Table 2.
Convergence and divergence in the attitudes of GPs and CPs about AMS programs and collaborative implementation.
Survey Items | CP’s Agreement | GP’s Agreement | p-Value | 95% CI | ||
---|---|---|---|---|---|---|
AMS programs | ||||||
I am familiar with the term antimicrobial stewardship (AMS) | 72.9 | 447/613 | 68.9 | 266/386 | 0.1735 | −1.72% to 9.85% |
AMS programs in my practice will significantly reduce inappropriate use of antimicrobials | 66.8 | 409/612 | 61.7 | 237/384 | 0.1010 | −0.97% to 11.23% |
AMS programs will reduce health care costs associated with infections | 83 | 508/612 | 70.8 | 273/383 | < 0.0001 | 6.82% to 17.69% |
Individual efforts at AMS have minimal impact on the problem of antimicrobial resistance | 32.7 | 200/612 | 24.6 | 204/383 | <0.0065 | 2.29% to 13.66% |
I require adequate training to undertake AMS | 76.5 | 468/612 | 46.4 | 179/385 | <0.0001 | 23.99% to 35.96% |
Use of AMS strategies | ||||||
I use national antimicrobial guidelines when prescribing/dispensing antimicrobials to my patients | 45.5 | 274/602 | 83.2 | 321/385 | <0.0001 | 32.00% to 42.90% |
I educate my patients or their carers about unintended consequences of antimicrobial use like antimicrobial resistance, impact on gut microbiota etc. | 76.8 | 467/608 | 82.4 | 316/383 | 0.0353 | 0.38% to 10.55% |
I share patient information leaflets about infections when I counsel my patients or carers who require antimicrobials or may have an infection | 24.5 | 149/608 | 20.2 | 78/384 | 0.1162 | −1.09% to 9.45% |
I use rapid point-of-care tests to guide my clinical decision about whether to prescribe/dispense an antibiotic to the patients with pharyngitis or the flu | 19.1 | 114/596 | 18.4 | 71/382 | 0.7848 | −4.42% to 5.59% |
Attitudes towards GP–pharmacist collaboration | ||||||
Improving AMS in the community will need a policy that supports better collaboration between general practice and pharmacy | 92.4 | 560/606 | 60.9 | 235/381 | <0.0001 | 26.16% to 36.81% |
Pharmacists with knowledge of antimicrobials and infections should attend regular group meetings of GPs within general practice clinic to discuss antimicrobial pharmacotherapy | 82.5 | 509/605 | 54.9 | 212/381 | <0.0001 | 21.71% to 33.35% |
GPs should be receptive to pharmacists providing advice about the choice of antimicrobial prescribed | 92.6 | 561/606 | 63 | 195/382 | <0.0001 | 24.34% to 34.87% |
GPs should be receptive to pharmacists making recommendations in consultation to the doses or formulations of the antimicrobial prescribed | 93.6 | 567/606 | 50.5 | 244/381 | <0.0001 | 37.63% to 48.37% |
A pharmacist co-located within general practice can help optimise antimicrobial therapy of patients with infections | 79.5 | 482/606 | 39.8 | 154/382 | <0.0001 | 33.66% to 45.35% |
An electronic prescription exchange technology between GP and pharmacy should be introduced for reviewing the appropriateness of antimicrobial prescriptions | 74.3 | 449/605 | 26.3 | 140/382 | <0.0001 | 42.11% to 53.32% |
The “My Health Record” could improve communication between GPs and community pharmacists about antimicrobial prescriptions | 67.2 | 416/604 | 30.9 | 119/382 | <0.0001 | 30.14% to 42.01% |
Future needs to practice AMS | ||||||
I would be willing to participate in a program of training focused on AMS | 87.3 | 529/606 | 72 | 278/386 | <0.0001 | 10.16% to 20.56% |
I support the introduction of standard guidelines to assist in the implementation of AMS programs | 93.6 | 566/605 | 80 | 309/386 | <0.0001 | 9.28% to 18.19% |
I support a policy that limits accessibility of some antimicrobials in the community | 69.5 | 420/604 | 74.4 | 287/386 | 0.0962 | −0.88% to 10.47% |
Professional GP/pharmacy organisations should define my roles and responsibilities regarding AMS activities | 74.6 | 449/602 | 39.9 | 153/382 | <0.0001 | 28.53% to 40.52% |
I support the involvement of a specialist physician and a pharmacist providing individualised antimicrobial prescribing advice and feedback to GPs | 86.5 | 523/604 | 46.1 | 178/386 | <0.0001 | 34.60% to 45.90% |