Antibiotic Prescription Rates After eVisits Versus Office Visits in Primary Care: Observational Study.
| Title: | Antibiotic Prescription Rates After eVisits Versus Office Visits in Primary Care: Observational Study. |
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| Authors: | Entezarjou A; Center for Primary Health Care Research, Department of Clinical Sciences in Malmö/Family Medicine, Lund University, Malmö, Sweden.; Calling S; Center for Primary Health Care Research, Department of Clinical Sciences in Malmö/Family Medicine, Lund University, Malmö, Sweden.; Bhattacharyya T; Center for Primary Health Care Research, Department of Clinical Sciences in Malmö/Family Medicine, Lund University, Malmö, Sweden.; Milos Nymberg V; Center for Primary Health Care Research, Department of Clinical Sciences in Malmö/Family Medicine, Lund University, Malmö, Sweden.; Vigren L; Capio Go AB, Gothenburg, Sweden.; Labaf A; Department of Clinical Sciences in Lund, Lund University, Lund, Sweden.; Jakobsson U; Center for Primary Health Care Research, Department of Clinical Sciences in Malmö/Family Medicine, Lund University, Malmö, Sweden.; Midlöv P; Center for Primary Health Care Research, Department of Clinical Sciences in Malmö/Family Medicine, Lund University, Malmö, Sweden. |
| Source: | JMIR medical informatics [JMIR Med Inform] 2021 Mar 15; Vol. 9 (3), pp. e25473. Date of Electronic Publication: 2021 Mar 15. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101645109 Publication Model: Electronic Cited Medium: Print ISSN: 2291-9694 (Print) Linking ISSN: 22919694 NLM ISO Abbreviation: JMIR Med Inform Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: Toronto : JMIR Publications, [2013]- |
| Abstract: | Background: Direct-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.; Objective: The 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.; Methods: Data 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.; Results: Antibiotic prescription rates were lower following eVisits compared with office visits for sore throat (169/798, 21.2%, vs 124/312, 39.7%; P |
| Comments: | Erratum in: JMIR Med Inform. 2021 Nov 26;9(11):e34529. doi: 10.2196/34529.. (PMID: 34889754) |
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| Contributed Indexing: | Keywords: antibiotics; cystitis; eVisit; respiratory tract infection; streptococcal tonsillitis; telemedicine; virtual; virtual visit |
| Molecular Sequence: | ClinicalTrials.gov NCT03474887 |
| Entry Date(s): | Date Created: 20210315 Latest Revision: 20211210 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC8077790 |
| DOI: | 10.2196/25473 |
| PMID: | 33720032 |
| Database: | MEDLINE |
Journal Article