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Delayed antibiotic prescription forms

Request for feedback

At the end of last year, the National Antibiotic Committee (NAC) published (on a trial basis) two prescription pads for upper respiratory tract infections: one for delayed antibiotic prescribing as well as another for symptomatic medication in viral illnesses that would not require antibiotic treatment. These were posted to doctors with a registered Maltese postal address.

Digital copies of the two pads can be found at: https://deputyprimeminister.gov.mt/en/nac/Pages/Information-for-Healthcare-Professionals.aspx 

If you are a practising specialist in family medicine or paediatrician, we would be grateful for your help to help us gauge the impact of this initiative. To this end, we would like to ask you to answer the following short survey, which should not take more than a couple of minutes to complete.

Thank you so much for your help and feedback

Sincerely

Michael Borg
Chair: National Antibiotic Committee
1.Did you receive the NAC prescription pads?
2.How useful were the NAC delayed antibiotic prescription forms for your practice?
3.How useful did you find the NAC prescription pad for non-antibiotic symptomatic medication in reducing patient demand for antibiotics?
4.In the peak winter months, how often did you issue a delayed antibiotic prescription in any format (i.e. either the NAC form or any other that you may have formulated yourself)?
5.If you practice delayed antibiotic prescribing, for which conditions do you use it and how often?
Commonly 
Occasionally
Rarely
Never
Common cold
Sore throat & pharyngitis
Acute bronchitis
Sinusitis
Otitis media
Laryngitis
Influenza
6.Do you post-date any delayed prescription (that you prepare yourself) so that it is only valid 2 - 3 days after the consultation?
7.From your experience, how reassured are patients when they receive a delayed antibiotic prescription?
8.From your experience, when provided with a delayed prescription, how likely are patients to actually wait before going to get their antibiotic from the pharmacy?
9.In our local context and culture, how effective do you believe is delayed prescription to reduce unnecessary antibiotic use in Malta?
10.Should the NAC delayed prescription pads continue to be provided?
Current Progress,
0 of 10 answered