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Peer-Reviewed Publication
J Gen Intern Med2021;36(2):305-312.February 1, 2021Journal Article

Education vs Clinician Feedback on Antibiotic Prescriptions for Acute Respiratory Infections in Telemedicine: a Randomized Controlled Trial.

Lily Du Yan1, Kristin Dean2, Daniel Park3, James Thompson2, Ian Tong2,4, Cindy Liu3, Rana F Hamdy5,6,7
1Boston Medical Center, , Boston, MA, USA.
2Doctor On Demand, Professional Corporation, , San Francisco, CA, USA.
3Antibiotic Resistance Action Center, Department of Environmental and Occupational Health, George Washington Milken Institute of Public Health, , Washington, DC, USA.
4Stanford University School of Medicine, , Stanford, CA, USA.
5Antibiotic Resistance Action Center, Department of Environmental and Occupational Health, George Washington Milken Institute of Public Health, , Washington, DC, USA. rhamdy@childrensnational.org.
6Division of Infectious Diseases, Children's National Hospital, , Washington, DC, USA. rhamdy@childrensnational.org.
7George Washington University School of Medicine and Health Sciences, , Washington, DC, USA. rhamdy@childrensnational.org.

Abstract

BACKGROUND: Antibiotics prescribed for acute respiratory tract infections in the telemedicine setting are often unwarranted. OBJECTIVE: We hypothesized that education plus individualized feedback, compared with education alone, would significantly reduce antibiotic prescription rates for upper respiratory infections, bronchitis, sinusitis, and pharyngitis in a telemedicine setting. DESIGN: Two-a…

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