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直接面向消费者的远程医疗实践中急性呼吸道感染抗生素处方的地域差异。

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

作者信息

Hamdy Rana F, Park Daniel, Dean Kristin, Thompson James, Kambala Anusha, Yan Lily D, Tong Ian, Liu Cindy M

机构信息

Division of Infectious Diseases, Children's National Hospital, Washington, DC.

George Washington University School of Medicine and Health Sciences, Washington, DC.

出版信息

Infect Control Hosp Epidemiol. 2022 May;43(5):651-653. doi: 10.1017/ice.2021.84. Epub 2021 Jun 3.

DOI:10.1017/ice.2021.84
PMID:34078495
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.

摘要

在这项针对一家全国性直接面向消费者的医疗诊所患者的回顾性队列研究中,我们发现,与患者所在地相比,医疗服务提供者的地理位置是抗生素处方开具的更强驱动因素。东北部和南部的医生比西部的医生更有可能为上呼吸道感染和支气管炎开具抗生素。

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Geographic variability of antibiotic prescribing for acute respiratory tract infections within a direct-to-consumer telemedicine practice.直接面向消费者的远程医疗实践中急性呼吸道感染抗生素处方的地域差异。
Infect Control Hosp Epidemiol. 2022 May;43(5):651-653. doi: 10.1017/ice.2021.84. Epub 2021 Jun 3.
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Predictors of broad-spectrum antibiotic prescribing for acute respiratory tract infections in adult primary care.成人初级保健中急性呼吸道感染使用广谱抗生素的预测因素
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Antibiotic prescribing for adults with colds, upper respiratory tract infections, and bronchitis by ambulatory care physicians.门诊医生为患感冒、上呼吸道感染和支气管炎的成年人开具抗生素的情况。
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Differences in antibiotic prescriptions between direct-to-consumer telehealth and telehealth in the emergency department.直接面向消费者的远程医疗和急诊远程医疗之间的抗生素处方差异。
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Antibiotic Prescribing for Respiratory Tract Infections and Encounter Length: An Observational Study of Telemedicine.呼吸道感染的抗生素处方与就诊时长:一项远程医疗的观察性研究
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Less is more: Recommendations for achieving best practices in antibiotic use for acute upper respiratory infections.
少即是多:关于在急性上呼吸道感染中实现抗生素使用最佳实践的建议。
J Am Coll Emerg Physicians Open. 2022 Jun 19;3(3):e12767. doi: 10.1002/emp2.12767. eCollection 2022 Jun.