Social and Contextual Influences on Antibiotic Prescribing and Antimicrobial Stewardship: A Qualitative Study with Clinical Commissioning Group and General Practice Professionals Article Swipe
Aleksandra Borek
,
Sibyl Anthierens
,
Rosalie Allison
,
Cliodna McNulty
,
Philip Anyanwu
,
Céire Costelloe
,
A. Sarah Walker
,
Christopher Butler
,
Sarah Tonkin‐Crine
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.3390/antibiotics9120859
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.3390/antibiotics9120859
Antibiotic prescribing in England varies considerably between Clinical Commissioning Groups (CCGs) and general practices. We aimed to assess social and contextual factors affecting antibiotic prescribing and engagement with antimicrobial stewardship (AMS) initiatives. Semi-structured telephone interviews were conducted with 22 CCG professionals and 19 general practice professionals. Interviews were audio-recorded, transcribed, and analyzed thematically. Social/contextual influences were grouped into the following four categories: (1) Immediate context, i.e., patients’ social characteristics (e.g., deprivation and culture), clinical factors, and practice and clinician characteristics (e.g., “struggling” with staff shortage/turnover) were linked to higher prescribing. (2) Wider context, i.e., pressures on the healthcare system, limited resources, and competing priorities were seen to reduce engagement with AMS. (3) Collaborative and whole system approaches, i.e., communication, multidisciplinary networks, leadership, and teamwork facilitated prioritizing AMS, learning, and consistency. (4) Relativity of appropriate prescribing, i.e., “high” or “appropriate” prescribing was perceived as relative, depending on comparators, and disregarding different contexts, but social norms around antibiotic use among professionals and patients seemed to be changing. Further optimization of antibiotic prescribing would benefit from addressing social/contextual factors and addressing wider health inequalities, not only targeting individual clinicians. Tailoring and adapting to local contexts and constraints, ensuring adequate time and resources for AMS, and collaborative, whole system approaches to promote consistency may help promote AMS.
Related Topics
Concepts
Antimicrobial stewardship
Context (archaeology)
Project commissioning
Medicine
Nursing
Teamwork
Consistency (knowledge bases)
Focus group
Qualitative research
Public relations
Medical education
Political science
Business
Sociology
Antibiotic resistance
Publishing
Mathematics
Geometry
Social science
Biology
Law
Microbiology
Marketing
Paleontology
Antibiotics
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/antibiotics9120859
- https://www.mdpi.com/2079-6382/9/12/859/pdf?version=1606875766
- OA Status
- gold
- Cited By
- 55
- References
- 39
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3109564454
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W3109564454Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/antibiotics9120859Digital Object Identifier
- Title
-
Social and Contextual Influences on Antibiotic Prescribing and Antimicrobial Stewardship: A Qualitative Study with Clinical Commissioning Group and General Practice ProfessionalsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-12-01Full publication date if available
- Authors
-
Aleksandra Borek, Sibyl Anthierens, Rosalie Allison, Cliodna McNulty, Philip Anyanwu, Céire Costelloe, A. Sarah Walker, Christopher Butler, Sarah Tonkin‐CrineList of authors in order
- Landing page
-
https://doi.org/10.3390/antibiotics9120859Publisher landing page
- PDF URL
-
https://www.mdpi.com/2079-6382/9/12/859/pdf?version=1606875766Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.mdpi.com/2079-6382/9/12/859/pdf?version=1606875766Direct OA link when available
- Concepts
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Antimicrobial stewardship, Context (archaeology), Project commissioning, Medicine, Nursing, Teamwork, Consistency (knowledge bases), Focus group, Qualitative research, Public relations, Medical education, Political science, Business, Sociology, Antibiotic resistance, Publishing, Mathematics, Geometry, Social science, Biology, Law, Microbiology, Marketing, Paleontology, AntibioticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
55Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 5, 2024: 26, 2023: 11, 2022: 7, 2021: 6Per-year citation counts (last 5 years)
- References (count)
-
39Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W2753903829, https://openalex.org/W2810283405, https://openalex.org/W2896214380, https://openalex.org/W2810596975, https://openalex.org/W6754800985, https://openalex.org/W2943487083, https://openalex.org/W2792209401, https://openalex.org/W2905435851, https://openalex.org/W2790895111, https://openalex.org/W1996028476, https://openalex.org/W2884704220, https://openalex.org/W1877786997, https://openalex.org/W2914145461, https://openalex.org/W2807773862, https://openalex.org/W2995947526, https://openalex.org/W3022998985, https://openalex.org/W1979290264, https://openalex.org/W3041321794, https://openalex.org/W2114145043, https://openalex.org/W3028960099, https://openalex.org/W3036739359, https://openalex.org/W2123605512, https://openalex.org/W6678509655, https://openalex.org/W6769294733, https://openalex.org/W2905070705, https://openalex.org/W3008411277, https://openalex.org/W2124733017, https://openalex.org/W3014336936, https://openalex.org/W3025594857, https://openalex.org/W4247630625, https://openalex.org/W3046617645, https://openalex.org/W2592406120, https://openalex.org/W2283806352, https://openalex.org/W2157300266, https://openalex.org/W2922123684, https://openalex.org/W3042462541, https://openalex.org/W2891665103, https://openalex.org/W2981971656, https://openalex.org/W3122238517 |
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| corresponding_author_ids | https://openalex.org/A5038101039 |
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