This article has been reviewed according to Science X's editorial process and policies. Editors have highlighted the following attributes while ensuring the content's credibility:

fact-checked

peer-reviewed publication

reputable news agency

proofread

Pay for performance programs cut antibiotic prescriptions at safety-net hospitals

Pay for performance programs cut antibiotic rx at safety-net hospitals

Real-world physician pay-for-performance (P4P) multicomponent interventions are associated with a significant reduction in antibiotic prescriptions for acute respiratory tract infections (ARTIs) at safety-net hospitals, according to a study published online June 12 in the American Journal of Managed Care.

Richard K. Leuchter, M.D., from the David Geffen School of Medicine at University of California, Los Angeles (UCLA), and colleagues conducted a nonrandomized at two large academic : Los Angeles County+University of Southern California (LAC+USC) and Olive View-UCLA (OV-UCLA) to examine the effects of P4P-motivated interventions to reduce . Five staggered Choosing Wisely-based interventions were launched in combination (audit and feedback, clinician education, suggested alternatives, procalcitonin, and public commitment) for safety-net patients with ARTIs.

The researchers found that the mean antibiotic prescribing rate decreased among 3,583 consecutive patients with ARTIs: from 35.9 to 22.9 percent at LAC+USC and from 48.7 to 27.3 percent at OV-UCLA after the intervention (adjusted odds ratios, 0.60 and 0.81, respectively). There were decreases in Healthcare Effectiveness Data and Information Set-inappropriate prescribing rates from 28.9 to 19.7 percent at LAC+USC and from 40.9 to 12.5 percent at OV-UCLA (adjusted odds ratios, 0.69 and 0.72, respectively). No evidence of unintended consequences was seen.

"This study provides real-world evidence that these types of behavioral interventions can reduce antibiotic overuse in less-well resourced patients without causing unintended harm such as decreased appropriate antibiotic use," Leuchter said in a statement.

More information: American Journal of Managed Care (2023). www.ajmc.com/view/choosing-wis … se-in-the-safety-net

Journal information: American Journal of Managed Care

Copyright © 2023 HealthDay. All rights reserved.

Citation: Pay for performance programs cut antibiotic prescriptions at safety-net hospitals (2023, July 17) retrieved 12 June 2024 from https://medicalxpress.com/news/2023-07-pay-antibiotic-prescriptions-safety-net-hospitals.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Explore further

'Choosing Wisely' interventions can reduce antibiotic overuse at safety-net hospitals

 shares

Feedback to editors