Patients with Sore Throat: A Survey of Self-Management and Healthcare-Seeking Behavior in 13 Countries Worldwide.

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL Pragmatic and Observational Research Pub Date : 2020-09-10 eCollection Date: 2020-01-01 DOI:10.2147/POR.S255872
Alike W van der Velden, Aurelio Sessa, Attila Altiner, Antonio Carlos Campos Pignatari, Adrian Shephard
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引用次数: 9

Abstract

Background: Acute sore throat is one of the most common problems for which patients consult their general practitioner and is a key area for inappropriate antibiotic prescribing. The objective of this study was to investigate patients' attitudes related to healthcare-seeking behavior and self-management of sore throat.

Methods: We conducted an observational, questionnaire-based study across 13 countries (Australia, Brazil, China, France, Germany, Italy, the Philippines, Russia, Saudi Arabia, South Africa, Thailand, the UK and the USA) on respondents who reported having had a sore throat in the previous 12 months. Data were collected on their experiences, contact with healthcare professionals, treatment practices and opinions about antibiotics.

Results: A total of 5196 respondents (approximately 400 per country) completed the survey. Over 80% of respondents sought advice for a sore throat, with 30% consulting a general practitioner. The desire to limit the worsening of symptoms was the main reason for seeking treatment. Other reasons concerned resolving persistent symptoms and reducing the impact on daily life/sleep. Self-management for sore throat was mainly medicated sore throat remedies. "Wanting an antibiotic" was rated much lower (55%) than most other reasons for visiting a doctor, but this differed greatly between countries. The percentage of respondents using antibiotics varied widely, for example, 10% in the UK and 45% in Saudi Arabia. There was considerable variation in the proportion of respondents who thought that antibiotics would be effective against sore throat (from 24% in France to 94% in Saudi Arabia).

Conclusions: Our findings suggest that knowledge of effective treatments for sore throat varied widely. The results of this study should enable healthcare professionals to better anticipate patients' needs. This will support healthcare professionals in their role as antibiotic stewards, helping to reduce the misuse of antibiotics, and further guiding patients towards symptomatic self-management of sore throat.

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喉咙痛患者:全球13个国家自我管理和医疗保健寻求行为的调查
背景:急性喉咙痛是最常见的问题之一,患者咨询他们的全科医生,是一个关键领域不适当的抗生素处方。摘要本研究的目的在于探讨病患对咽喉痛的就诊态度及自我管理。方法:我们在13个国家(澳大利亚、巴西、中国、法国、德国、意大利、菲律宾、俄罗斯、沙特阿拉伯、南非、泰国、英国和美国)对报告在过去12个月内有喉咙痛的受访者进行了一项观察性、基于问卷的研究。收集了他们的经历、与卫生保健专业人员的接触、治疗做法和对抗生素的意见的数据。结果:共有5196名受访者(每个国家约400人)完成了调查。超过80%的受访者因喉咙痛寻求建议,30%的人咨询全科医生。希望限制症状恶化是寻求治疗的主要原因。其他原因涉及解决持续症状和减少对日常生活/睡眠的影响。咽喉痛的自我管理主要是药物治疗。“需要抗生素”的比例远低于大多数其他看医生的原因(55%),但这在各国之间差异很大。答复者使用抗生素的百分比差别很大,例如,英国为10%,沙特阿拉伯为45%。认为抗生素对喉咙痛有效的答复者比例差异很大(从法国的24%到沙特阿拉伯的94%)。结论:我们的研究结果表明,有效治疗喉咙痛的知识差异很大。这项研究的结果应该使医疗保健专业人员能够更好地预测患者的需求。这将支持卫生保健专业人员发挥抗生素管理员的作用,帮助减少抗生素的滥用,并进一步指导患者对喉咙痛的症状进行自我管理。
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Pragmatic and Observational Research
Pragmatic and Observational Research MEDICINE, GENERAL & INTERNAL-
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发文量
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期刊介绍: Pragmatic and Observational Research is an international, peer-reviewed, open-access journal that publishes data from studies designed to closely reflect medical interventions in real-world clinical practice, providing insights beyond classical randomized controlled trials (RCTs). While RCTs maximize internal validity for cause-and-effect relationships, they often represent only specific patient groups. This journal aims to complement such studies by providing data that better mirrors real-world patients and the usage of medicines, thus informing guidelines and enhancing the applicability of research findings across diverse patient populations encountered in everyday clinical practice.
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