Perspectives in Public Health 年发文量-刊鹿论文编译

A qualitative literature review exploring the drivers influencing antibiotic over-prescribing by GPs in primary care and recommendations to reduce unnecessary prescribing

Abstract:

Aims: This qualitative literature review aims to critically assess and analyse published literature to determine drivers influencing over-prescribing by general practitioners (GPs) in primary care, exploring their views and opinions, and also to determine how antibiotic prescribing can be improved and unnecessary prescribing reduced, thus reducing the threat to public health from antibiotic resistance. It is intended to develop new thinking in this area and add to existing knowledge concerning GPs’ antibiotic prescribing behaviour. Methods: Thematic analysis following Braun and Clarke’s 2006 framework was used to analyse 17 qualitative studies chosen from EBSCOhost databases, focusing on GPs’ views of antibiotic prescribing in primary care, with specific search strategies and inclusion criteria to ensure study quality and trustworthiness. Results: Three main themes and nine sub-themes were generated from the studies. The first main theme discussed GP factors related to over-prescribing, the main drivers being GP attitudes and feelings and anxiety/fear concerning prescribing. The second theme highlighted external factors, with pressures from time and financial issues as the main drivers within this theme. The final theme marked patient pressure, demand and expectation with lack of patient education as the major drivers affecting GP over-prescribing. Conclusion: The findings of this research show GPs’ antibiotic prescribing in primary care is complex, being influenced by many internal and external factors. A multifaceted approach to interventions targeting the drivers identified could significantly reduce the level of antibiotic prescribing thus minimising the impact of antibiotic resistance and promoting a more efficient working environment for GPs and patients alike.

Author Listing： Joanna Rose;Michelle Crosbie;Antony Stewart

Volume： 141

Pages： 19 - 27

DOI： 10.1177/1757913919879183

Language： English

Journal： Perspectives in Public Health

Perspectives in Public Health

PERSPECT PUBLIC HEAL

影响因子：2.6

是否综述期刊：否

是否OA：否

是否预警：不在预警名单内

发行时间：-

ISSN：1757-9139

发刊频率：-

收录数据库：Scopus收录

出版国家/地区：-

出版社：SAGE

期刊介绍

年发文量	44
国人发稿量	-
国人发文占比	0%
自引率	3.8%
平均录取率	-
平均审稿周期	-
版面费	US$3500
偏重研究方向	PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
期刊官网	-
投稿链接	-

质量指标占比

研究类文章占比	OA被引用占比	撤稿占比	出版后修正文章占比
88.64%	49.55%	0.00%	0.00%

预警情况

时间	预警情况
2025年03月发布的2025版	不在预警名单中
2024年02月发布的2024版	不在预警名单中
2023年01月发布的2023版	不在预警名单中
2021年12月发布的2021版	不在预警名单中
2020年12月发布的2020版	不在预警名单中

JCR分区 WOS分区等级：Q2区

版本	按学科	分区
WOS期刊SCI分区（2021-2022年最新版）
	PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH	Q3

中科院分区

版本	大类学科	小类学科	Top期刊	综述期刊
	医学 4区	PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 公共卫生、环境卫生与职业卫生 4区	否	否
2021年12月升级版	医学 3区	PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 公共卫生、环境卫生与职业卫生 3区	否	否
2020年12月旧的升级版	医学 3区	PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 公共卫生、环境卫生与职业卫生 3区	否	否
2022年12月最新升级版	医学 4区	PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 公共卫生、环境卫生与职业卫生 4区	否	否