To the Editor In a recent issue of JAMA Internal Medicine, Martinez and colleagues1 demonstrated an association between antibiotic prescribing for treatment of respiratory tract infections (RTIs) and patient satisfaction scores in direct-to-consumer (DTC) telemedicine. Based on a patient satisfaction rating scale of 0 to 5, the authors dichotomized their primary outcome of patient satisfaction as 5 stars vs fewer than 5 stars; they found that 91% of patients prescribed antibiotics for treatment of RTI provided a 5-star rating compared with 73% of patients not prescribed antibiotics and 86% of patients given a nonantibiotic prescription. The authors concluded that “Few physicians achieved even the 50th percentile of satisfaction while maintaining low rates of antibiotic prescribing. To reach the top quartile, a physician had to prescribe antibiotics at least half the time.”1(1559)
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Dean K, Tong I, Hamdy R. Balance Between Best Practice and Patient Satisfaction: Antimicrobial Stewardship in Telemedicine. JAMA Intern Med. 2019;179(4):588–589. doi:10.1001/jamainternmed.2018.8744
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: