Antibiotic Prescribing Patterns for Sinusitis Within a Direct-to-Consumer Virtual Urgent Care

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Christopher B DavisJohn J Lemery

Abstract

Background: Direct-to-consumer virtual visits are increasingly popular across both for-profit and nonprofit healthcare systems. Introduction: Virtual visits offer a convenient affordable way for patients to obtain medical care for simple conditions such as sinusitis and uncomplicated urinary tract infections. However, virtual visits have been associated with increased antibiotic utilization when compared with traditional in-person care. Methods: In this retrospective cohort study, antibiotic utilization for acute sinusitis was compared between patients treated through a direct-to-consumer virtual urgent care versus a matched cohort treated through traditional urgent care. Results: Fifty-seven patients were treated for acute sinusitis within the virtual care cohort, whereas 100 patients were treated in the traditional care arm. Antibiotic utilization for acute sinusitis was lower when care was delivered virtually using live-interactive video (67%) than when using traditional urgent care (92%) (p < 0.001). When care was delivered virtually, age, gender, and care delivery modality (telephone vs. video) were not associated with antibiotic utilization for acute sinusitis. Discussion: Concerns have been raised that care delivered vir...Continue Reading

References

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Oct 22, 2015·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Lori Uscher-PinesAteev Mehrotra

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Citations

Oct 21, 2019·Current Infectious Disease Reports·Caitlin E Coombes, Megan E Gregory
Jun 12, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Kristine S PenzaJennifer L Pecina
Mar 16, 2021·JMIR Medical Informatics·Artin EntezarjouPatrik Midlöv

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