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Conceptualising the integration of strategies by clinical commissioning groups in England towards the antibiotic prescribing targets for the quality premium financial incentive scheme : a short report
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Anyanwu, Philip, Borek, Aleksandra, Tonkin-Crine, Sarah, Beech, Elizabeth and Costelloe, Ceire (2020) Conceptualising the integration of strategies by clinical commissioning groups in England towards the antibiotic prescribing targets for the quality premium financial incentive scheme : a short report. Antibiotics, 9 (2). 44. doi:10.3390/antibiotics9020044 ISSN 2079-6382.
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Official URL: http://doi.org/10.3390/antibiotics9020044
Abstract
Background: In order to tackle the public health threat of antimicrobial resistance, improvement in antibiotic prescribing in primary care was included as one of the priorities of the Quality Premium (QP) financial incentive scheme for Clinical Commissioning Groups (CCGs) in England. This paper briefly reports the outcome of a workshop exploring the experiences of antimicrobial stewardship (AMS) leads within CCGs in selecting and adopting strategies to help achieve the QP antibiotic targets. Methods: We conducted a thematic analysis of the notes on discussions and observations from the workshop to identify key themes. Results: Practice visits, needs assessment, peer feedback and audits were identified as strategies integrated in increasing engagement with practices towards the QP antibiotic targets. The conceptual model developed by AMS leads demonstrated possible pathways for the impact of the QP on antibiotic prescribing. Participants raised a concern that the constant targeting of high prescribing practices for AMS interventions might lead to disengagement by these practices. Most of the participants suggested that the effect of the QP might be less about the financial incentive and more about having national targets and guidelines that promote antibiotic prudency. Conclusions: Our results suggest that national targets, rather than financial incentives are key for engaging stakeholders in quality improvement in antibiotic prescribing.
Item Type: | Journal Article | |||||||||
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Subjects: | Q Science > QR Microbiology R Medicine > RC Internal medicine R Medicine > RM Therapeutics. Pharmacology |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | |||||||||
Library of Congress Subject Headings (LCSH): | Primary care (Medicine), Antibiotics, Drug resistance in microorganisms, Infection -- Treatment | |||||||||
Journal or Publication Title: | Antibiotics | |||||||||
Publisher: | M.D.P.I.AG | |||||||||
ISSN: | 2079-6382 | |||||||||
Official Date: | 23 January 2020 | |||||||||
Dates: |
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Volume: | 9 | |||||||||
Number: | 2 | |||||||||
Article Number: | 44 | |||||||||
DOI: | 10.3390/antibiotics9020044 | |||||||||
Status: | Peer Reviewed | |||||||||
Publication Status: | Published | |||||||||
Access rights to Published version: | Open Access (Creative Commons) | |||||||||
Date of first compliant deposit: | 3 May 2023 | |||||||||
Date of first compliant Open Access: | 10 May 2023 | |||||||||
RIOXX Funder/Project Grant: |
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