Antibiotic Prescription Rates After eVisits Versus Office Visits in Primary Care: Observational Study
| Autor: | Artin, Entezarjou, Susanna, Calling, Tapomita, Bhattacharyya, Veronica, Milos Nymberg, Lina, Vigren, Ashkan, Labaf, Ulf, Jakobsson, Patrik, Midlöv |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | JMIR Medical Informatics JMIR Medical Informatics, Vol 9, Iss 3, p e25473 (2021) |
| ISSN: | 2291-9694 0347-4887 |
| Popis: | BackgroundDirect-to-consumer telemedicine is an increasingly used modality to access primary care. Previous research on assessment using synchronous virtual visits showed mixed results regarding antibiotic prescription rates, and research on assessment using asynchronous chat-based eVisits is lacking. ObjectiveThe goal of the research was to investigate if eVisit management of sore throat, other respiratory symptoms, or dysuria leads to higher rates of antibiotic prescription compared with usual management using physical office visits. MethodsData from 3847 eVisits and 759 office visits for sore throat, dysuria, or respiratory symptoms were acquired from a large private health care provider in Sweden. Data were analyzed to compare antibiotic prescription rates within 3 days, antibiotic type, and diagnoses made. For a subset of sore throat visits (n=160 eVisits, n=125 office visits), Centor criteria data were manually extracted and validated. ResultsAntibiotic prescription rates were lower following eVisits compared with office visits for sore throat (169/798, 21.2%, vs 124/312, 39.7%; P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|