To the Editor The overuse of antibiotics is a well-known public health issue.1 The research by Meeker et al,2 “Nudging Guideline-Concordant Antibiotic Prescribing: A Randomized Clinical Trial,” is a simple yet elegant way to help combat the problem of inappropriate antibiotic use. As discussed in their report, there are many reasons that physicians overprescribe antibiotics. However, there is a more recent cause for such behavior that threatens to disrupt any progress made toward more appropriate prescribing: the use of patient satisfaction as a surrogate for quality.
Wexler R. Patient Satisfaction as a Quality Metric Promotes Bad Medicine. JAMA Intern Med. 2014;174(8):1418–1419. doi:10.1001/jamainternmed.2014.1624
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