Hostname: page-component-76fb5796d-qxdb6 Total loading time: 0 Render date: 2024-04-30T02:20:28.730Z Has data issue: false hasContentIssue false
  • English
  • Français

Geographic variability of antibiotic prescribing for acute respiratory tract infections within a direct-to-consumer telemedicine practice

Published online by Cambridge University Press:  03 June 2021

Rana F. Hamdy Open the ORCID record for Rana F. Hamdy [Opens in a new window] ,
Daniel Park ,
Kristin Dean ,
James Thompson ,
Anusha Kambala ,
Lily D. Yan ,
Ian Tong  and
Cindy M. Liu
Rana F. Hamdy*
Affiliation:
Division of Infectious Diseases, Children’s National Hospital, Washington, DC George Washington University School of Medicine and Health Sciences, Washington, DC Antibiotic Resistance Action Center, Department of Environmental and Occupational Health, George Washington Milken Institute of Public Health, Washington, DC
Daniel Park
Affiliation:
George Washington University School of Medicine and Health Sciences, Washington, DC Antibiotic Resistance Action Center, Department of Environmental and Occupational Health, George Washington Milken Institute of Public Health, Washington, DC
Kristin Dean
Affiliation:
Doctor On Demand, San Francisco, California
James Thompson
Affiliation:
Doctor On Demand, San Francisco, California
Anusha Kambala
Affiliation:
George Washington University School of Medicine and Health Sciences, Washington, DC
Lily D. Yan
Affiliation:
Division of General Internal Medicine, Weill Cornell Medicine, New York, New York
Ian Tong
Affiliation:
Doctor On Demand, San Francisco, California Stanford University School of Medicine, Stanford, California
Cindy M. Liu
Affiliation:
George Washington University School of Medicine and Health Sciences, Washington, DC Antibiotic Resistance Action Center, Department of Environmental and Occupational Health, George Washington Milken Institute of Public Health, Washington, DC
*
Author for correspondence: Rana F. Hamdy, E-mail: rhamdy@childrensnational.org
Get access Rights & Permissions [Opens in a new window]

Abstract

In this retrospective cohort study of patients presenting to a national direct-to-consumer medical practice, we found that provider geographic location is a stronger driver of antibiotic prescribing than patient location. Physicians in the Northeast and South are significantly more likely than physicians in the West to prescribe antibiotics for upper respiratory infection and bronchitis.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 43 , Issue 5 , May 2022 , pp. 651 - 653
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

PREVIOUS PRESENTATION: This work was presented as an oral presentation at the Pediatric Antimicrobial Stewardship Conference on May 31, 2019, in St Louis, Missouri.

References

Hersh, AL, Shapiro, DJ, Pavia, AT, Fleming-Dutra, KE, Hicks, LA. Geographic variability in diagnosis and antibiotic prescribing for acute respiratory tract infections. Infect Dis Ther 2018;7:171–174.CrossRefGoogle ScholarPubMed
Fleming-Dutra, KE, Hersh, AL, Shapiro, DJ, et al. Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011. JAMA 2016;315:1864–1873.CrossRefGoogle ScholarPubMed
Healthcare Effectiveness Data and Information Set (HEDIS) measures 2018. National Committee for Quality Assurance website. http://www.ncqa.org/Portals/0/HEDISQM/HEDIS2018/HEDIS%202018%20Measures.pdf?ver=2017-06-28-134644-370. Published 2018. Accessed May 1, 2019.Google Scholar
King, LM, Bartoces, M, Fleming-Dutra, KE, Roberts, RM, Hicks, LA. Changes in US outpatient antibiotic prescriptions from 2011–2016. Clin Infect Dis 2019;316:2115–2118.Google Scholar
Palms, D, Hicks, L, Hersh, AL, et al. Variation in antibiotic prescribing among emergency departments, urgent care centers, and retail health clinics in the United States, 2014. Open Forum Infect Dis 2017;4 suppl 1:S507.CrossRefGoogle Scholar
Quality ID #116: Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis. Quality Payment Program, Centers for Medicare & Medicaid Services website. https://qpp.cms.gov/docs/QPP_quality_measure_specifications/CQM-Measures/2019_Measure_116_MIPSCQM.pdf. Published 2019. Accessed May 1, 2019.Google Scholar
Mangione-Smith, R, McGlynn, EA, Elliott, MN, McDonald, L, Franz, CE, Kravitz, RL. Parent expectations for antibiotics, physician-parent communication, and satisfaction. Arch Pediatr Adolesc Med 2001;155:800–806.CrossRefGoogle ScholarPubMed