Perspectives of primary care physicians on academic detailing for antimicrobial stewardship: feasibility and impact assessment

Scientific paper - Original scientific paper

• Author: Darija Kuruc Poje
• Author: Maja Kuharić
• Author: Ana Posavec Andrić
• Author: Vesna Mađarić
• Author: Janeš Vlatka Poje
• Author: Marina Payerl-Pal
• Author: Arjana Tambić Andrašević
• Author: Juraj Mark Poje
• Author: Vesna Bačić Vrca
• Author: Srećko Marušić
• Author's institution: (Dubrava University Hospital)
• Author's institution: (University hospital for infectious diseases "Dr. Fran Mihaljević")
• Author's institution: University of Zagreb; School of Medicine
• Author's institution: University of Zagreb; School of Dental Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract (english)

Objective: To understand primary care physicians' perspectives on academic detailing from an antimicrobial stewardship team to combat antibiotic overuse for upper respiratory infections and bronchitis in the COVID-19 era, which will help prevent avoidable outpatient visits. Methods :In this prospective study, 14 female Croatian physicians completed standardized qualitative interviews using a semi-structured guide. The data were analyzed using inductive methodology based on reflexive thematic analysis. We used a theoretically informed approach based on a conceptual framework of healthcare intervention implementability focused on three domains: acceptability, fidelity, and feasibility. Results: We identified six key themes highlighting barriers to changing prescribing practices, with patient pressure and specialist recommendations having an impact on the effectiveness of academic detailing. Despite challenges, primary care physicians described appreciation of direct interaction with evidence-based practices and reported usefulness, effectiveness, and further need for academic detailing. Conclusion : This study highlights the complex dynamics involved in implementing healthcare interventions and provides valuable insights for enhancing strategies directed at improving antibiotic prescribing practices. Specifically, our findings emphasize factors influencing behavior changes in physicians' antibiotic prescribing. The authors advocate for a collaborative approach involving community and hospital-based professionals to provide tailored guidance and address questions, ultimately improving prescribing practices.

• Keywords (english): Antimicrobial resistance; antimicrobial stewardship; academic detailing; primary care physician; qualitative research; healthcare intervention implementability
• Language: english
• Publication type: Scientific paper - Original scientific paper
• Publication status: Published
• Peer review: Peer review - international
• Publication version: Published version
• Journal title: Journal of International Medical Research
• Numbering: vol. 52, no. 1, 03000605231222242
• p-ISSN: 0300-0605
• e-ISSN: 1473-2300
• DOI: https://doi.org/10.1177/03000605231222242
• URN:NBN: urn:nbn:hr:127:792391
• Publication: 2024-01-09
• Document URL: http://journals.sagepub.com/doi/10.1177/03000605231222242
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-07-02 09:40:56