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Management of patients with sore throats in relation to guidelines: an interview study in Sweden.
Lund University, Sweden;Region Kronoberg, Sweden.
Lund university, Sweden;Blekinge County Council, Sweden.
Uppsala university, Sweden.
Lund university, Sweden;Ctr Primary Hlth Care Res, Malmö, Sweden.
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2014 (English)In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 32, no 4, p. 193-9Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To explore how a group of Swedish general practitioners (GPs) manage patients with a sore throat in relation to current guidelines as expressed in interviews.

DESIGN: Qualitative content analysis was used to analyse semi-structured interviews.

SETTING: Swedish primary care.

SUBJECTS: A strategic sample of 25 GPs.

MAIN OUTCOME MEASURES: Perceived management of sore throat patients.

RESULTS: It was found that nine of the interviewed GPs were adherent to current guidelines for sore throat and 16 were non-adherent. The two groups differed in terms of guideline knowledge, which was shared within the team for adherent GPs while idiosyncratic knowledge dominated for the non-adherent GPs. Adherent GPs had no or low concerns for bacterial infections and differential diagnosis whilst non-adherent GPs believed that in patients with a sore throat any bacterial infection should be identified and treated with antibiotics. Patient history and examination was mainly targeted by adherent GPs whilst for non-adherent GPs it was often redundant. Non-adherent GPs reported problems getting patients to abstain from antibiotics, whilst no such problems were reported in adherent GPs.

CONCLUSION: This interview study of sore throat management in a strategically sampled group of Swedish GPs showed that while two-thirds were non-adherent and had a liberal attitude to antibiotics one-third were guideline adherent with a restricted view on antibiotics. Non-adherent GPs revealed significant knowledge gaps. Adherent GPs had discussed guidelines within the primary care team while non-adherent GPs had not. Guideline implementation thus seemed to be promoted by knowledge shared in team discussions.

Place, publisher, year, edition, pages
Taylor & Francis, 2014. Vol. 32, no 4, p. 193-9
Keywords [en]
General practice, Sweden, general practitioners, guidelines, qualitative research, sore throat
National Category
Other Health Sciences
Research subject
Natural Science, Medicine
Identifiers
URN: urn:nbn:se:lnu:diva-81291DOI: 10.3109/02813432.2014.972046ISI: 000346108700008PubMedID: 25363143OAI: oai:DiVA.org:lnu-81291DiVA, id: diva2:1298472
Available from: 2019-03-22 Created: 2019-03-22 Last updated: 2019-04-16Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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