Drivers of Geographic Patterns in Outpatient Antibiotic Prescribing in the United States.
Stephen M Kissler, Kirstin I Oliveira Roster, Rachel Petherbridge, Ateev Mehrotra, Michael L Barnett, Yonatan H Grad
Author Information
Stephen M Kissler: Department of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.
Kirstin I Oliveira Roster: Department of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA. ORCID
Rachel Petherbridge: Department of Systems Biology, Harvard Medical School, Boston, Massachusetts, USA.
Ateev Mehrotra: Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA.
Michael L Barnett: Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.
Yonatan H Grad: Department of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA. ORCID
In a retrospective, ecological analysis of US medical claims, visit rates explained more of the geographic variation in outpatient antibiotic prescribing rates than per-visit prescribing. Efforts to reduce antibiotic use may benefit from addressing the factors that drive higher rates of outpatient visits, in addition to continued focus on stewardship.
