Accuracy of physician billing claims for identifying acute respiratory infections in primary care

Health Services Research

Volumn 43, Issue 6, 2008, Pages 2223-2238

  Cadieux, Geneviève ^a   Tamblyn, Robyn ^a  

^a MCGILL UNIVERSITY   (Canada)

Author keywords

Databases; Health services; International classification of diseases; Respiratory tract infections; Validation studies

Indexed keywords

ANTIBIOTIC AGENT;

ARTICLE; BILLING AND CLAIMS; BRONCHITIS; CANADA; CLINICAL TRIAL; COMMON COLD; CONTROLLED STUDY; DIAGNOSTIC TEST; HUMAN; INFLUENZA; LARYNGITIS; MAJOR CLINICAL STUDY; OTITIS MEDIA; PHARYNGITIS; PHYSICIAN; PNEUMONIA; PREDICTION AND FORECASTING; PRIMARY MEDICAL CARE; RESPIRATORY TRACT INFECTION; SINUSITIS; VALIDATION STUDY;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CHILD; CHILD, PRESCHOOL; FEMALE; HUMANS; INFANT; INSURANCE CLAIM REPORTING; MALE; MEDICAL RECORDS; MIDDLE AGED; PHYSICIANS' OFFICES; PRIMARY HEALTH CARE; QUEBEC; RESPIRATORY DISTRESS SYNDROME, ADULT; YOUNG ADULT;

EID: 55949092679     PISSN: 00179124     EISSN: 14756773     Source Type: Journal    
DOI: 10.1111/j.1475-6773.2008.00873.x     Document Type: Article

References (37)

1. Arroll, B. 2005 Antibiotics for Upper Respiratory Tract Infections: An Overview of Cochrane Reviews Respiratory Medicine 99 (3) : 255 61.
2. Austin, D. J., K. G. Kristinsson R. M. Anderson. 1999 The Relationship between the Volume of Antimicrobial Consumption in Human Communities and the Frequency of Resistance Proceedings of the National Academy of Sciences of the United States of America 96 (3) : 1152 6.
3. Bartlett, G., R. Tamblyn, Y. Kawasumi, L. Poissant L. Taylor. 2005 Non-Participation Bias in Health Services Research Using Data from an Integrated Electronic Prescribing Project: The Role of Informed Consent Acta Bioethica 11 (2) : 145 59.
4. Begg, C. B. R. A. Greenes. 1983 Assessment of Diagnostic-Tests When Disease Verification Is Subject to Selection Bias Biometrics 39 (1) : 207 15.
5. Cadieux, G., R. Tamblyn, D. Dauphinee M. Libman. 2007 Predictors of Inappropriate Antibiotic Prescribing among Primary Care Physicians Canadian Medical Association Journal 177 (8) : 877 83.
6. Classen, D. C., S. L. Pestotnik, R. S. Evans J. P. Burke. 1991 Computerized Surveillance of Adverse Drug Events in Hospital Patients Journal of the American Medical Association 266 (20) : 2847 51.
7. Cronk, G. A., D. E. Naumann, K. Mcdermott, P. Menter M. B. Swift. 1954 A Controlled Study of the Effect of Oral Penicillin-G in the Treatment of Non-Specific Upper Respiratory Infections American Journal of Medicine 16 (6) : 804 9.
8. Efron, B. R. J. Tibshirani. 1994 An Introduction to the Bootstrap Monographs on Statistics and Applied Probability. Boca Raton, FL : Chapman & Hall.
9. Gadomski, A. M. 1993 Potential Interventions for Preventing Pneumonia among Young-Children - Lack of Effect of Antibiotic-Treatment for Upper Respiratory-Infections Pediatric Infectious Disease Journal 12 (2) : 115 20.
10. Gill, P. S. A. Roalfe. 2001 Antibiotic Prescribing by Single Handed General Practitioners: Secondary Analysis of Data Journal of Clinical Pharmacy and Therapeutics 26 (3) : 195 9.
11. Heikkinen, T., O. Ruuskanen, T. Ziegler, M. Waris H. Puhakka. 1995 Short-Term Use of Amoxicillin-Clavulanate during Upper Respiratory-Tract Infection for Prevention of Acute Otitis-Media Journal of Pediatrics 126 (2) : 313 6.
12. Hoaglund, R. J., E. N. Dietz, P. W. Myers H. C. Cosand. 1950 Aureomycin in the Treatment of the Common Cold New England Journal of Medicine 243 : 773 5.
13. Howie, J. G. G. A. Clark. 1970 Double-Blind Trial of Early Demethylchlortetracycline in Minor Respiratory Illness in General Practice Lancet 2 (7683) : 1099 1102.
14. Hueston, W. J., R. Jenkins A. G. III. Mainous. 2000 Does Drug Treatment of Patients with Acute Bronchitis Reduce Additional Care Seeking? Evidence from the Practice Partner Research Network Archives of Family Medicine 9 (10) : 997 1001.
15. Hutchinson, J. M., S. Jelinski, D. Hefferton, G. Desaulniers P. S. Parfrey. 2001 Role of Diagnostic Labeling in Antibiotic Prescription Canadian Family Physician 47 : 1217 24.
16. Irwig, L., P. P. Glasziou, G. Berry, C. Chock, P. Mock J. M. Simpson. 1994 Efficient Study Designs to Assess the Accuracy of Screening-Tests American Journal of Epidemiology 140 (8) : 759 69.
17. Kaiser, L., D. Lew, B. Hirschel, R. Auckenthaler, A. Morabia, A. Heald, P. Benedict, F. Terrier, W. Wunderli, L. Matter, D. Germann, J. Voegeli H. Stalder. 1996 Effects of Antibiotic Treatment in the Subset of Common-Cold Patients Who Have Bacteria in Nasopharyngeal Secretions Lancet 347 (9014) : 1507 10.
18. Kozyrskyj, A. L., M. E. Dahl, D. G. Chateau, G. B. Mazowita, T. P. Klassen B. J. Law. 2004 Evidence-Based Prescribing of Antibiotics for Children: Role of Socioeconomic Status and Physician Characteristics Canadian Medical Association Journal 171 (2) : 139 45.
19. Linder, J. A., D. W. Bates, D. H. Williams, M. A. Connolly B. Middleton. 2006 Acute Infections in Primary Care: Accuracy of Electronic Diagnoses and Electronic Antibiotic Prescribing Journal of the American Medical Informatics Association 13 (1) : 61 6.
20. Little, P., C. Gould, I. Williamson, G. Warner, M. Gantley A. L. Kinmonth. 1997 Reattendance and Complications in a Randomised Trial of Prescribing Strategies for Sore Throat: The Medicalising Effect of Prescribing Antibiotics British Medical Journal 315 (7104) : 350 2.
21. Mainous, A. G. III., W. J. Hueston J. R. Clark. 1996 Antibiotics and Upper Respiratory Infection: Do Some Folks Think There Is a Cure for the Common Cold Journal of Family Practice 42 (4) : 357 61.
22. Majeed, A. K. Moser. 1999 Age- and Sex-Specific Antibiotic Prescribing Patterns in General Practice in England and Wales in 1996 British Journal of General Practice 49 (446) : 735 6.
23. Mangione-Smith, R., M. N. Elliott, L. McDonald E. A. McGlynn. 2002 An Observational Study of Antibiotic Prescribing Behavior and the Hawthorne Effect Health Services Research 37 (6) : 1603 23.
24. Mangione-Smith, R., E. A. McGlynn, M. N. Elliott, P. Krogstad R. H. Brook. 1999 The Relationship between Perceived Parental Expectations and Pediatrician Antimicrobial Prescribing Behavior Pediatrics 103 (4 Pt 1) : 711 8.
25. Maselli, J. H. R. Gonzales. 2001 Measuring Antibiotic Prescribing Practices among Ambulatory Physicians: Accuracy of Administrative Claims Data Journal of Clinical Epidemiology 54 (2) : 196 201.
26. McCaig, L. F., R. E. Besser J. M. Hughes. 2002 Trends in Antimicrobial Prescribing Rates for Children and Adolescents Journal of the American Medical Association 287 (23) : 3096 102.
27. McCaig, L. F. J. M. Hughes. 1995 Trends in Antimicrobial Drug Prescribing among Office-Based Physicians in the United-States Journal of the American Medical Association 273 (3) : 214 9.
28. Nash, D. R., J. Harman, E. R. Wald K. J. Kelleher. 2002 Antibiotic Prescribing by Primary Care Physicians for Children with Upper Respiratory Tract Infections Archives of Pediatrics and Adolescent Medicine 156 (11) : 1114 9.
29. Pihlajamaki, M., P. Kotilainen, T. Kaurila, T. Klaukka, E. Palva, P. Huovinen, A. Kostiala-Thompson, R. Renkonen, A. Muotiala, M. Vaara, A. Sivonen, H. Jousimies-Somer, K. Laitinen, J. Korpela, S. S. Kaukoranta-Tolvanen, H. Hiekkaniemi, P. Hirvonen, A. Nissinen, P. Ruuska, E. Ahonen, H. Jagerroos, S. Raisanen, U. Larinkari, B. Forsblom, M. L. Katila, U. Farkkainen, H. Sarkkinen, P. Karpanoja, M. Kauppinen, S. Paltemaa, P. Karkkainen, S. Silvennoinen- Kassinen, K. Lantto, M. Koskela, I. Pietarinen, M. L. Klossner, S. Pajarre, S. Oinonen, V. Ratia, P. Gronroos, R. Vuento, O. Liimatainen, M. R. Siro, E. Eerola, R. Maninen, O. Meurman, S. Luukkonen, P. Stranden K. Lager. 2001 Macrolide-Resistant Streptococcus pneumoniae and Use of Antimicrobial Agents Clinical Infectious Diseases 33 (4) : 483 8.
30. Seppala, H., T. Klaukka, J. Vuopio-Varkila, A. Muotiala, H. Helenius, K. Lager P. Huovinen. 1997 The Effect of Changes in the Consumption of Macrolide Antibiotics on Erythromycin Resistance in Group A Streptococci in Finland. Finnish Study Group for Antimicrobial Resistance New England Journal of Medicine 337 (7) : 441 6.
31. Steinke, D. T., D. J. Bain, T. M. MacDonald P. G. Davey. 2000 Practice Factors That Influence Antibiotic Prescribing in General Practice in Tayside Journal of Antimicrobial Chemotherapy 46 (3) : 509 12.
32. Steinman, M. A., C. S. Landefeld R. Gonzales. 2003 Predictors of Broad-Spectrum Antibiotic Prescribing for Acute Respiratory Tract Infections in Adult Primary Care Journal of the American Medical Association 289 (6) : 719 25.
33. Stott, N. C. R. R. West. 1976 Randomised Controlled Trial of Antibiotics in Patients with Cough and Purulent Sputum British Medical Journal 2 (6035) : 556 9.
34. Tamblyn, R., A. Huang, Y. Kawasumi, G. Bartlett, R. Grad, A. Jacques, M. Dawes, M. Abrahamowicz, R. Perreault, L. Taylor, N. Winslade, L. Poissant, A. Pinsonnikault A. Pinsonneault. 2006 The Development and Evaluation of an Integrated Electronic Prescribing and Drug Management System for Primary Care Journal of the American Medical Informatics Association 13 (2) : 148 59.
35. Tamblyn, R., G. Lavoie, L. Petrella J. Monette. 1995 The Use of Prescription Claims Databases in Pharmacoepidemiological Research: The Accuracy and Comprehensiveness of the Prescription Claims Database in Quebec Journal of Clinical Epidemiology 48 (8) : 999 1009.
36. Verheij, T. J., J. Hermans J. D. Mulder. 1994 Effects of Doxycycline in Patients with Acute Cough and Purulent Sputum: A Double Blind Placebo Controlled Trial British Journal of General Practice 44 (386) : 400 4.
37. Wang, E. E., T. R. Einarson, J. D. Kellner J. M. Conly. 1999 Antibiotic Prescribing for Canadian Preschool Children: Evidence of Overprescribing for Viral Respiratory Infections Clinical Infectious Diseases 29 (1) : 155 60.