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Our struggle to implement best practices: the example of antibiotic prescription for respiratory tract infection

Our struggle to implement best practices: the example of antibiotic prescription for respiratory... Family Practice, 2015, Vol. 32, No. 4, 365–366 doi:10.1093/fampra/cmv055 Advance Access publication 10 July 2015 Editorial Our struggle to implement best practices: the example of antibiotic prescription for respiratory tract infection As a profession, family physicians agree to follow evidence-based in RTI. Interestingly, Neumark et  al. were able to compare these guidelines for the delivery of optimal care. However, as practicing 2011–12 findings with their previous 2005 study, observing about family physicians we often struggle to do so. Why is this? We may one-third fewer antibiotic prescriptions in RTI consultations (9,10). start to understand the scope of the problem and the factors involved Thus, the cycle where clinical questions lead to research, which by inspection of a specific example. lead to improved clinical care and to subsequent research, can One of the most common family practice encounters is the assess- be demonstrated to be associated with incrementally advancing ment of respiratory tract infection (RTI), accounting for about 15% evidence-based care. of all visits (1). Over-prescription of antibiotics for RTI is a serious Approaches to better diagnostic assessment are explored by problem (2). In this issue, and with articles from our previous issue, both the Danish team led by Strykowski (5) http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Family Practice Oxford University Press

Our struggle to implement best practices: the example of antibiotic prescription for respiratory tract infection

Norman, Wendy V
Family Practice , Volume 32 (4) – Aug 1, 2015
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References (10)

Publisher
Oxford University Press
Copyright
© The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
ISSN
0263-2136
eISSN
1460-2229
DOI
10.1093/fampra/cmv055
pmid
26163508
Publisher site
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Abstract

Family Practice, 2015, Vol. 32, No. 4, 365–366 doi:10.1093/fampra/cmv055 Advance Access publication 10 July 2015 Editorial Our struggle to implement best practices: the example of antibiotic prescription for respiratory tract infection As a profession, family physicians agree to follow evidence-based in RTI. Interestingly, Neumark et  al. were able to compare these guidelines for the delivery of optimal care. However, as practicing 2011–12 findings with their previous 2005 study, observing about family physicians we often struggle to do so. Why is this? We may one-third fewer antibiotic prescriptions in RTI consultations (9,10). start to understand the scope of the problem and the factors involved Thus, the cycle where clinical questions lead to research, which by inspection of a specific example. lead to improved clinical care and to subsequent research, can One of the most common family practice encounters is the assess- be demonstrated to be associated with incrementally advancing ment of respiratory tract infection (RTI), accounting for about 15% evidence-based care. of all visits (1). Over-prescription of antibiotics for RTI is a serious Approaches to better diagnostic assessment are explored by problem (2). In this issue, and with articles from our previous issue, both the Danish team led by Strykowski (5)

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Family Practice – Oxford University Press

Published: Aug 1, 2015

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