Siri Jensen

• Touboule-Lundgren, Pia; Jensen, Siri; Drai, Johan & Lindbæk, Morten (2015). Identification of cultural determinants of antibiotic use cited in primary care in Europe: A mixed research synthesis study of integrated design "culture is all around us" Health behavior, health promotion and society. BMC Public Health.  ISSN 1471-2458.  15:908 . doi: 10.1186/s12889-015-2254-8 Vis sammendrag

  BACKGROUND: Inappropriate antibiotic prescribing, particularly for respiratory tract infections (RTI) in ambulatory care, has become a worldwide public health threat due to resulting antibiotic resistance. In spite of various interventions and campaigns, wide variations in antibiotic use persist between European countries. Cultural determinants are often referred to as a potential cause, but are rarely defined. To our knowledge, so far no systematic literature review has focused on cultural determinants of antibiotic use. The aim of this study was to identify cultural determinants, on a country-specific level in ambulatory care in Europe, and to describe the influence of culture on antibiotic use, using a framework of cultural dimensions. METHOD: A computer-based systematic literature review was conducted by two research teams, in France and in Norway. Eligible publications included studies exploring antibiotic use in primary care in at least two European countries based on primary study results, featuring a description of cultural determinants, and published between 1997 and 2015. Quality assessment was conducted independently by two researchers, one in each team, using appropriate checklists according to study design. Each included paper was characterized according to method, countries involved, sampling and main results, and cultural determinants mentioned in each selected paper were extracted, described and categorized. Finally, the influence of Hofstede's cultural dimensions associated with antibiotic consumption within a primary care setting was described. RESULTS: Among 24 eligible papers, 11 were rejected according to exclusion criteria. Overall, 13 papers meeting the quality assessment criteria were included, of which 11 used quantitative methods and two qualitative or mixed methods. The study participants were patients (nine studies) and general practitioners (two studies). This literature review identified various cultural determinants either patient-related (illness perception/behaviour, health-seeking behaviour, previous experience, antibiotic awareness, drug perception, diagnosis labelling, work ethos, perception of practitioner) or practitioner-related (RTI management, initial training, antibiotic awareness, legal issues, practice context) or both (antibiotic awareness). DISCUSSION AND CONCLUSION: Cultural factors should be considered as exerting an ubiquitous influence on all the consecutive stages of the disease process and seem closely linked to education. Interactions between determinant categories, cultural dimensions and antibiotic use in primary care are multiple, complex and require further investigation within overlapping disciplines. The context of European projects seems particularly

• Jensen, Siri; Lie, Anne Kveim; Eliassen, Knut Eirik; Lindbæk, Morten & Gradmann, Christoph (2012). Antibiotikaresistens i Norge-aktørseminar 16.01.2008. Michael Quarterly.  ISSN 1504-0658.  9(1), s 13- 79
• Jensen, Siri; Lie, Anne Kveim; Eliassen, Knut Eirik; Lindbæk, Morten & Gradmann, Christoph (2012). Erindringer om resistens- Et aktørseminar om antibiotikaresistensens historie. Michael Quarterly.  ISSN 1504-0658.  9(1), s 7- 12 . doi: 10.4045/tidsskr.10.0283
• Jensen, Siri; Lindbæk, Morten; Gradmann, Christoph & Lie, Anne Kveim (2010). Erindringer om antibiotikaresistensens historie. Tidsskrift for Den norske legeforening.  ISSN 0029-2001.  24(130), s 2494- 2498 . doi: 10.4045

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• Høye, Sigurd; Jensen, Siri; Sundseth, Anne Cathrine & Rosvold, Elin Olaug (red.) (2011). Allsangmedisin. Allmennmedisinsk sangbok og festskrift til Jørund Straand og Morten Lindbæk 60 år. Avdeling for allmennmedisin, Universitetet i Oslo.  ISBN 978-82-303-1736-5.  125 s.

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• Jensen, Siri (2017). Antibiotikaresistens – hva påvirker utviklingen av resistens og hva kan vi gjøre?.
• Jensen, Siri (2017). Antibiotikaresistens nasjonalt og globalt.
• Jensen, Siri (2017). Hva påvirker utviklingen av resistens og hva kan vi gjøre?.
• Jensen, Siri (2017). Patient expectation in consultations with RTI’s in a GP setting in Norway.
• Jensen, Siri (2017). Patient expectations in consultations with RTI's in a GP setting in Norway.
• Lindbæk, Morten; Jensen, Siri; Eliassen, Knut Eirik; Fetveit, Arne; Grude, Nils; Berild, Dag & Hjortdahl, Per (2013). New guidelines for use of antibiotics in the primary health care service. Tidsskrift for Den norske legeforening.  ISSN 0029-2001.

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