Effect of Antibiotic-Prescribing Feedback to High-Volume Primary Care Physicians on Number of Antibiotic Prescriptions: A Randomized Clinical Trial.

ABSTRACT:

Importance

Antibiotic overuse contributes to adverse drug effects, increased costs, and antimicrobial resistance.

Objective

To evaluate peer-comparison audit and feedback to high-prescribing primary care physicians (PCPs) and assess the effect of targeted messaging on avoiding unnecessary antibiotic prescriptions and avoiding long-duration prescribing.

Design, setting, and participants

In this 3-arm randomized clinical trial, administrative data collected from IQVIA's Xponent database were used to recruit the highest quartile of antibiotic-prescribing PCPs (n = 3500) in Ontario, Canada.

Interventions

Physicians were randomized 3:3:1 to receive a mailed letter sent in December 2018 addressing antibiotic treatment initiation (n = 1500), a letter addressing prescr

SUBMITTER: Schwartz KL 

PROVIDER: S-EPMC8261687 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature