Evidence map›Paper›PMID 35921019›Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2023

Does diagnostic testing always decrease antibiotics prescriptions?

F Antoñanzas, C A Juárez-Castelló, R Rodríguez-Ibeas

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Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

F AntoñanzasDepartment of Economics, University of La Rioja, La Cigüeña 60, 26006, Logrono, Spain.ORCID https://orcid.org/0000-0001-6122-9130
C A Juárez-CastellóDepartment of Economics, University of La Rioja, La Cigüeña 60, 26006, Logrono, Spain.ORCID https://orcid.org/0000-0002-0816-032X
R Rodríguez-IbeasDepartment of Economics, University of La Rioja, La Cigüeña 60, 26006, Logrono, Spain. roberto.rodriguez@unirioja.es.ORCID https://orcid.org/0000-0001-6604-7993

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundEmpiric prescription to treat infectious diseases in community care settings has caused antibiotics to be overprescribed, increasing antimicrobial resistance (AMR). To reduce antibiotics prescription, the use of point-of-care diagnostic testing (POCT) has been suggested.

methodsWe present a stylized static theoretical economic model to analyse whether the use of POCT always decreases antibiotics prescriptions. We consider the interaction of a group of doctors who differ in their level of concern about AMR when prescribing with a firm selling a POCT, and we characterize the price set by the manufacturer and doctors' decision to employ POCT.

resultsWe found that the number of antibiotics prescriptions is not always lower. This result depends on the distribution of the doctors' concern about AMR as there is a proportion of doctors who use POCT and then prescribe antibiotics while other doctors change their prescribing behaviour after using POCT and stop giving antibiotics to patients who do not benefit from them. When the proportion of patients who need antibiotic treatment is higher than the proportion of doctors who use POCT and stop prescribing unnecessary antibiotics, the number of antibiotics prescriptions is larger. Our analysis also shows that the use of POCT improves health outcomes.

conclusionsWe should be very careful when we assert that POCT reduces antibiotics prescriptions as there are situations in which the opposite effect occurs.

Indexed as

Anti-Bacterial AgentsCommunicable DiseasesDiagnostic Techniques and ProceduresHumansPoint-of-Care TestingPrescriptionsAnti-Bacterial AgentsAntibioticsAntimicrobial resistancesDiagnostic testsInfectious diseasesPrescriptions

Identifiers

PMID35921019
PMCPMC10198875

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