Blar i forfatter "Godycki-Cwirko, Maciek"

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    • Antibiotic prescribing for acute Respiratory tract infections 12 months after communication and CRP training: a randomized trial 

      Little, Paul; Stuart, Beth; Francis, Nick A; Douglas, Elaine; Tonkin-Crine, Sarah; Anthierens, Sibyl; Cals, Jochen W L; Melbye, Hasse; Santer, Miriam; Moore, Michael; Coenen, Samuel; Butler, Christoffer C; Hood, Kerenza; Kelson, Mark; Godycki-Cwirko, Maciek; Mierzecki, Artur; Torres, Antoni; Llor, Carl; Davies, Melanie; Mullee, Mark; O'Reilly, Gilly; van der Velden, Alike; Geraghty, Adam; Goossens, Herman; Verheij, Theo; Yardley, Lucy (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-03)
      <i>PURPOSE</i> - C-reactive-protein (CRP) is useful for diagnosis of lower respiratory tract infections (RTIs). A large international trial documented that Internet-based training in CRP point-of-care testing, in enhanced communication skills, or both reduced antibiotic prescribing at 3 months, with risk ratios (RRs) of 0.68, 0.53, 0.38, respectively. We report the longer-term impact in this ...

    • Clinical influences on antibiotic prescribing decisions for lower respiratory tract infection: a nine country qualitative study of variation in care. 

      Brookes-Howell, Lucy; Hood, Kerenza; Cooper, Lucy; Coenen, Samuel; Little, Paul; Verheij, Theo; Godycki-Cwirko, Maciek; Melbye, Hasse; Krawzyk, Jarek; Borras-Santos, A; Jakobsen, Kristin Alise; Worby, P; Goossens, Herman; Butler, Christopher C. (Journal article; Tidsskriftartikkel; Peer reviewed, 2012)
      There is variation in antibiotic prescribing for lower respiratory tract infections (LRTI) in primary care that does not benefit patients. This study aims to investigate clinicians' accounts of clinical influences on antibiotic prescribing decisions for LRTI to better understand variation and identify opportunities for improvement. Multi country qualitative interview study. Semi-structured interviews ...

    • The complexity of managing COPD exacerbations: a grounded theory study of European general practice 

      Risør, Mette Bech; Spigt, Mark; Iversen, Robert; Godycki-Cwirko, Maciek; Francis, Nick; Altiner, Attila; Andreeva, Elena; Kung, Kenny; Melbye, Hasse (Journal article; Tidsskriftartikkel; Peer reviewed, 2013)
      To understand the concerns and challenges faced by general practitioners (GPs) and respiratory physicians about primary care management of acute exacerbations in patients with chronic obstructive pulmonary disease (COPD). 21 focus group discussions (FGDs) were performed in seven countries with a Grounded Theory approach. Each country performed three rounds of FGDs. Primary and secondary care in ...

    • Decisions on sick leave certifications for acute airways infections based on vignettes: A cross-sectional survey of GPs in Norway and Poland 

      Halvorsen, Peder Andreas; Wennevold, Katrine; Fleten, Nils; Muras, Magdalena; Kowalczyk, Anna; Godycki-Cwirko, Maciek; Melbye, Hasse (Journal article; Tidsskriftartikkel; Peer reviewed, 2011-02-17)
      Objective. To explore whether frequency and duration of sick-leave certifi cation for acute airway infections differ between general practitioners (GPs) in Poland and Norway. Design . Cross-sectional survey. Setting. Educational courses for GPs. Intervention. We used a questionnaire with four vignettes presenting patients with symptoms consistent with pneumonia, sinusitis, common cold, and ...

    • How do general practitioners implement decision-making regarding COPD patients with exacerbations? An international focus group study 

      Laue, Johanna; Melbye, Hasse; Halvorsen, Peder Andreas; Andreeva, Elena; Godycki-Cwirko, Maciek; Wollny, Anja; Francis, Nick; Spigt, Mark; Kung, Kenny; Risør, Mette Bech (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-12-08)
      <b>Purpose:</b> To explore the decision-making of general practitioners (GPs) concerning treatment with antibiotics and/or oral corticosteroids and hospitalization for COPD patients with exacerbations.<br> <b>Methods:</b> Thematic analysis of seven focus groups with 53 GPs from urban and rural areas in Norway, Germany, Wales, Poland, Russia, the Netherlands, and Hong Kong.<br> <b>Results:</b> ...

    • Understanding variation in primary medical care: a nine-country qualitative study of clinicians' accounts of the non-clinical factors that shape antibiotic prescribing decisions for lower respiratory tract infection. 

      Brookes-Howell, Lucy; Hood, Kerenza; Cooper, Lucy; Little, Paul; Verheij, Theo; Coenen, Samuel; Godycki-Cwirko, Maciek; Melbye, Hasse; Borras-Santos, A; Worby, P; Jakobsen, Kristin Alise; Goossens, Herman; Butler, Christopher C. (Journal article; Tidsskriftartikkel; Peer reviewed, 2012)
      There is a wide variation between European countries in antibiotic prescribing for patients in primary care with lower respiratory tract infection (LRTI) that is not explained by case mix and clinical factors alone. Variation in antibiotic prescribing that is not warranted by differences in illness and clinical presentation may increase selection of resistant organisms, contributing to the problem ...