Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic Impact
Antibiotic resistance remains a crucial global public health problem with excessive and inappropriate antibiotic use representing an important driver of this issue. Strategies to improve antibiotic prescription and dispensing are required in primary health care settings. The main purpose of this rev...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-09-01
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| Series: | Antibiotics |
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| Online Access: | https://www.mdpi.com/2079-6382/11/9/1186 |
| _version_ | 1797491924508082176 |
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| author | Vânia Rocha Marta Estrela Vanessa Neto Fátima Roque Adolfo Figueiras Maria Teresa Herdeiro |
| author_facet | Vânia Rocha Marta Estrela Vanessa Neto Fátima Roque Adolfo Figueiras Maria Teresa Herdeiro |
| author_sort | Vânia Rocha |
| collection | DOAJ |
| description | Antibiotic resistance remains a crucial global public health problem with excessive and inappropriate antibiotic use representing an important driver of this issue. Strategies to improve antibiotic prescription and dispensing are required in primary health care settings. The main purpose of this review is to identify and synthesize available evidence on the economic impact of educational interventions to reduce prescription and dispensing of antibiotics among primary health care professionals. Information about the clinical impact resulting from the implementation of interventions was also gathered. PubMed, Scopus, Web of Science and EMBASE were the scientific databases used to search and identify relevant studies. Of the thirty-three selected articles, most consisted of a simple intervention, such as a guideline implementation, while the others involved multifaceted interventions, and differed regarding study populations, designs and settings. Main findings were grouped either into clinical or cost outcomes. Twenty of the thirty-three articles included studies reporting a reduction in outcome costs, namely in antibiotic cost and associated prescription costs, in part due to an overall improvement in the appropriateness of antibiotic use. The findings of this study show that the implementation of educational interventions is a cost-effective strategy to reduce antibiotic prescription and dispensing among primary healthcare providers. |
| first_indexed | 2024-03-10T00:55:13Z |
| format | Article |
| id | doaj.art-dfc6841e80ac468c841a760654a06d89 |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-03-10T00:55:13Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-dfc6841e80ac468c841a760654a06d892023-11-23T14:44:27ZengMDPI AGAntibiotics2079-63822022-09-01119118610.3390/antibiotics11091186Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic ImpactVânia Rocha0Marta Estrela1Vanessa Neto2Fátima Roque3Adolfo Figueiras4Maria Teresa Herdeiro5Institute of Biomedicine (iBiMED), Department of Medical Sciences, University of Aveiro, 3810-193 Aveiro, PortugalInstitute of Biomedicine (iBiMED), Department of Medical Sciences, University of Aveiro, 3810-193 Aveiro, PortugalInstitute of Biomedicine (iBiMED), Department of Medical Sciences, University of Aveiro, 3810-193 Aveiro, PortugalResearch Unit for Inland Development, Polytechnic of Guarda (UDI-IPG), 6300-559 Guarda, PortugalDepartment of Preventive Medicine and Public Health, University of Santiago de Compostela, 15702 Santiago de Compostela, SpainInstitute of Biomedicine (iBiMED), Department of Medical Sciences, University of Aveiro, 3810-193 Aveiro, PortugalAntibiotic resistance remains a crucial global public health problem with excessive and inappropriate antibiotic use representing an important driver of this issue. Strategies to improve antibiotic prescription and dispensing are required in primary health care settings. The main purpose of this review is to identify and synthesize available evidence on the economic impact of educational interventions to reduce prescription and dispensing of antibiotics among primary health care professionals. Information about the clinical impact resulting from the implementation of interventions was also gathered. PubMed, Scopus, Web of Science and EMBASE were the scientific databases used to search and identify relevant studies. Of the thirty-three selected articles, most consisted of a simple intervention, such as a guideline implementation, while the others involved multifaceted interventions, and differed regarding study populations, designs and settings. Main findings were grouped either into clinical or cost outcomes. Twenty of the thirty-three articles included studies reporting a reduction in outcome costs, namely in antibiotic cost and associated prescription costs, in part due to an overall improvement in the appropriateness of antibiotic use. The findings of this study show that the implementation of educational interventions is a cost-effective strategy to reduce antibiotic prescription and dispensing among primary healthcare providers.https://www.mdpi.com/2079-6382/11/9/1186reviewmicrobial drug-resistanceantibiotic prescriptionprimary healthcareeducational interventionseconomic impact |
| spellingShingle | Vânia Rocha Marta Estrela Vanessa Neto Fátima Roque Adolfo Figueiras Maria Teresa Herdeiro Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic Impact Antibiotics review microbial drug-resistance antibiotic prescription primary healthcare educational interventions economic impact |
| title | Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic Impact |
| title_full | Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic Impact |
| title_fullStr | Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic Impact |
| title_full_unstemmed | Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic Impact |
| title_short | Educational Interventions to Reduce Prescription and Dispensing of Antibiotics in Primary Care: A Systematic Review of Economic Impact |
| title_sort | educational interventions to reduce prescription and dispensing of antibiotics in primary care a systematic review of economic impact |
| topic | review microbial drug-resistance antibiotic prescription primary healthcare educational interventions economic impact |
| url | https://www.mdpi.com/2079-6382/11/9/1186 |
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