NDLI: Patients without records and records without patients: review of patient records in primary care and implications for surveillance of antibiotic prescribing in rural China

Content Provider	Springer Nature : BioMed Central
Author	Kwiatkowska, Rachel Shen, Xingrong Lu, Manman Cheng, Jing Hickman, Matthew Lambert, Helen Wang, Debin Oliver, Isabel
Abstract	Background We need to monitor patterns of antibiotic prescribing in order to develop and evaluate antibiotic stewardship interventions in rural China. As part of a multidisciplinary study of antibiotic use in Anhui Province we assessed the validity of electronic records (e-records) as a source of surveillance data. Methods One township healthcare centre and one village clinic were selected in each of three different counties. Patients with symptoms of Upper Respiratory Tract Infection (URTI), exacerbation of Chronic Obstructive Pulmonary Disease (COPD) or Urinary Tract Infection (UTI) were recruited consecutively. Researchers observed and documented clinic consultations and interviewed each of the study participants. E-records were compared to clinic observations and patient interviews. Results A total of 1030 patients were observed in clinic. Antibiotics were prescribed in 917 (89%) of consultations. E-records were created only for individuals with health insurance, with considerable between-site variation in completeness (0 to 98.7% of clinic consultations) and in the timing of documentation (within-consultation up to weeks afterwards). E-record accuracy was better in relation to antibiotics (82.8% of e-records accurately recorded what was prescribed in clinic) than for diagnosis and symptoms (45.0 and 1.1% accuracy). Only 31 participants (3.0%) presented with UTI symptoms. Conclusions We have confirmed very high rates of outpatient antibiotic prescribing in rural Anhui province. E-records could provide useful information to inform stewardship interventions, however they may be inaccurate and/or biased. Public Health authorities should focus on improving technical infrastructure and record-keeping culture in outpatient settings. Further research is needed into community treatment of UTIs.
Related Links	https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-020-05308-0.pdf
Ending Page	9
Page Count	9
Starting Page	1
File Format	HTM / HTML
ISSN	14726963
DOI	10.1186/s12913-020-05308-0
Journal	BMC Health Services Research
Issue Number	1
Volume Number	20
Language	English
Publisher	BioMed Central
Publisher Date	2020-06-22
Access Restriction	Open
Subject Keyword	Public Health Health Administration Health Informatics Nursing Research Antimicrobial resistance Antibiotics Mixed methods China Medical records Outpatients
Content Type	Text
Resource Type	Article
Subject	Health Policy

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

The impact of a social prescribing service on patients in primary care: a mixed methods evaluation

The impact of COVID-19 on primary health care and antibiotic prescribing in rural China: qualitative study

Determinants of appropriate antibiotic and NSAID prescribing in unscheduled outpatient settings in the veterans health administration

Understanding the effectiveness and mechanisms of a social prescribing service: a mixed method analysis

Antibiotic Stewardship in Retail Pharmacies and the Access-Excess Challenge in China: A Policy Review

Safety of reducing antibiotic prescribing in primary care: a mixed-methods study

Primary Care Physicians’ Attitudes and Perceptions Towards Antibiotic Resistance and Antibiotic Stewardship: A National Survey

Understanding how to improve physicians’ paradigms for prescribing antibiotics by using a conceptual design framework: a qualitative study

Quality of primary care from patients’ perspective: a cross sectional study of outpatients’ experience in public health facilities in rural Malawi

Patients without records and records without patients: review of patient records in primary care and implications for surveillance of antibiotic prescribing in rural China

Similar Documents

The impact of a social prescribing service on patients in primary care: a mixed methods evaluation

The impact of COVID-19 on primary health care and antibiotic prescribing in rural China: qualitative study

Determinants of appropriate antibiotic and NSAID prescribing in unscheduled outpatient settings in the veterans health administration

Understanding the effectiveness and mechanisms of a social prescribing service: a mixed method analysis

Antibiotic Stewardship in Retail Pharmacies and the Access-Excess Challenge in China: A Policy Review

Safety of reducing antibiotic prescribing in primary care: a mixed-methods study

Primary Care Physicians’ Attitudes and Perceptions Towards Antibiotic Resistance and Antibiotic Stewardship: A National Survey

Understanding how to improve physicians’ paradigms for prescribing antibiotics by using a conceptual design framework: a qualitative study

Quality of primary care from patients’ perspective: a cross sectional study of outpatients’ experience in public health facilities in rural Malawi

Patients without records and records without patients: review of patient records in primary care and implications for surveillance of antibiotic prescribing in rural China