic text condensation with an inductive approach. 171 GPs were invited and 48% participated. Acceptability ranged from totally acceptable to slightly acceptable. This spectrum of GPs views on acceptability was influenced by themes concerning applicability. In conclusion, there is a positive attitude towards the use of quality indicators. Nonetheless, applicability challenges have to be taken into consideration and solved if we are to achieve a large effect with the implementation of this intervention. View Full-Text
Keywords: antibiotics; quality indicators; general practice antibiotics; quality indicators; general practice
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Urbiztondo, I.; de Oliveira, S.M.; Hernández-Flores, N.; Caballero, L.; Suarez, M.A.; Bjerrum, L.; Cordoba, G. General Practitioners’ Views on the Acceptability and Applicability of Using Quality Indicators as an Intervention to Reduce Unnecessary Prescription of Antibiotics in Four South American Countries. Antibiotics 2018, 7, 57.

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