Do NHS GP surgeries employing GPs additionally trained in integrative or complementary medicine have lower antibiotic prescribing rates? Retrospective cross-sectional analysis of national primary care prescribing data in England in 2016.
Esther T van der WerfLorna J DuncanPaschen von FlotowErik W BaarsPublished in: BMJ open (2018)
NHS England GP surgeries employing GPs additionally trained in IM/CAM have lower antibiotic prescribing rates. Accessibility of IM/CAM within NHS England primary care is limited. Main study limitation is the lack of consultation data. Future research should include the differences in consultation behaviour of patients self-selecting to consult an IM GP or conventional surgery, and its effect on antibiotic prescription. Additional treatment strategies for common primary care infections used by IM GPs should be explored to see if they could be used to assist in the fight against antimicrobial resistance.
Keyphrases
- primary care
- antimicrobial resistance
- cross sectional
- patient safety
- palliative care
- general practice
- end stage renal disease
- electronic health record
- newly diagnosed
- minimally invasive
- ejection fraction
- quality improvement
- resistance training
- coronary artery bypass
- patient reported outcomes
- current status
- coronary artery disease
- deep learning
- atrial fibrillation
- body composition
- high intensity
- percutaneous coronary intervention
- adverse drug