Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

How non-video telehealth can be a cure for overprescribing antibiotics

Ray Costantini, MD
Tech
May 15, 2019
Share
Tweet
Share

When Dr. Fleming found penicillin mold in his Petri dishes in 1928, he had no idea of the impact he — and it — would have on global health. Penicillin and the antibiotic revolution that it triggered have saved countless lives and change world history.

Less than a century later, though, antibiotics occupy a space between savior and sinner. This complicated reputation is mostly due to how often they are prescribed unnecessarily and the superbugs that overuse has helped usher in. Physicians understand this dichotomy better than anyone. They’ve had front-row seats to cases of antibiotics saving lives, but they’ve also seen MDROs (multi-drug resistant organisms) like E. coli and staph infections that don’t respond to several rounds of intravenous treatment.

Those superbugs have huge clinical and financial ramifications. Researchers at Emory University and St. Louis University estimate that drug-resistant infections force the U.S. to spend an extra $2.2 billion on health care every year. Broken down by patient, that’s an extra $1,383 on every hospital bill.

The news about that impact hasn’t reached patients who insist the only thing that will help cure their cold is a round of “Gorilla-floxacillin.” And doctors feel the sting of a bad review, escalated complaint or in-person tirade when they try to do the medically correct thing. As online ratings and referrals have a greater impact on the ability of doctors and health systems to attract and keep patients, one bad review from one frustrated antibiotic seeker can reverberate louder than ever.

Can telehealth help?

Patient-facing, non-video telehealth platforms that incorporate evidence-based clinical content as part of their offering can help mitigate inappropriate use of antibiotics, as well as the patient pressure to prescribe them.

For example, let’s look at upper respiratory infections (URIs). Clinical best practices are clear that antibiotics are not prescribed for viral sinusitis, but for bacterial infections only. Determining the difference between viral and bacterial infections can make a huge difference in adherence to evidence-based medicine. The good news: That difference is largely algorithmic, and smart virtual care platforms can tell them apart.

Another bit of good news: Patients report high levels of satisfaction with the care they receive via telehealth. Deloitte found that 77 percent of users who have tried telehealth were satisfied with their experience. A JAMA study found even higher reports of high satisfaction, (86 percent) and that was for telehealth visits that did not result in a prescription for antibiotics.

And when telehealth patients are unhappy they weren’t prescribed an antibiotic, their dissatisfaction is aimed at the telehealth platform, not an individual doctor. This alleviates the pressure physicians feel to prescribe antibiotics unnecessarily only to please the patient.

As health care professionals, it is incumbent upon us to not only adhere to the standard of care but also to educate the public about the risks of overprescribing antibiotics — to the patients themselves and to the general public.

Health care systems that have a patient-facing, non-video virtual care program incorporated into their primary care offer are likely already doing their part for antibiotic stewardship. Those that don’t would be wise to consider adding it to their primary and urgent care strategy. In addition to myriad other benefits — increased patient access, improved provider efficiency, a boost to the bottom line — taking the pressure to prescribe antibiotics unnecessarily off their providers is a win for everyone.

Ray Costantini is CEO and co-founder, Bright.md.

Image credit: Shutterstock.com

Prev

Share your stories and experiences, in written, visual, or media form. Stories matter.

May 15, 2019 Kevin 0
…
Next

Lawmakers should stop trash-talking health care professionals

May 15, 2019 Kevin 13
…

ADVERTISEMENT

Tagged as: Health IT, Infectious Disease, Primary Care

Post navigation

< Previous Post
Share your stories and experiences, in written, visual, or media form. Stories matter.
Next Post >
Lawmakers should stop trash-talking health care professionals

ADVERTISEMENT

More by Ray Costantini, MD

  • Is automation the anti-workaround?

    Ray Costantini, MD

Related Posts

  • Why developing new antibiotics is a losing battle

    Christopher Johnson, MD
  • Simplicity is the cure for our complex health system

    Praveen Suthrum
  • Telehealth in underserved populations needs telecommunication expansion

    Sammi Wong and Krysti Lan Chi Vo, MD
  • Why you should think twice about prescribing antibiotics

    Rich Rodriguez, MD
  • Expanding health care access and equity through telehealth

    Gjanje L. Smith, MD, MPH, Wanneh A. Dixon, and Maria Phillips, JD
  • PCPs could counter virtual plans by increasing telehealth visits

    Ken Terry

More in Tech

  • Why Grok 4 could be the next leap for HIPAA-compliant clinical AI

    Harvey Castro, MD, MBA
  • AI is already replacing doctors—just not how you think

    Bhargav Raman, MD, MBA
  • A mind to guide the machine: Why physicians must help shape artificial intelligence in medicine

    Shanice Spence-Miller, MD
  • How digital tools are reshaping the doctor-patient relationship

    Vineet Vishwanath
  • The promise and perils of AI in health care: Why we need better testing standards

    Max Rollwage, PhD
  • 3 tips for using AI medical scribes to save time charting

    Erica Dorn, FNP
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why the heart of medicine is more than science

      Ryan Nadelson, MD | Physician
    • How Ukrainian doctors kept diabetes care alive during the war

      Dr. Daryna Bahriy | Physician
    • Why Grok 4 could be the next leap for HIPAA-compliant clinical AI

      Harvey Castro, MD, MBA | Tech
    • How women physicians can go from burnout to thriving

      Diane W. Shannon, MD, MPH | Physician
    • What a childhood stroke taught me about the future of neurosurgery and the promise of vagus nerve stimulation

      William J. Bannon IV | Conditions
    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why the heart of medicine is more than science

      Ryan Nadelson, MD | Physician
    • How Ukrainian doctors kept diabetes care alive during the war

      Dr. Daryna Bahriy | Physician
    • Why Grok 4 could be the next leap for HIPAA-compliant clinical AI

      Harvey Castro, MD, MBA | Tech
    • How women physicians can go from burnout to thriving

      Diane W. Shannon, MD, MPH | Physician
    • What a childhood stroke taught me about the future of neurosurgery and the promise of vagus nerve stimulation

      William J. Bannon IV | Conditions
    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...