Patient factor | Example |
---|---|
Patient factor 1: patient started treatment on his own, as he/she was in possession of an antibiotic (asked in the pharmacy, had at home, other source, what source?) | “I had antibiotics from the previous therapy and I started them on my own.” |
Patient factor 2: direct request for antibiotics | “I need an antibiotic as I have had several infections in the last few weeks.” |
Patient factor 3: candidate diagnosis | “I must have sinusitis.” “This must be tonsillitis.” |
Patient factor 4: emphasising the necessity of quick recovery, appealing to life circumstances | “I need to get back to work.” “I need to take care of my child.” |
Patient factor 5: without being asked by the physician, the patient insists that antibiotics were effective in similar cases in the past | “When I had similar symptoms last year, I received an antibiotic and it helped.” |
Patient factor 6: the patient recalls that a family member was prescribed an antibiotic when he/she had similar symptoms and had good results | “My mom was prescribed an antibiotic when she had a similar cough and it helped.” |
Patient factor 7: the patient says that similar symptoms in the past did not resolve without an antibiotic | “I know that when I have cough like this it won’t stop unless I get an antibiotic. It is always like that.” |
Patient factor 8: patient emphasizes the severity of symptoms (portraying severity of illness) | “This cough is going to kill me.” “The sore throat is so intense.” |
Patient factor 9: direct request not to prescribe antibiotics | “I don’t want an antibiotic as it makes my immune system weaker.” |
Patient factor 10: other expressions used by the patient that may influence prescription decision | “Over-the-counter remedies that I took didn’t help at all and neither did the syrup you prescribed me.” |