Cycle 1 semistructured interview results
| Prescriber characteristics | N=69 (%) |
| Physicians | 43 (62.3) |
| Nurse practitioners | 24 (34.8) |
| Physician assistants | 3 (4.3) |
| Non-VA contract provider | 28 (40.6) |
| Antibiotics in practice | |
| Make up <10% of all clinic visits | 52 (75.4) |
| How would you rate your confidence with prescribing outpatient antibiotics? (N=69) | |
| Always feel confident | 15 (21.7) |
| Usually feel confident when prescribing outpatient antibiotics | 53 (76.8) |
| What makes you feel more confident in prescribing outpatient antibiotics?* (N=69) | |
| Resources | 56 (81.2) |
| Certain patients/population | 30 (43.5) |
| Education | 31 (44.9) |
| Specific experiences | 32 (46.4) |
| Other | 9 (13.0) |
| What makes you less confident in prescribing outpatient antibiotics?* (N=69) | |
| Lack of resources | 13 (18.8) |
| Certain patients/population | 51 (73.9) |
| Work environment | 12 (17.4) |
| Specific experiences | 7 (10.1) |
| Other | 16 (23.2) |
| What resources do you use to help guide antibiotic choice and duration? (N=69)* | |
| UpToDate | 55 (79.7) |
| Epocrates | 23 (33.3) |
| CDC apps | 16 (23.2) |
| VA educational materials | 2 (2.9) |
| Clinic algorithms | 4 (5.8) |
| Local antibiograms | 11 (15.9) |
| National guidelines | 22 (31.9) |
| None | 1 (1.4) |
| Other | 28 (40.6) |
| Most frequent infections and infectious symptoms seen outpatient (N=69)* | |
| URI/ URI symptoms | 58 (84.1) |
| UTI/UTI symptoms | 35 (50.7) |
| Cellulitis | 31 (44.9) |
| Providers who had previously received feedback on prescribing (N=69) | 16 (23.2) |
| Number of prescribers who felt feedback would be helpful (N=69) | 57 (82.6) |
| When antibiotics are typically not recommended, what factors may make you more likely to prescribe? (N=69)* | |
| Heightened clinical concern (acute clinical presentation, persistent symptoms or worrisome symptoms, such as fevers or a productive cough | 52 (75.4) |
| Comorbidities | 17 (24.6) |
| COPD | 28 (40.6) |
| Diabetes | 14 (20.3) |
| CHF | 3 (4.3) |
*For these questions, providers could give more than one response.
CDC, Centers for Disease Control and Prevention; CHF, congestive heart failure; COPD, chronic obstructive pulmonary disease; URI, upper respiratory tract infection; UTI, urinary tract infection; VA, Veterans Affairs.