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APHA Scientific Session and Event Listing |
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Back to Annual Meeting
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APHA Scientific Session and Event Listing |
A. Serdar Atav, PhD, Kresge Center for Nursing Research, Binghamton University, PO Box 6000, Binghamton University, Binghamton, NY 13902-6000, 607 777 4625, atav@binghamton.edu, Terry Flannery, MD, Medical Director, Capital District Physicians' Health Plan Inc (CDPHP), 500 Patroon Creek Boulevard, Albany, NY 12206-1057, Steven Goldberg, MD, MBA, Corporate Medical Director, Clinical Policy, Humana Inc., 500 West Main Street, Louisville, KY 40202, Robert Michaels, MD, Internal Medicine, Binghamton Family Care Center, 33 Mitchell Avenue, Binghamton, NY 13903, Martha Nelson, RN, MS, MPA, Office of Clinical Trials, United Health Services Hospitals, Inc., 33-57 Harrison St., Johnson City, NY 13790, and Sheri Stucke, RN, PHD, Dept of Physiologic Nursing, UNLV School of Nursing, 4505 Maryland Parkway, Box 453018, Las Vegas, NV 89154-3018.
The purpose of this project is to evaluate the effectiveness of an intervention designed to reduce antibiotic prescription in the treatment of upper respiratory tract infections (URIs) among adults. Despite clear guidelines from the CDC, antibiotic the overuse for URIs is quite common, accounting for ¾ of all antimicrobial agents prescribed with an estimated cost of $1.3 billion. The shared concerns about the overuse of antibiotics led to a successful collaboration of a medical group and two competing health plans. The study design was a prospective, randomized controlled trial. Upon a baseline measurement of prescription rates, providers in the treatment group received the intervention from. After the intervention, providers' prescription rates were measured again for the next two years. The treatment for providers consisted of various educational interventions on the clinical practice guidelines. During the intervention period, patients in the treatment group received a variety of educational prompts and materials regarding unnecessary use of antibiotics for upper respiratory infections. Detailed, individualized reports for prescribing behaviors were shared with the treatment group providers for both pre and post intervention periods. The control group for the study consisted of similarly positioned providers in the same medical group. This set of interventions resulted in an 11 point reduction in antibiotic prescribing rates in the intervention group at one year. This reduction was maintained during the second year. This presentation will focus on the outcomes of the study as well as the collaborative model which emerged during the implementation of the study.
Learning Objectives:
Keywords: Antibiotic Resistance, Adult Health
Presenting author's disclosure statement:
Not Answered
The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA