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General practitioners feel comfortable with their decisions to
prescribe antibiotics for patients with sore throat. Although most have
reduced their prescriptions in response to research and policy
initiatives, a qualitative study by Kumar and colleagues (p 138) found
that GPs continued to prescribe for patients they felt were at risk of
complications, such as sicker people or those from low socioeconomic
backgrounds. However, doctors were uncertain who benefits most from
antibiotics. They were more likely to prescribe in high pressure
clinical situations and did not prescribe to maintain the
doctor-patient relationship. Interventions to reduce prescribing
further will have to be workable in busy clinics.

(Credit: CC STUDIO/SPL)