Format

Send to

Choose Destination
Scand J Prim Health Care. 2014 Dec;32(4):193-9. doi: 10.3109/02813432.2014.972046. Epub 2014 Nov 3.

Management of patients with sore throats in relation to guidelines: an interview study in Sweden.

Author information

1
Department of Clinical Sciences, Malmö, Family Medicine, Lund University , Sweden.

Abstract

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.

KEYWORDS:

General practice; Sweden; general practitioners; guidelines; qualitative research; sore throat

Comment in

PMID:
25363143
PMCID:
PMC4278394
DOI:
10.3109/02813432.2014.972046
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Taylor & Francis Icon for PubMed Central
Loading ...
Support Center