Abstract
BackgroundRespiratory tract infections (RTIs) are a common reason for people to consult in primary care, and contribute to antibiotic overuse and antimicrobial resistance (AMR). Alternative approaches to supporting patients with RTIs may help, but it is important to understand public perceptions about these approaches before they are widely implemented.AimTo describe public perceptions regarding finger-prick testing, back-up antibiotic prescriptions (BUPs), and alternatives to traditional consultations for RTIs, and identify factors associated with favouring these approaches.Design & settingOnline national survey (HealthWise Wales) with linked primary care health record data.MethodSurvey item response distributions were described. Associations between responses about consultation alternatives, BUP, and finger-prick point-of-care testing (POCT), and potential explanatory variables, were explored using logistic regression.ResultsA total of 8752 participants completed the survey between 2016 and 2018. The survey found 76.7% (n = 3807/4,966) and 71.2% (n = 3529/4,953) of responders with valid responses were in favour of being able to consult with a pharmacist or nurse in their GP surgery, or with a community pharmacist, respectively. It also showed 92.8% (n = 8034/8659) of responders indicated they would be happy to have a finger-prick test to guide antibiotic prescribing, and 31.8% (n = 2746/8646) indicated they would like to be given a BUP if their clinician thought immediate antibiotics were not required. In addition, 47.4% (n = 2342/4944) and 42.3% (n = 2095/4949) were in favour of having video and email consultations, respectively. Characteristics associated with different response options were identified.ConclusionConsulting with pharmacists, using electronic communication tools, and finger-prick testing are widely acceptable approaches. BUP was described as acceptable less often, and is likely to require greater information and support when used.
Highlights
Respiratory tract infections (RTIs) are one of the most frequent reasons for consulting in primary care, with 27% of symptomatic people visiting a GP over a 12-month period.[1]
The survey found 76.7% (n = 3807/4,966) and 71.2% (n = 3529/4,953) of responders with valid responses were in favour of being able to consult with a pharmacist or nurse in their GP surgery, or with a community pharmacist, respectively
Author Keywords: primary health care, respiratory tract infections, antimicrobial resistance, drug resistance, bacterial. How this fits in Primary care services are struggling to keep up with the demand for RTI consultations, and the pressure to prescribe unnecessary antibiotics is driving antimicrobial resistance (AMR)
Summary
RTIs are one of the most frequent reasons for consulting in primary care, with 27% of symptomatic people visiting a GP over a 12-month period.[1] This contributes significantly to GP workload in the UK, which increased by 16% from 2007–2014.2. Alternatives to face-to-face GP consultations may help reduce the pressure on primary care services from RTIs, and use of antibiotics. Respiratory tract infections (RTIs) are a common reason for people to consult in primary care, and contribute to antibiotic overuse and antimicrobial resistance (AMR). Alternative approaches to supporting patients with RTIs may help, but it is important to understand public perceptions about these approaches before they are widely implemented
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