ArticlePediatrics2019
Antibiotic Prescribing During Pediatric Direct-to-Consumer Telemedicine Visits.
Article in Pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 3 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
103 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Factors associated with inappropriateness of antibiotic prescriptions for acutely ill children presenting to ambulatory care in high-income countries: a systematic review and meta-analysis.The Journal of antimicrobial chemotherapy · 2024Pooled it
- Impact of Asynchronous Electronic Communication-Based Visits on Clinical Outcomes and Health Care Delivery: Systematic Review.Journal of medical Internet research · 2021Pooled it
- Impact of Remote Consultations on Antibiotic Prescribing in Primary Health Care: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Education vs Clinician Feedback on Antibiotic Prescriptions for Acute Respiratory Infections in Telemedicine: a Randomized Controlled Trial.Journal of general internal medicine · 2021Trial
- Joint impact of the number of comorbidities and the COVID-19 pandemic on the concordance of antibiotic prescriptions with clinical guidelines, in the community.BMC infectious diseases · 2026Article
- Clinical Characteristics of an Emergency Department-led Asynchronous Care Platform.The western journal of emergency medicine · 2026Article
- Downstream Healthcare Use Associated with Primary Care In-Person and Telemedicine Visits in 2022.Journal of general internal medicine · 2026Article
- Primary Care Telemedicine vs In-Person Antibiotic Prescribing for Pediatric Respiratory Tract Infections.JAMA network open · 2026Article
- Article
- Antibiotic prescribing during outpatient telemedicine visits among commercially insured patients and Medicare Part D beneficiaries, 2021.Infection control and hospital epidemiology · 2026Article
- Virtual urgent care in an integrated value based healthcare system.NPJ digital medicine · 2025Article
- Response.Canadian family physician Medecin de famille canadien · 2025Article
- Digital Health Technologies in Pediatric Infectious Disease and the Perspective of Patients and Healthcare Professionals: A Review.Health science reports · 2025Article
- Uses of Virtual Care in Primary Care: Scoping Review.Journal of medical Internet research · 2025Article
- Users' Perspectives of Direct-to-Consumer Telemedicine Services: Survey Study.JMIR formative research · 2025Article
- Variables influencing telemedicine utilization via telephone appointments among rural patients.BMC health services research · 2025Article
- Article
- Parental perception of antibiotic use in children at home: a cross-sectional study.Revista brasileira de enfermagem · 2025Article
- Access to Primary Care Telemedicine and Visit Characterization in a Pediatric, Low-Income, Primarily Latino Population: Retrospective Study.JMIR pediatrics and parenting · 2024Article
- Antimicrobial prescribing during telemedicine appointments.Open veterinary journal · 2024Article
43 more citing papers are in PubMed but not listed here.
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Authors and funding
6 authors.
Funding
Abstract
BACKGROUND AND
objectivesUse of commercial direct-to-consumer (DTC) telemedicine outside of the pediatric medical home is increasing among children, and acute respiratory infections (ARIs) are the most commonly diagnosed condition at DTC telemedicine visits. Our objective was to compare the quality of antibiotic prescribing for ARIs among children across 3 settings: DTC telemedicine, urgent care, and the primary care provider (PCP) office.
methodsIn a retrospective cohort study using 2015-2016 claims data from a large national commercial health plan, we identified ARI visits by children (0-17 years old), excluding visits with comorbidities that could affect antibiotic decisions. Visits were matched on age, sex, chronic medical complexity, state, rurality, health plan type, and ARI diagnosis category. Within the matched sample, we compared the percentage of ARI visits with any antibiotic prescribing and the percentage of ARI visits with guideline-concordant antibiotic management.
resultsThere were 4604 DTC telemedicine, 38 408 urgent care, and 485 201 PCP visits for ARIs in the matched sample. Antibiotic prescribing was higher for DTC telemedicine visits than for other settings (52% of DTC telemedicine visits versus 42% urgent care and 31% PCP visits;
conclusionsAt DTC telemedicine visits, children with ARIs were more likely to receive antibiotics and less likely to receive guideline-concordant antibiotic management compared to children at PCP visits and urgent care visits.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.