Central European Journal of Medicine

, Volume 7, Issue 6, pp 790–799 | Cite as

A study of antibiotic prescribing: the experience of Lithuanian and Russian GPs

  • Lina Jaruseviciene
  • Ruta Radzeviciene-Jurgute
  • Jeffrey V. Lazarus
  • Arnoldas Jurgutis
  • Ingvar Ovhed
  • Eva L. Strandberg
  • Lars Bjerrum
Research Article
  • 122 Downloads

Abstract

Background. Globally, general practitioners (GPs) write more than 90% of all antibiotic prescriptions. This study examines the experiences of Lithuanian and Russian GPs in antibiotic prescription for upper respiratory tract infections, including their perceptions of when it is not indicated clinically or pharmacologically. Methods. 22 Lithuanian and 29 Russian GPs participated in five focus group discussions. Thematic analysis was used to analyse the data. Results. We identified four main thematic categories: patients’ faith in antibiotics as medication for upper respiratory tract infections; patient potential to influence a GP’s decision to prescribe antibiotics for upper respiratory tract infections; impediments perceived by GPs in advocating clinically grounded antibiotic prescribing with their patients, and strategies applied in physician-patient negotiation about antibiotic prescribing for upper respiratory tract infections. Conclusions. Understanding the nature of physician-patient interaction is critical to the effective pursuit of clinically grounded antibiotic use as this study undertaken in Lithuania and the Russian Federation has shown. Both physicians and patients must be targeted to ensure correct antibiotic use. Further, GPs should be supported in enhancing their communication skills about antibiotic use with their patients and encouraged to implement a shared decision-making model in their practices.

Keywords

Antibiotics Upper respiratory tract infections General practitioners Physician-patient relationships Lithuania Russian Federation 

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Copyright information

© Versita Warsaw and Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Lina Jaruseviciene
    • 1
  • Ruta Radzeviciene-Jurgute
    • 2
  • Jeffrey V. Lazarus
    • 3
  • Arnoldas Jurgutis
    • 2
  • Ingvar Ovhed
    • 4
  • Eva L. Strandberg
    • 4
    • 5
  • Lars Bjerrum
    • 6
    • 7
  1. 1.Department of Family MedicineLithuanian University of Health SciencesKaunasLithuania
  2. 2.Department of Public HealthKlaipeda UniversityKlaipedaLithuania
  3. 3.Copenhagen HIV Programme, ISIMUniversity of CopenhagenCopenhagenDenmark
  4. 4.Blekinge Competence CentreBlekinge County CouncilKarlskronaSweden
  5. 5.Department of Clinical Sciences, Malmö, General Practice/Family Medicine, Malmö University HospitalLund UniversityLundSweden
  6. 6.Research Unit of General PracticeUniversity of Southern DenmarkOdenseDenmark
  7. 7.Research Unit for General Practice and Section of General Practice, Department of Public HealthUniversity of CopenhagenCopenhagenDenmark

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