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Paediatric antibiotic prescribing in a nationwide direct-to-consumer telemedicine platform in France, 2018-2021.
JAC Antimicrob Resist
June 2024
Department of General Pediatrics and Pediatric Infectious Diseases, Necker Hospital for Sick Children, Université Paris Cité, Paris, France.
Article Synopsis
- - Recent changes in regulations have allowed teleconsultation to grow in primary care in France, yet guidance suggests avoiding antibiotic prescribing for children during these consultations.
- - A study analyzing nearly 38,000 pediatric teleconsultations revealed that 12.1% resulted in antibiotic prescriptions, with respiratory tract infections being the most common reason for prescribing.
- - Factors such as practitioner age, gender, and experience, as well as patient age and the season, influenced antibiotic prescribing rates, highlighting the need for improved antibiotic stewardship in telehealth.
Assessing quality of direct-to-consumer telemedicine in China: a cross-sectional study using unannounced standardised patients.
BMJ Qual Saf
August 2024
HER Team and Department of Maternal and Child Health, Xiangya School of Public Health, Central South University, Changsha, China
Direct-to-onsumer telemedicine (DTCT) has become popular as an alternative to traditional care. However, uncertainties about the potential risks associated with the lack of comprehensive quality evaluation could influence its long-term development. This study aimed to assess the quality of care provided by DTCT platforms in China using unannounced standardised patients (USP) between July 2021 and January 2022.
View Article and Find Full Text PDFEvaluating the association between expanded coverage of direct-to-consumer telemedicine and downstream utilization and quality of care for urinary tract infections and sinusitis.
Health Serv Res
October 2023
Division of Health Policy and Management, University of Minnesota, Minneapolis, Minnesota, USA.
Objective: To compare direct-to-consumer (DTC) telemedicine and in-person visits in rates of testing, follow-up health care use, and quality for urinary tract infections (UTIs) and sinusitis.
Data Source: The Minnesota All Payer Claims Data provided 2008-2015 administrative claims data.
Study Design: Using a difference-in-differences approach, we compared episodes of care for UTIs and sinusitis among enrollees of health plans introducing coverage for DTC telemedicine relative to those without DTC telemedicine coverage.
Direct-to-consumer fertility testing: utilization and perceived utility among fertility patients and reproductive endocrinologists.
Reprod Biomed Online
March 2023
Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham NC, USA. Electronic address:
Research Question: What is the utilization of direct-to-consumer fertility tests (DTCFT) among fertility patients? How does the perceived utility of DTCFT differ between patients and reproductive endocrinologists (REI)?
Design: Infertility patients visiting the Duke Fertility Center between December 2020 and December 2021 were sent an electronic invitation to participate in a patient survey. Members of the Society of Reproductive Endocrinology and Infertility were also sent e-mail invitations to participate in the REI survey. DTCFT were defined as tests not ordered by a physician or performed at a physician's office, including calendar methods of ovulation prediction, urinary ovulation prediction kits, basal body temperature (BBT) monitoring, hormone analysis, ovarian reserve testing and semen analysis.
New Direct-to-Consumer Urinary Tract Infection Tests: Are We Ready?
J Urol
January 2022
Division of Infectious Diseases, The University of Texas Southwestern Medical CenterDallas, Texas.
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