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One perceived barrier to guideline adherence is the existence of conflicting patient preferences. We examined whether patient preferences influence the prescription of antibiotics in general practice, and how this affects guideline adherence. We hypothesized that preferences play a larger role in prescribing antibiotics if the guideline allows for preferences to be taken into account, ie, if prescribing antibiotics is an option which can be considered rather than a clear recommendation to prescribe or not. We included three guidelines: acute cough, acute rhinosinusitis, and urinary tract infections.

Is there a conflict between general practitioners applying guidelines for antibiotic prescribing and including their patients&rsquo; preferences?

Is there a conflict between general practitioners applying guidelines for antibiotic prescribing and including their patients’ preferences?