Barriers of Appropriate Antibiotic Prescription at PHCC in Qatar: Perspective of Physicians and Pharmacists.
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Date
2021-03-19Author
Sharaf, NahlaAl-Jayyousi, Ghadir Fakhri
Radwan, Eman
Shams Eldin, Shimous Mohamed Elamin Shams Eldin
Hamdani, Dhouha
Al-Katheeri, Huda
Elawad, Khalid
Sair, Anjum Habib
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Show full item recordAbstract
The Ministry of Public Health in Qatar developed the NAP (National Action Plan to
combat Antimicrobial Resistance (AMR) in collaboration with WHO Regional Office for the Eastern
Mediterranean (WHO/EMRO). Among the major factors shaping AMR is antimicrobial prescribing
and use. Tailoring Antimicrobial Resistance Program is a behavior change methodology that is
utilized to adapt behavior change in relation to antimicrobial use. This study explores barriers
of appropriate antibiotic (AB) prescription from the physicians’ and pharmacists’ perspectives at
primary healthcare centers in Qatar. Data were collected from 50 participants across two PHCCs:
30 physicians and 20 pharmacists. Two different interview guides were constructed: One for
physicians and one for pharmacists. In-depth, face-to-face, five focus groups were conducted
and transcribed verbatim. Inductive qualitative analysis, involving discovering the themes in the
interviews, was followed. Data were analyzed using constant comparative techniques. The Major
themes arose from the analysis revealed that patients, practitioners mainly physicians, and the
organization itself, played a role in shaping these barriers in the two primary healthcare centers. The
findings would help develop and pilot behavior change interventions among patients, physicians
and pharmacists with the aim of optimizing appropriate antibiotic prescription and use, which
would support the implementation of the antibiotic stewardship program. Effective behavior change
interventions should consider multiple factors including individual and organizational factors to
optimize appropriate antibiotic prescription.
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