86 Chapter 3 Study authors Publication year Determinants of inappropriate antibiotic prescription Negative impact No impact Positive impact Fletcher-Lartey 2016 Patients expect an antibiotic prescription Age of GP Time pressure Years worked as a GP Diagnostic uncertainty Gender Medical liability Location of practice and socioeconomic profile of practice population Primary care considered not responsible for development of antibiotic resistance Preserving GP–patient relationships Protecting business Inability to effectively negotiate or explain antibiotic use Empathy for patients and risk perception about the seriousness of the illness Malo 2016 Increasing age Female patient Co-morbidity Ongoing use of corticosteroids Nowakowska 2019 Comorbidity Socioeconomic deprivation Received antibiotics in previous year O'Doherty 2019 Guideline is non-comprehensive and does not clearly outline for a multitude of factors and the best course of action for all conditions the GP’s face during their consultations Paying private patient versus patient with free access healthcare Patients expect an antibiotic due to past experience and have high expectations of antibiotics Limited time for an consultation Pouwels 2018 Comorbidity Weekday of consultation
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