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General Practitioner trainers prescribe fewer antibiotics in primary care: Evidence from France

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  • Louise Devillers
  • Jonathan Sicsic
  • Angelique Delbarre
  • Josselin Le Bel
  • Emilie Ferrat
  • Olivier Saint Lary

Abstract

Purpose: Antibiotic prescription is a central public health issue. Overall, 90% of antibiotic prescriptions are delivered to patients in ambulatory care, and a substantial proportion of these prescriptions could be avoided. General Practitioner (GP) trainers are similar to other GPs in terms of sociodemographic and medical activities, but they may have different prescription patterns. Our aim was to compare the antibiotic prescribing rates between GP trainers and non-trainers. Methods: This observational cross-sectional study was conducted on administrative data claims from the French National Health Insurance. The antibiotic prescribing rate was calculated. The main independent variable was the training status of the GPs. Prescribing rates were adjusted for the various GPs’ characteristics (gender, age, location of the practice, number of visits per GP and the case-mix) in a multiple linear regression analysis. Results: Between June 2014 and July 2015 the prescribing patterns of 860 GPs were analysed, among which 102 were GP trainers (12%). Over the year 363,580 patients were prescribed an antibiotic out of 3,499,248 visits for 1,299,308 patients seen over the year thus representing around 27.5% of patients. In the multivariate analyses, being a trainer resulted in a significant difference of 6.62 percentage points (IC 95%: [-8.55; -4.69]; p

Suggested Citation

  • Louise Devillers & Jonathan Sicsic & Angelique Delbarre & Josselin Le Bel & Emilie Ferrat & Olivier Saint Lary, 2018. "General Practitioner trainers prescribe fewer antibiotics in primary care: Evidence from France," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-12, January.
    • Handle: RePEc:plo:pone00:0190522
    DOI: 10.1371/journal.pone.0190522
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    References listed on IDEAS

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    1. repec:dau:papers:123456789/14769 is not listed on IDEAS
    2. Giuliano Masiero & Massimo Filippini & Matus Ferech & Herman Goossens, 2010. "Socioeconomic determinants of outpatient antibiotic use in Europe," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(5), pages 469-478, October.
    3. Saint-Lary, Olivier & Sicsic, Jonathan, 2015. "Impact of a pay for performance programme on French GPs’ consultation length," Health Policy, Elsevier, vol. 119(4), pages 417-426.
    4. Jyh-Ming Liou & Chi-Yang Chang & Mei-Jyh Chen & Chieh-Chang Chen & Yu-Jen Fang & Ji-Yuh Lee & Jeng-Yih Wu & Jiing-Chyuan Luo & Tai-Cherng Liou & Wen-Hsiung Chang & Cheng-Hao Tseng & Chun-Ying Wu & Tsu, 2015. "The Primary Resistance of Helicobacter pylori in Taiwan after the National Policy to Restrict Antibiotic Consumption and Its Relation to Virulence Factors—A Nationwide Study," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-11, May.
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