“We’d prefer it if you would kindly prescribe more antibiotics...it’s what patients want”
False
General clinical
“We’d prefer it if you would kindly prescribe more antibiotics...it’s what patients want”
Discuss any specialty in this open forum for all healthcare professionals
The title of this post is taken from a Rapid Response on BMJ. It is from a GP trainee whose colleague works for an out of hours service GP service and "was shocked to hear that he recently received a
0
Cat:OpenClinicalForum:GeneralClinical
Cat:OpenClinicalForum:GeneralClinicalDiscussion:e066a8ee-5c93-41db-ba94-769418a4aea8
Forums » Open clinical » General clinical » “We’d prefer it if you would kindly prescribe more antibiotics...it’s what patients want”
Forums
»
Open clinical
»
General clinical
»
“We’d prefer it if you would kindly prescribe more antibiotics...it’s what patients want”
|
“We’d prefer it if you would kindly prescribe more antibiotics...it’s what patients want”
posted at 24/10/2012 10:12 AM BST
on bmj.com
|
|
*Moderator*
Posts: 1444
First: 7/4/2011 Last: 21/5/2013 |
The title of this post is taken from a Rapid Response on BMJ. It is from a GP trainee whose colleague works for an out of hours service GP service and "was shocked to hear that he recently received a phone call from the company to say that his antibiotic prescribing rate was low compared with the other GPs’. Rather than praising his practice, they asked him to increase his antibiotic prescribing in order to meet patient expectations." To me, this was a frightening example of pressure to change clinical practice, not with the patient’s interest in mind, but to suit a business agenda. This leads me to wonder what other pressures we will face as we start to interact more with private providers under the new Health and Social Care Act. Are we going to be increasingly encouraged to shift our focus away from health promotion?" http://www.bmj.com/content/345/bmj.e6230/rr/610271 Is this a sign of things to come? |
|
|
Re: “We’d prefer it if you would kindly prescribe more antibiotics...it’s what patients want”
posted at 24/10/2012 11:35 AM BST
on bmj.com
|
Posts: 1178
First: 19/4/2010 Last: 21/5/2013 |
As a person with an interest in chronic lung infection, and bronchiectasis, it is the patients who are prescribed never ending repeats of antibiotics that eventually end up in my clinic. It's all too easy to just hand over the next short course of antibiotics, rather than looking at the whole picture, and wondering if there's something going on underneath it all. Being a Scottish doctor, I am not subject to these strange phone calls telling me to change my practice - seems very odd.
|
|
|
Re: “We’d prefer it if you would kindly prescribe more antibiotics...it’s what patients want”
posted at 24/10/2012 8:14 PM BST
on bmj.com
|
Posts: 3045
First: 27/3/2012 Last: 20/5/2013 |
This is one example of how we are sometimes influenced by the 'commercial' drive of pharmaceutical industry. We do prefer to prescribe antibiotics only if needed & with appropriate selection, rather we do avoid to use unnecessary antibiotics. |
|
|
Re: “We’d prefer it if you would kindly prescribe more antibiotics...it’s what patients want”
posted at 25/10/2012 4:05 PM BST
on bmj.com
|
Posts: 92
First: 20/3/2012 Last: 25/10/2012 |
Honestly, that scares me. I realise that anyone, including medical staff, can be and are pressured into doing things they shouldn't but, doing this with antibiotics in an era where more and more antibiotic resistant viruses and bacteria are appearing thanks to the over-use of them in the past. It is clear to see that the Health Service is slowly, and inevitably, moving towards an era where profit is the only motive, even if it endangers the lives of patients. This Government is going to be responsible for a lot of loss of life in the near future and further on |
|
|
Re: “We’d prefer it if you would kindly prescribe more antibiotics...it’s what patients want”
posted at 25/10/2012 5:04 PM BST
on bmj.com
|
Posts: 1266
First: 13/4/2010 Last: 21/5/2013 |
I'm gobsmacked - what can I say? Like DundeeChest working in Scotland I don't have this kind of nonsense but if I got a call like this my answer would be simple - **** off |
|
|
Re: “We’d prefer it if you would kindly prescribe more antibiotics...it’s what patients want”
posted at 25/10/2012 8:32 PM BST
on bmj.com
|
Posts: 38
First: 2/7/2009 Last: 25/10/2012 |
What patients want rather than what theu need, they need to be educated as to the difference. That is professionalism. We are not just skilled mechanics. We have a duty to the patients & our selves. |
|
|
Re: “We’d prefer it if you would kindly prescribe more antibiotics...it’s what patients want”
posted at 26/10/2012 6:02 AM BST
on bmj.com
|
|
Posts: 2
First: 3/9/2011 Last: 26/10/2012 |
Demands like this are common in the 'clinical patient mills' of the USA. Our healthCare industry is systematically crushing true Medicine and restructuring it for profit. Those of us who would brave the simple "**** off " response to these demands, may very likely, need to find work in a different clinic or stand on a busy street corner with a big cardboard sign that declares: * WILL DO CALL * * FOR FOOD * |
|
|
Re: “We’d prefer it if you would kindly prescribe more antibiotics...it’s what patients want”
posted at 26/10/2012 7:41 AM BST
on bmj.com
|
Posts: 959
First: 15/7/2011 Last: 21/5/2013 |
When I visit my GP (which fortunately isn't often) I often hear people in the waiting room saying they have a cold/fiu and needantibiotics . I believe there should be more more education about antibiotis and their usefulness when properly indicated. GP practics (in my experience) do not seem to have much in the way of illustrating and showing people that antibiotics are often not required. It must be much easier fo a GP to give antibiotics than it is to constantly explain how they work and when indicated. For Doctors to be told to give antibiotics is not only poor medicine but ethically and moraly wrong. Patients should be given medication or treatment that is actually indicated. Patients too must take blame. More or less demanding antibiotics. The RCGP should be providing information that every family within the GPS catchment are receive giving them guidance. |
|
|
Re: “We’d prefer it if you would kindly prescribe more antibiotics...it’s what patients want”
posted at 27/10/2012 8:50 PM BST
on bmj.com
|
|
Posts: 143
First: 14/5/2012 Last: 11/5/2013 |
Okay this is from a company rep. Some patients do want stuff done and use the words patient choice. I simply tell them that is not part of the menu of choices that I have given them and patient choice means choosing within the options we offer them. I worry about about complaints arising from that but I suppose that is an occupational risk |
Forums » Open clinical » General clinical » “We’d prefer it if you would kindly prescribe more antibiotics...it’s what patients want”
