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Fear of lawsuits may prompt some doctors to overprescribe antibiotics

Date:
December 20, 2009
Source:
New York Medical College
Summary:
Investigators surveyed 162 health-care providers to determine whether medical liability concerns were as important as antibiotic cost and formulary restrictions in selecting treatment regimens. They found a strong correlation between the prevalence of methicillin resistance and density of attorneys in countries in Europe and North America.
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FULL STORY

A new study led by a team of researchers at New York Medical College suggests that that medical liability concerns may be playing a role in the increase of MRSA in healthcare settings by encouraging clinicians to prescribe antibiotics more often and more broadly than clinical circumstances and evidence-based guidelines warrant.

The study appeared in the September-October issue of the American Journal of Therapeutics.

The team analyzed census figures, statistics on population density of attorneys and physicians, and data on antibiotic utilization for the United States, Canada, and 15 European countries. They compared this to statistics on the percentage of methicillin resistance among clinical isolates of S. aureus. They found a strong correlation between the prevalence of methicillin resistance and density of attorneys in countries in Europe and North America. They found no correlation between prevalence of methicillin resistance and physician density.

Investigators surveyed 162 healthcare providers to determine whether medical liability concerns were as important as antibiotic cost and formulary restrictions in selecting treatment regimens. The surveys also confirmed that physicians were more concerned about medical liability in cases of under-prescribing antibiotics rather than by over-prescribing them.

George Sakoulas, M.D., assistant professor of medicine and lead author of the study, concluded, "The findings suggest that more research is needed to evaluate the potential impact of medical liability concerns on the medical care system. The study findings hint toward the importance of medical tort reform as a way to reduce healthcare costs and improve quality. Another way might be to foster more judicious prescription of antibiotics based on science and evidence rather than on risk aversion."


Story Source:

The above post is reprinted from materials provided by New York Medical College. Note: Materials may be edited for content and length.


Journal Reference:

  1. Sakoulas, George; Wormser, Gary P; Visintainer, Paul; Aronow, Wilbert S; Nadelman, Robert B. Relationship Between Population Density of Attorneys and Prevalence of Methicillin-Resistant Staphylococcus aureus: Is Medical-Legal Pressure on Physicians a Driving Force Behind the Development of Antibiotic Resistance? American Journal of Therapeutics, 2009; 16 (5): e1 DOI: 10.1097/MJT.0b013e3181727946

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New York Medical College. "Fear of lawsuits may prompt some doctors to overprescribe antibiotics." ScienceDaily. ScienceDaily, 20 December 2009. <www.sciencedaily.com/releases/2009/12/091218163643.htm>.
New York Medical College. (2009, December 20). Fear of lawsuits may prompt some doctors to overprescribe antibiotics. ScienceDaily. Retrieved September 1, 2015 from www.sciencedaily.com/releases/2009/12/091218163643.htm
New York Medical College. "Fear of lawsuits may prompt some doctors to overprescribe antibiotics." ScienceDaily. www.sciencedaily.com/releases/2009/12/091218163643.htm (accessed September 1, 2015).

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