Factors Affecting Decision-Making on Antibiotic Use for Upper Respiratory Infections Among General Practitioners and Patients in the Northern Dutch-German Border Area: A Qualitative Analysis - Summary - MDSpire

Factors Affecting Decision-Making on Antibiotic Use for Upper Respiratory Infections Among General Practitioners and Patients in the Northern Dutch-German Border Area: A Qualitative Analysis

  • By

  • Vaitiare Mulderij-Jansen

  • Aida Bedri

  • Till Herdeg

  • Mieke Andre

  • Luuk Holterman

  • Marit Boer

  • Michael H. Freitag

  • Adriana Tami

  • Nienke Beerlage-de Jong

  • March 2, 2026

  • 0 min

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Objective:

To explore the perspectives of general practitioners (GPs) and patients regarding antibiotic prescription decision-making for upper respiratory tract infections (URTIs) in the northern Dutch-German border region, highlighting the significance of addressing antibiotic resistance.

Key Findings:
  • Antibiotics are often overprescribed for URTIs, which are primarily viral infections, contributing to antimicrobial resistance.
  • Patient pressure and expectations significantly influence GPs' prescribing behaviors, highlighting the need for better communication.
  • There is a misalignment between GPs' assumptions about patient expectations and actual patient desires regarding antibiotic prescriptions.
  • Cultural differences in antibiotic prescribing practices exist between the Dutch and German healthcare systems, suggesting a need for cross-border collaboration.
Interpretation:

Understanding the decision-making processes of GPs and patients can inform targeted interventions, such as educational programs, to reduce inappropriate antibiotic use and combat antimicrobial resistance.

Limitations:
  • The study relies on self-reported data from patients, which may introduce bias; future studies could incorporate objective measures.
  • Limited generalizability due to the specific regional focus on the Ems-Dollart area; broader studies are needed to validate findings.
Conclusion:

Insights from both GPs and patients can enhance strategies to manage antibiotic prescriptions and effectively address antimicrobial resistance, emphasizing the importance of communication and education.

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