concordance; antibiotics; overprescribing
Objective: To examine whether patient and provider concordance by sex or race predicts antibiotic prescribing for acute bronchitis.
Study setting: General Internal Medicine and Family Medicine adult clinics at a large safety-net hospital.
Study design: We used a logistic model of prescribing as a function of race and sex concordance.
Data extraction: Data were extracted from de-identified patient records for those with an acute bronchitis visit between 2008 and 2010.
Principal findings: 71% (95% CI 68%-73%) of visits resulted in an antibiotic prescription. Patients in race-concordant visits were 17% (95% CI 8%-25%) less likely to receive a prescription.
Conclusions: Race-concordant outpatient visits were associated with more appropriate antibiotic use. Examination of characteristics such as concordance can improve our understanding of the prescribing process and inform stewardship efforts.
Morgan, Jake R.; Drainoni, Mari-Lynn; Christiansen, Cindy; and Barlam, Tamar F.
"Patient-Provider Race and Sex Concordance: New Insights into Antibiotic Prescribing for Acute Bronchitis,"
Journal of Health Disparities Research and Practice: Vol. 10
, Article 6.
Available at: https://digitalscholarship.unlv.edu/jhdrp/vol10/iss4/6