{"id":4007,"date":"2022-09-05T11:53:40","date_gmt":"2022-09-05T11:53:40","guid":{"rendered":"https:\/\/www.value-dx.eu\/?p=4007"},"modified":"2022-09-05T11:54:50","modified_gmt":"2022-09-05T11:54:50","slug":"does-diagnostic-testing-always-decrease-antibiotics-prescriptions","status":"publish","type":"post","link":"https:\/\/www.value-dx.eu\/index.php\/2022\/09\/05\/does-diagnostic-testing-always-decrease-antibiotics-prescriptions\/","title":{"rendered":"Does diagnostic testing always decrease antibiotics prescriptions?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4007\" class=\"elementor elementor-4007\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-38421576 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"38421576\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div 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modern-quote modern-centered  avia-builder-el-1  el_before_av_codeblock  avia-builder-el-first  av-linked-heading'><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Does diagnostic testing always decrease antibiotics prescriptions?<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/p><p><\/div><\/div><\/main><!-- close content main element --><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1cjng-9db903d36b325f87b66fb9ba7e96614e\">\n.avia-section.av-1cjng-9db903d36b325f87b66fb9ba7e96614e{\nbackground-color:#1b7ca4;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_2'  class='avia-section av-1cjng-9db903d36b325f87b66fb9ba7e96614e main_color avia-section-default avia-no-border-styling  avia-builder-el-3  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-4007'><div class='entry-content-wrapper clearfix'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-k0i4yzrj-318dd765ad6f41d2fe86b741f8548ed0\">\n.flex_column.av-k0i4yzrj-318dd765ad6f41d2fe86b741f8548ed0{\nborder-radius:0px 0px 0px 0px;\npadding:50px 5% 50px 5%;\n}\n<\/style>\n<div  class='flex_column av-k0i4yzrj-318dd765ad6f41d2fe86b741f8548ed0 av_one_full  avia-builder-el-4  el_before_av_one_fifth  avia-builder-el-first  first flex_column_div  '     ><section  class='av_textblock_section av-yfjs-fd93b228aa1b13a89db4cc3964440224 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p><span style=\"font-weight: 400;\"><img decoding=\"async\" class=\"wp-image-4011 size-medium alignleft\" src=\"https:\/\/www.value-dx.eu\/wp-content\/uploads\/2022\/09\/New-publication-aug-300x158.png\" alt=\"\" width=\"300\" height=\"158\" srcset=\"https:\/\/www.value-dx.eu\/wp-content\/uploads\/2022\/09\/New-publication-aug-300x158.png 300w, https:\/\/www.value-dx.eu\/wp-content\/uploads\/2022\/09\/New-publication-aug-1030x544.png 1030w, https:\/\/www.value-dx.eu\/wp-content\/uploads\/2022\/09\/New-publication-aug-768x405.png 768w, https:\/\/www.value-dx.eu\/wp-content\/uploads\/2022\/09\/New-publication-aug-1536x811.png 1536w, https:\/\/www.value-dx.eu\/wp-content\/uploads\/2022\/09\/New-publication-aug-2048x1081.png 2048w, https:\/\/www.value-dx.eu\/wp-content\/uploads\/2022\/09\/New-publication-aug-1500x792.png 1500w, https:\/\/www.value-dx.eu\/wp-content\/uploads\/2022\/09\/New-publication-aug-710x375.png 710w, https:\/\/www.value-dx.eu\/wp-content\/uploads\/2022\/09\/New-publication-aug-705x372.png 705w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/span><\/p>\n<p>In August 2022, VALUE-Dx published a new article in the European Journal of Health Economics with the following title: \u2018Does diagnostic testing always decrease antibiotics prescriptions?\u2019. The conclusion of this scientific paper is that we should be very careful when we assert that point-of-care diagnostic testing (POCT) reduces antibiotics prescriptions as there are situations in which the opposite effect occurs.<\/p>\n<p><strong>Why POCT?<\/strong><br \/>Empiric prescription as a treatment for infectious diseases in community care settings has caused antibiotics to be overprescribed, resulting in an increase of antimicrobial resistance (AMR). In order to reduce antibiotics prescription, point-of-care diagnostic testing (POCT) has been suggested.<\/p>\n<p>In this new VALUE-Dx article, a stylised static theoretical economic model was used to analyse whether POCT always decreases antibiotics prescriptions. The interaction of a group of doctors who differ in their level of concern about AMR when prescribing with a firm selling a POCT was taken into consideration. The price set by the manufacturer and doctors\u2019 decision to employ POCT was characterised.<\/p>\n<p><strong>Results of the study<\/strong><br \/>It is widely accepted that the use of diagnostic testing to guide antibiotics prescription in community care settings reduces the number of antibiotics prescriptions. However, the model used in this article shows that we should be very careful with recommending the use of POCT to reduce antibiotics prescriptions as we may end up with the opposite result.<\/p>\n<p>In fact, the number of antibiotics prescriptions is not always lower. It depends on the distribution of the doctors\u2019 concern about AMR as there is a proportion of doctors who use POCT and then prescribe antibiotics, while other doctors change their prescribing behaviour after using POCT. They stop giving antibiotics to patients who do not benefit from them. When the proportion of patients who need antibiotic treatment is higher than the proportion of doctors who use POCT and stop prescribing unnecessary antibiotics, the number of antibiotics prescriptions is larger.<\/p>\n<p>These analyses convey the message that we should be very careful when we assert that POCT reduces antibiotics prescriptions as there are situations in which the contrary effect is produced.<\/p>\n<p>You can read <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s10198-022-01488-0\" target=\"_blank\" rel=\"noopener\">the publication here<\/a>.<\/p>\n<\/div><\/section><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-3b8mw-b506a38e8d00a7f4906eea669cebc6be\">\n.flex_column.av-3b8mw-b506a38e8d00a7f4906eea669cebc6be{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-3b8mw-b506a38e8d00a7f4906eea669cebc6be av_one_fifth  avia-builder-el-6  el_after_av_one_full  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