Antibiotic prescription in primary healthcare practices

Pilot intervention to implement participatory medicine for guideline-recommended antibiotic prescriptions in primary healthcare physician practices in Switzerland

Research question

The main cause of increasing resistance is the excessive and inappropriate use of antibiotics. The aim of the research project is to promote shared decision making for antibiotic treatment of potentially self-limiting health conditions: Acute otitis media, urinary tract infections, tonsillopharyngitis, sinusitis and acute infectious cough. The aim is to develop appropriate evidence-based information and communication tools for and with GPs to promote shared decision-making during consultations when choosing between antibiotic prescription and watchful waiting. The tools developed will focus on facilitating the transfer of knowledge from doctors to patients about the benefits and harms of antibiotics, and on facilitating the transfer of knowledge from patients to their doctors about their preferences and values regarding treatment options. We will use participatory approaches with frontline GPs and their patients, informed by evidence from the literature and specialist physicians. We aim to develop and adapt the tools to meet the needs of busy clinical practices and to facilitate further implementation and dissemination across Switzerland in the future.


Project leader Adrian Rohrbasser, DPhil and MSc in Evidence Based Health Care
Project team Prof Dr med Reto Auer
Tamara Scharf, research assistant
Beatrice Metry, research assistant
Doctoral student(s) Deborah Schär
Melinda Toth
Study design Mixed methods
Study start
Funder(s) Federal Bureau of Public Health, Institute of Primary Health Care (BIHAM)
External Link
Internal Link