Five Choosing Wisely-based interventions were launched in combination and resulted in a decrease in antibiotic prescribing for ARTI<\/p>\n<\/h3>\n
By Elana Gotkine HealthDay Reporter<\/b><\/p>\n
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MONDAY, July 17, 2023 (HealthDay News) — 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<\/em>.<\/p>\n Richard K. Leuchter, M.D., from the David Geffen School of Medicine at University of California, Los Angeles (UCLA), and colleagues conducted a nonrandomized intervention at two large academic safety-net hospitals: 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 antibiotic prescriptions. 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.<\/p>\n 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.<\/p>\n “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.<\/p>\n