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dc.contributor.authorAl-Azzawi, Resha
dc.contributor.authorHalvorsen, Peder Andreas
dc.contributor.authorRisør, Torsten
dc.date.accessioned2021-11-18T09:31:52Z
dc.date.available2021-11-18T09:31:52Z
dc.date.issued2021-11-15
dc.description.abstractBackground - How contextual factors may influence GP decisions in real life practice is poorly understood. The authors have undertaken a scoping review of antibiotic prescribing in primary care, with a focus on the interaction between context and GP decision-making, and what it means for the decisions made.<p> <p>Method - The authors searched Medline, Embase and Cinahl databases for English language articles published between 1946 and 2019, focusing on general practitioner prescribing of antibiotics. Articles discussing decision-making, reasoning, judgement, or uncertainty in relation to antibiotic prescribing were assessed. As no universal definition of context has been agreed, any papers discussing terms synonymous with context were reviewed. Terms encountered included contextual factors, non-medical factors, and non-clinical factors.<p> <p>Results - Three hundred seventy-seven full text articles were assessed for eligibility, resulting in the inclusion of 47. This article documented the experiences of general practitioners from over 18 countries, collected in 47 papers, over the course of 3 decades.<p> <p>Contextual factors fell under 7 themes that emerged in the process of analysis. These were space and place, time, stress and emotion, patient characteristics, therapeutic relationship, negotiating decisions and practice style, managing uncertainty, and clinical experience. Contextual presence was in every part of the consultation process, was vital to management, and often resulted in prescribing.<p> <p>Conclusion - Context is essential in real life decision-making, and yet it does not feature in current representations of clinical decision-making. With an incomplete picture of how doctors make decisions in real life practice, we risk missing important opportunities to improve decision-making, such as antibiotic prescribing.en_US
dc.identifier.citationAl-Azzawi, Halvorsen, Risør. Context and general practitioner decision-making - a scoping review of contextual influence on antibiotic prescribing. BMC Family Practice. 2021en_US
dc.identifier.cristinIDFRIDAID 1955576
dc.identifier.doi10.1186/s12875-021-01574-x
dc.identifier.issn1471-2296
dc.identifier.urihttps://hdl.handle.net/10037/23057
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.journalBMC Family Practice
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2021 The Author(s)en_US
dc.subjectVDP::Medisinske fag: 700::Klinisk medisinske fag: 750::Allmennmedisin: 751en_US
dc.subjectVDP::Midical sciences: 700::Clinical medical sciences: 750::General practice: 751en_US
dc.subjectVDP::Medisinske fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.subjectVDP::Midical sciences: 700::Health sciences: 800::Community medicine, social medicine: 801en_US
dc.subjectAllmennmedisin / General Practiceen_US
dc.subjectAntibiotika / Antibioticsen_US
dc.subjectAntibiotikaforbruk / Use of antibioticsen_US
dc.subjectBeslutningstaking / Decision makingen_US
dc.subjectFastlege / General practitioneren_US
dc.subjectKontekstualisering / Contextualizationen_US
dc.titleContext and general practitioner decision-making - a scoping review of contextual influence on antibiotic prescribingen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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