82 Chapter 3 Supplement 6b: Determinants and their domains from included studies Study authors Publication year Determinants of inappropriate antibiotic prescription Negative impact No impact Positive impact Akkerman 2005 More signs of inflammation (fever etc) Patient age GP’s judgement of more severe illness GP’s perception of high patient expectation for antibiotic Akkerman 2005 Age of patient younger than 24 months GP’s judgement of more severe illness GP’s perception of high patient expectation for antibiotic Biezen 2019 Patients expect an antibiotic due to past experience and have high expectations of antibiotics Imbedding guidelines in an EMR No access to guidelines due to high cost Access to guidelines during consult is time-consuming Cadieux 2007 Medical education outside Canada or United States More years in practice Higher practice volume Damoiseaux 1999 Severity of illness at first contact Co-morbidity Young age (less than 2 years) Belongs to risk group Disease behaviour of the patient Request by patient GP’s perception of high patient expectation for antibiotic Many other non-medical problems presented Impact of disease on patient Habit To ease the patient Negative events in the past Feeling how one should perform
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