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dc.contributorSajal, K. Sahaen_US
dc.contributorKong, David C. M.en_US
dc.contributorThursky, Karinen_US
dc.contributorMazza, Danielleen_US
dc.description.abstractSetting up an interprofessional team for antimicrobial stewardship (AMS) to improve the quality and safety of antimicrobial use in primary care is essential but challenging. This study aimed to investigate the convergent and divergent attitudes and views of general practitioners (GPs) and community pharmacists (CPs) about AMS implementation and their perceived challenges of collaboration to design a GP–pharmacist collaborative AMS (GPPAS) model. Nationwide surveys of GPs and CPs across Australia were conducted January-October 2019. Chi square statistics and a theoretical framework were used for comparative analyses of quantitative and qualitative data, respectively. In total, 999 participants responded to the surveys with 15.4% (n = 386) response rates for GPs and 30.7% (n = 613) for CPs. GPs and CPs were aware about AMS however their interprofessional perceptions varied to the benefits of AMS programs. CPs indicated that they would need AMS training; significantly higher than GPs (GP vs. CP; 46.4% vs. 76.5%; p < 0.0001). GPs’ use of the Therapeutic Guideline Antibiotic was much higher than CPs (83.2% vs. 45.5%; p < 0.0001). No interprofessional difference was found in the very-limited use of patient information leaflets (p < 0.1162) and point-of-care tests (p < 0.7848). While CPs were more willing (p < 0.0001) to collaborate with GPs, both groups were convergent in views that policies that support GP–CP collaboration are needed to implement GPPAS strategies. GP–pharmacist collaborative group meetings (54.9% vs. 82.5%) and antimicrobial audit (46.1% vs. 86.5%) models were inter-professionally supported to optimise antimicrobial therapy, but an attitudinal divergence was significant (p < 0.001). The challenges towards GP–CP collaboration in AMS were identified by both at personal, logistical and organisational environment level. There are opportunities for GP–CP collaboration to improve AMS in Australian primary care. However, strengthening GP–pharmacy collaborative system structure and practice agreements is a priority to improve interprofessional trust, competencies, and communications for AMS and to establish a GPPAS model in futureen_US
dc.description.provenanceSubmitted by Gemma Siemensma ( on 2021-05-11T03:34:20Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma ( on 2021-07-23T02:26:11Z (GMT) No. of bitstreams: 1 01691.pdf: 308319 bytes, checksum: f8a4a712bde43dd0277f45fa695713e7 (MD5)en
dc.description.provenanceMade available in DSpace on 2021-07-23T02:26:11Z (GMT). No. of bitstreams: 1 01691.pdf: 308319 bytes, checksum: f8a4a712bde43dd0277f45fa695713e7 (MD5) Previous issue date: 2021en
dc.titleDivergent and convergent attitudes and views of general practitioners and community pharmacists to collaboratively implement antimicrobial stewardship programs in Australia: a nationwide study.en_US
dc.typeJournal Articleen_US
dc.subject.healththesaurusANTIMICROBIAL STEWARDSHIPen_US
dc.subject.healththesaurusGP-PHARMACIST COLLABORATIONen_US
dc.subject.healththesaurusGPPAS MODELen_US
dc.subject.healththesaurusGENERAL PRACTITIONERSen_US
dc.subject.healththesaurusCOMMUNITY PHARMACISTSen_US
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