Acute respiratory tract infection Respiratory Acute respiratory tract infection
Conditions
Interventions
Participating physicians will complete an online training course (CME acknowledged), that focuses on doctor-patient communication, shared decision-making and rational antibiotic therapy among patients
Sponsors
Association of Substitute Health Funds e.V. (vdek e.V.)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients: 1. Aged 1 year or older 2. Health insurance with a substitute health fund 3. Physician consultation visit due to ARTI (upper respiratory infection (URTI) and lower respiratory infection (LRTI)) 4. Otherwise healthy Physicians: 1. General practitioners, pediatricians and otorhinolaryngologists 2. Registration with any participating “Association of Statutory Health Insurance Physicians” located in Bavaria, Baden-Wuerttemberg, Lower Saxony, North Rhine, Westphalia-Lippe, Brandenburg, Mecklenburg-Western Pomerania and Saarland
Exclusion criteria
Exclusion criteria: Data of patients who meet at least one of the following criteria: 1. Underlying chronic diseases, which may affect the immune status in any relevant matter (e.g. chronic obstructive pulmonary diseases, cystic fibrosis, immune deficiency of other causes) 2. Pregnancy 3. Other relevant infectious diseases e.g. urinary tract infections
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Physicians' overall annual antibiotic prescription rate (regardless of the diagnosis), for all patients insured with a substitute health fund before and after the intervention. This is obtained from routine healthcare data from the "Central Research Institute of Ambulatory Health Care in Germany“ (Zi), assessed using 2016 data (before the intervention), 2017 data and 2018 Q1 data ( available 28/02/2019) and 2018 Q2, Q3 and Q4, and 2019 Q1 data (available 31/12/2019) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Annual antibiotic prescription rate per practice/physician for all patients insured with one of the substitute health funds diagnosed with ARTI before and after the RESIST intervention 2. Quality of antibiotic prescription practice measured by internationally accredited quality indicators (ESAC-Net indicators) 3. A process evaluation, focusing on the practical feasibility of the RESIST program, assessed using: 3.1. Focus group discussions with physicians participating in RESIST between January and July 2017 3.2. Telephone interviews with patients treated by a participating physician due to ARTI between January and July 2017 | — |
Countries
Germany
Outcome results
None listed