Antibiotic prescribing patterns in general medical practices in England: Does area matter?

Anna Mölter*, Miguel Belmonte, Victoria Palin, Chirag Mistry, Matthew Sperrin, Andrew White, William Welfare, Tjeerd Van Staa

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    8 Citations (Scopus)

    Abstract

    Antimicrobial resistance is an important public health concern. As most antibiotics are prescribed in primary care, understanding prescribing patterns in General Medical (GP) practices is vital. The aim of this study was a spatial pattern analysis of antibiotic prescribing rates in GP practices in England and to examine the association of potential clusters with area level socio-economic deprivation. The pattern analysis identified a number of hot and cold spots of antibiotic prescribing, with hot spots predominantly in the North of England. Spatial regression showed that patient catchments of hot spot practices were significantly more deprived than patient catchments of cold spot practices, especially in the domains of income, employment, education and health. This study suggests the presence of area level drivers resulting in clusters of high and low prescribing. Consequently, area level strategies may be needed for antimicrobial stewardship rather than national level strategies.

    Original languageEnglish
    Pages (from-to)10-16
    Number of pages7
    JournalHealth and Place
    Volume53
    DOIs
    Publication statusPublished - Sep 2018

    Bibliographical note

    Funding Information:
    Connected Health Cities is a Northern Health Science Alliance led programme funded by the Department of Health and delivered by a consortium of academic and NHS organisations across the north of England. The work uses data collected by the NHS as part of their care and support. The views expressed are those of the author(s) and not necessarily those of the NHSA, NHS or the Department of Health.

    Funding Information:
    Connected Health Cities is a Northern Health Science Alliance led programme funded by the Department of Health and delivered by a consortium of academic and NHS organisations across the north of England. The work uses data collected by the NHS as part of their care and support. The views expressed are those of the author(s) and not necessarily those of the NHSA, NHS or the Department of Health.

    Publisher Copyright:
    © 2018 Elsevier Ltd

    Keywords

    • Antibiotics
    • Cluster analysis
    • Deprivation
    • General practice
    • Prescribing rate

    Fingerprint

    Dive into the research topics of 'Antibiotic prescribing patterns in general medical practices in England: Does area matter?'. Together they form a unique fingerprint.

    Cite this