Association of strong opioids and antibiotics prescribing with GP burnout: a retrospective cross-sectional study

• DOI: 10.3399/bjgp.2022.0394
• Publication Date: 2023-03-30T13:01:19Z
• Authors: Alexander Hodkinson; Salwa S Zghebi; Evangelos Kontopa...; Christos Grigoroglou; Darren M Ashcroft; Mark Hann; Carolyn A Chew-Gr...; Rupert A Payne; Paul Little; Simon de Lusignan; Anli Zhou; Aneez Esmail; Maria Panagioti
• Keywords: Rate ratio; Cross-sectional study

Prescribing of strong opioids and antibiotics impacts patient safety, yet little is known about the effects GP wellness has on overprescribing both medications in primary care.To examine associations between opioid antibiotic prescribing practice- weighted burnout wellness.A retrospective cross-sectional study was undertaken using prescription data from Oxford- Royal College General Practitioners Research Surveillance Centre linking to a wellbeing survey overlaying same 4-month period December 2019 April 2020.Patients prescribed were outcomes interest.Data for 40 227 patients (13 483 26 744 antibiotics) linked 57 practices 351 GPs. Greater associated with increased emotional exhaustion (incidence risk ratio [IRR] 1.19, 95% confidence interval [CI] = 1.10 1.24), depersonalisation (IRR 1.10, CI 1.01 1.16), job dissatisfaction 1.25, 1.19 1.32), diagnostic uncertainty 1.12, 1.08 1.19), turnover intention 1.32, 1.27 1.37) 1.05 1.37), 1.24, 1.49), 1.11, 1.04 sickness-presenteeism 1.18, 1.11 1.25), 1.38, 1.31 1.45) Increased also found GPs working longer hours 3.95, 3.39 4.61; IRR 5.02, 4.07 6.19, respectively) north England (1.96, 1.61 2.33; 1.56, 1.12 3.70, respectively).This higher rates more symptoms, greater dissatisfaction, intentions; hours; serving deprived populations.