Imperial College London
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DrTimothy MilesRawson

Faculty of Medicine, Department of Infectious Disease

Honorary Clinical Lecturer
 
 
 
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Contact

 

timothy.rawson07 Website

 
 
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Location

 

Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Rawson:2016:10.1016/j.ijid.2016.02.306,
author = {Rawson, TM and Moore, LSP and Hernandez, B and Castro-Sanchez, E and Charani, E and Ahmad, R and Holmes, AH},
doi = {10.1016/j.ijid.2016.02.306},
journal = {International Journal of Infectious Diseases},
pages = {122--123},
title = {Missed opportunities for shared decision making in antimicrobial stewardship: The potential consequences of a lack of patient engagement in secondary care},
url = {http://dx.doi.org/10.1016/j.ijid.2016.02.306},
volume = {45},
year = {2016}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background: Within infectious diseases in secondary care, understanding of the potential for behavioural changes arising from patient involvement in antimicrobial decision making is lacking. Shared decision making is becoming part of international policy. The United States have passed it into legislation and the United Kingdom has implemented a number of national interventions across healthcare pathways. This study aims to understand the level of patient involvement in decision making around antimicrobial use in secondary care and the potential consequences associated with it.Methods & Materials: Fourteen members of the public who had received antimicrobials from secondary care in the preceding 12 months were recruited to participate in group interviews. Group interactions were audio-recorded, transcribed verbatim, and thematically analysed.Results: Participants reported feelings of disempowerment during episodes of infection in secondary care. Information is currently communicated in a unilateral manner with individuals ‘told’ that they have an infection and will receive an antimicrobial (often unnamed), leading to loss of ownership, frustration, anxiety and ultimately distancing them from participation in decision making. This poor communication drives individuals to seek information from alternative sources, including on-line resources, which are associated with concerns over reliability and individualisation. This failure of communication and information provision from clinicians in secondary care influences individual's future ideas about infections and their management. This alters their future actions towards infections and antimicrobials and can drive non-adherence to prescribed antimicrobial regimes and loss-to-follow-up after discharge from secondary care.Conclusion: Current infection management and antimicrobial prescribing practices in secondary care may be failing to engage patients in the decision making process. It is vital that second
AU  - Rawson,TM
AU  - Moore,LSP
AU  - Hernandez,B
AU  - Castro-Sanchez,E
AU  - Charani,E
AU  - Ahmad,R
AU  - Holmes,AH
DO  - 10.1016/j.ijid.2016.02.306
EP  - 123
PY  - 2016///
SN  - 1878-3511
SP  - 122
TI  - Missed opportunities for shared decision making in antimicrobial stewardship: The potential consequences of a lack of patient engagement in secondary care
T2  - International Journal of Infectious Diseases
UR  - http://dx.doi.org/10.1016/j.ijid.2016.02.306
UR  - http://hdl.handle.net/10044/1/38778
VL  - 45
ER  -
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