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- Title
Value in Primary Care: Evidence from the Canadian Primary Care Sentinel Surveillance Network.
- Authors
WONG, SABRINA T.; MORKEM, RACHAEL; SALMAN, AYAT; BARBER, DAVID; LEIS, JEROME A.
- Abstract
Primary care antimicrobial stewardship programs are virtually non-existent. Using electronic medical record (EMR) data for an interrupted time series study, the authors examined the relationship between antibiotic prescriptions for acute respiratory tract infections (RTIs) and the COVID-19 pandemic. The main outcome of the study was to gauge the proportion of RTI encounters with an antibiotic prescription. The pre-pandemic RTI antibiotic prescribing rate was 27.8%. During the COVID-19 pandemic, prescribing dropped significantly by 9.4% (p < 0.001). Almost 750,000 fewer patients could potentially avoid receiving an antibiotic prescription for RTI. The authors also discuss the value of EMR data; their use can help develop insights for health system improvement.
- Subjects
CANADA; ANTIMICROBIAL stewardship; MEDICAL quality control; RESEARCH methodology; RESPIRATORY infections; ACQUISITION of data; MEDICAL care; REGRESSION analysis; PRIMARY health care; VALUE-based healthcare; PRE-tests &; post-tests; DRUG prescribing; TIME series analysis; DRUGS; MEDICAL records; DESCRIPTIVE statistics; QUALITY assurance; PHYSICIAN practice patterns; ELECTRONIC health records; ANTIBIOTICS; COVID-19 pandemic
- Publication
Healthcare Policy, 2023, Vol 18, Issue 4, p57
- ISSN
1715-6572
- Publication type
Article
- DOI
10.12927/hcpol.2023.27093