Influence | Encourage prescribing | Reduce prescribing | Can encourage or reduce prescribing | Increase resource use/Affect decision-making/Influence health beliefs |
---|---|---|---|---|
Theme | ||||
Space & place | Rural vs urban practice -rural practice can encourage prescribing | Â | Culture | Â |
Patient characteristics | Frequent Attenders Adverse Social Factors | Gender – reduced prescribing to women |  | Family & Friends Education Medical Knowledge |
Time, stress, & emotion | Time Constraints Busy Hours Emotional Capacity of GP | Â | Â | Waiting Room Pressure |
Therapeutic relationship | Fear for Dr-Patient Relationship | Knowledge of Patient | Â | Â |
Negotiating decisions & practice style | Patient Pressure Ease of Access to Antibiotics The Internet Patient Manner Rituals of Consulting Private Practice Patient Wishes & Expectations | Â | Practice Style | Costs |
Managing uncertainty | Uncertainty/Medico-legal Concerns Peers & Practice | Networks | Â | Â |
Clinical experience | Negative Experiences Habits Formed | Â | Dynamic Behaviour | Â |