Corpus ID: 3677484

Patient-Provider Race and Sex Concordance: New Insights into Antibiotic Prescribing for Acute Bronchitis

  title={Patient-Provider Race and Sex Concordance: New Insights into Antibiotic Prescribing for Acute Bronchitis},
  author={Jake R. Morgan and Mari-Lynn Drainoni and Cindy L. Christiansen and Tamar F. Barlam},
  journal={Journal of health disparities research and practice},
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… Expand
1 Citations
Inappropriate Antibiotic Prescribing for Acute Bronchitis in Children and Impact on Subsequent Episodes of Care and Treatment
Inappropriate antibiotic prescribing for a child’s initial acute bronchitis episode of care predicted likelihood of subsequent acute Bronchitis episodes and antibiotic prescriptions, and providers should consider the downstream effect of inappropriate antibiotic prescribing. Expand


Antibiotics for Respiratory Tract Infections: A Comparison of Prescribing in an Outpatient Setting
Stewardship education in medical school, enlisting low prescribers as physician leaders, and targeting interventions to the highest prescriber might be more effective approaches to antimicrobial stewardship. Expand
Patient-provider Sex and Race/Ethnicity Concordance: A National Study of Healthcare and Outcomes
Little evidence of clinical benefit resulting from sex or race/ethnicity concordance was found and greater matching of patients and providers by sex and race/ Ethnicity is unlikely to mitigate health disparities. Expand
Adherence to guidelines on antibiotic treatment for respiratory tract infections in various categories of physicians: a retrospective cross-sectional study of data from electronic patient records
In general, primary care doctors followed national guidelines on choice of antibiotics when treating respiratory tract infections in children but to a lesser degree when treating adults, andraining from antibiotics seems harder. Expand
Measuring antibiotic prescribing practices among ambulatory physicians: accuracy of administrative claims data.
It is concluded that administrative claims data are accurate sources for measuring and profiling antibiotic prescribing practices in ambulatory practice, although they underestimate actual antibiotic treatment decisions by individual physicians. Expand
Are Patient Views about Antibiotics Related to Clinician Perceptions, Management and Outcome? A Multi-Country Study in Outpatients with Acute Cough
Patient views about antibiotic treatment were not useful for identifying those who will benefit from antibiotics, and Clinicians need to more effectively elicit and address patient views about antibiotics. Expand
US outpatient antibiotic prescribing variation according to geography, patient population, and provider specialty in 2011.
  • L. Hicks, M. Bartoces, +4 authors S. Schrag
  • Medicine
  • Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
  • 2015
Efforts to characterize antibiotic prescribing practices should focus on the South census region and family practitioners, and counties with a high proportion of obese persons, infants and children ≤ 2 years of age, prescribers per capita, and females were more likely to be high prescribing. Expand
Predictors of broad-spectrum antibiotic prescribing for acute respiratory tract infections in adult primary care.
Broad-spectrum antibiotics are commonly prescribed for the treatment of ARTIs, especially by internists and physicians in the Northeast and South, and the strong association of nonclinical factors with antibiotic choice suggest opportunities to improve prescribing patterns. Expand
Antibiotic prescribing for adults in ambulatory care in the USA, 2007-09.
Broad-spectrum agents constitute the majority of antibiotics in ambulatory care, and more than 25% of prescriptions are for conditions for which antibiotics are rarely indicated. Expand
Antibiotic and bronchodilator prescribing for acute bronchitis in the emergency department.
Antibiotics are over-prescribed in the ED for acute bronchitis, with broad-spectrum antibiotics making up the majority of the antibiotics prescribed. Expand
Patient-centered care: the influence of patient and resident physician gender and gender concordance in primary care.
Gender concordance in female patient-female physician dyads demonstrated significantly more PCC, highlighting the influence of gender in the process of care and provision of PCC. Expand