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BMC Primary Care
Published in: BMC Primary Care 1/2021

Open Access 01-12-2021 | Antitussive | Research

Implementation of a top five list to identify medical overuse in general practice according to patients’ viewpoint in 2019 in France

Authors: Agnès Hazard, Marion Debin, Corentin Hervé, Caroline Guerrisi, Camille Bonnet, Mathilde François

Published in: BMC Primary Care | Issue 1/2021

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Abstract

Background

There is a current trend to reassess the adequacy of care. Establishing top five lists by involving patients is one way to address medical overuse. The objective of this study was to establish a patients’ top five list in general practice in France. The secondary objective was to identify selection criteria.

Method

Patients from the web-based cohort GrippeNet.fr were invited to establish their top five list from 15 care procedures previously selected by general practitioners on the basis of medical overuse. The care procedures were presented on a web-interface with guides written with the help of a patient association. A questionnaire was used to explore factors that may have influenced the choices of the participants.

Results

In total, 691 patients established the following top five list: 1/ Prescription of antibiotics for acute bronchitis, nasopharyngitis, otitis media with effusion, or uncomplicated influenza; 2/ Prescription of benzodiazepine and benzodiazepine-like agents for insomnia, generalised anxiety and all indications for older patients; 3/ Prescription of a homeopathic treatment (Influenzinum) for flu prevention; 4/ Prescription of antitussive or expectorant agents for acute cough or acute bronchitis care; 5/ Prescription of statins for the primary prevention of cardio-vascular risk in older patients. More than 70% of participants gave importance to the recommendations, effectiveness, and tolerance of the care procedures, whereas only half considered the cost.

Conclusion

This study is the first to establish a patient’s top-five list in general practice. This list provides direction for deciding the main targets in limiting medical overuse.
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Metadata
Title
Implementation of a top five list to identify medical overuse in general practice according to patients’ viewpoint in 2019 in France
Authors
Agnès Hazard
Marion Debin
Corentin Hervé
Caroline Guerrisi
Camille Bonnet
Mathilde François
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2021
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/s12875-021-01475-z

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