Support for Financial Penalties Up With Emphasis on Patient Harms

Share this content:
Support for Financial Penalties Up With Emphasis on Patient Harms
Support for Financial Penalties Up With Emphasis on Patient Harms

TUESDAY, June 20, 2017 (HealthDay News) -- Physicians who receive information about patient harms are more likely to support financial penalties targeting inappropriate antibiotic prescribing, according to a research letter published online June 20 in the Annals of Internal Medicine.

Joshua M. Liao, M.D., from the University of Pennsylvania in Philadelphia, and colleagues surveyed physicians to examine whether support of financial penalties targeting inappropriate antibiotic prescribing is influenced by emphasis on patient, societal, or institutional harms of prescribing. A clinical vignette was used to assess the likelihood of recommending antibiotics for uncomplicated upper respiratory infection. The survey was completed by 47 percent of 694 eligible respondents.

The researchers found that 29 and 55 percent of respondents reported having incentives based on cost performance and having incentives not related to cost, respectively, in their clinical practice. Overall, 31 percent of respondents supported financial penalties, but the responses varied by version of the vignette. Penalties were supported by 41, 23, 36, and 25 percent of recipients of the patient harm version, the societal harm version, the institutional harm version, and the control version, respectively. Twenty-seven percent of physicians recommended care adherent to guidelines governing inappropriate antibiotic prescriptions for upper respiratory infections in response to the clinical vignette.

"Although more work is needed, these preliminary results suggest that policymakers might increase the acceptability of penalties by implementing them while explicitly emphasizing the harms and costs to patients," the authors write.

Abstract/Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Gender Nonconformity Linked to Students' Mental Distress

Gender Nonconformity Linked to Students' Mental Distress

For male students, gender nonconformity strongly associated with substance use

Participation Up With Online Diabetes Prevention Program

Participation Up With Online Diabetes Prevention Program

But weight loss no different for online, in-person DPP for obese/overweight veterans with prediabetes

Net Benefit of Anticoagulants for A-Fib Varies With Stroke Rate

Net Benefit of Anticoagulants for A-Fib Varies With ...

Benefit of warfarin anticoagulation varies with varying published stroke rates

is free, fast, and customized just for you!




Already a member?

Sign In Now »