1205. Antibiotic-prescribing for all respiratory tract diagnoses across a network of walk-in clinics: clinician-level variation and correlation with other performance metrics Article Swipe
Daniel J. Livorsi
,
G Clore
,
Dilek İnce
,
Kelly M Percival
,
Amy M. J. O’Shea
,
Nathan M. Shaw
,
Kimberly Dukes
,
Stacey Hockett Sherlock
,
Eli N. Perencevich
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1093/ofid/ofad500.1045
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1093/ofid/ofad500.1045
Background It is unclear which stewardship metrics are most effective for audit and feedback to outpatient clinicians. In this study, we explored a metric that captures antibiotic-prescribing for all respiratory tract diagnoses to determine if it could serve as an appropriate metric for feedback. Methods We performed a retrospective cohort study of in-person visits to the 7 walk-in clinics, including 3 Urgent Care locations, within University of Iowa Health Care during 2018-2022. Visits were categorized as respiratory visits (RVs) if a respiratory tract diagnosis was coded and the patient lacked complicating factors, such as a concomitant non-respiratory infection or certain comorbidities. We built a hierarchical logistic regression model that adjusted for antibiotic appropriateness tiers (1-3) to identify factors associated with antibiotic-prescribing for RVs. Using Spearman’s correlation, we compared the frequency at which clinicians prescribed antibiotics for RVs and other types of visits. Results There were 331,496 visits, and 96,546 (29.1%) led to an antibiotic prescription; 44,498 (46.1%) of these were for RVs (Tables 1 and 2). At the clinician-level (n=89), the mean frequency of antibiotic-prescribing for RVs was 36.4% (standard deviation 11.6). Factors at the visit-level associated with an increased odds of antibiotic use for RVs included age ≥ 65 (OR=1.5; 95% CI=1.4-1.6) and having at least one comorbidity (OR=1.2; 95% CI=1.1-1.2). The frequency at which a clinician prescribed antibiotics for RVs was strongly correlated with antibiotic use for all visits (r=0.77, p< 0.001). Clinicians who more often prescribed antibiotics for RVs also more often prescribed antibiotics for respiratory infections that are always viral (r=0.73, p< 0.001), sinusitis (r=0.49, p< 0.001), and non-streptococcal pharyngitis (r=0.69, p< 0.001). There was no correlation between antibiotic-prescribing for RVs and the frequency of return visits within 30 days (r=0.11, p=0.29). Conclusion A metric that quantifies the frequency of antibiotic-prescribing for all respiratory tract diagnoses correlated strongly with clinicians who over-use antibiotics for walk-in visits. Future studies should assess whether this type of metric is acceptable to clinicians and an effective tool for feedback. Disclosures Daniel J. Livorsi, MD, Merck: Grant/Research Support Kelly M. Percival, PharmD, Gilead Sciences Inc: Advisor/Consultant
Related Topics
Concepts
Medicine
Respiratory tract infections
Odds ratio
Antimicrobial stewardship
Logistic regression
Internal medicine
Medical prescription
Antibiotics
Comorbidity
Retrospective cohort study
Medical diagnosis
Cohort
Emergency medicine
Pediatrics
Respiratory system
Antibiotic resistance
Pharmacology
Pathology
Microbiology
Biology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/ofid/ofad500.1045
- https://academic.oup.com/ofid/article-pdf/10/Supplement_2/ofad500.1045/53755342/ofad500.1045.pdf
- OA Status
- gold
- Cited By
- 1
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4389029774
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4389029774Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/ofid/ofad500.1045Digital Object Identifier
- Title
-
1205. Antibiotic-prescribing for all respiratory tract diagnoses across a network of walk-in clinics: clinician-level variation and correlation with other performance metricsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-11-27Full publication date if available
- Authors
-
Daniel J. Livorsi, G Clore, Dilek İnce, Kelly M Percival, Amy M. J. O’Shea, Nathan M. Shaw, Kimberly Dukes, Stacey Hockett Sherlock, Eli N. PerencevichList of authors in order
- Landing page
-
https://doi.org/10.1093/ofid/ofad500.1045Publisher landing page
- PDF URL
-
https://academic.oup.com/ofid/article-pdf/10/Supplement_2/ofad500.1045/53755342/ofad500.1045.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://academic.oup.com/ofid/article-pdf/10/Supplement_2/ofad500.1045/53755342/ofad500.1045.pdfDirect OA link when available
- Concepts
-
Medicine, Respiratory tract infections, Odds ratio, Antimicrobial stewardship, Logistic regression, Internal medicine, Medical prescription, Antibiotics, Comorbidity, Retrospective cohort study, Medical diagnosis, Cohort, Emergency medicine, Pediatrics, Respiratory system, Antibiotic resistance, Pharmacology, Pathology, Microbiology, BiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
1Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1Per-year citation counts (last 5 years)
- Related works (count)
-
10Other works algorithmically related by OpenAlex
Full payload
| id | https://openalex.org/W4389029774 |
|---|---|
| doi | https://doi.org/10.1093/ofid/ofad500.1045 |
| ids.doi | https://doi.org/10.1093/ofid/ofad500.1045 |
| ids.openalex | https://openalex.org/W4389029774 |
| fwci | 0.76539707 |
| type | article |
| title | 1205. Antibiotic-prescribing for all respiratory tract diagnoses across a network of walk-in clinics: clinician-level variation and correlation with other performance metrics |
| biblio.issue | Supplement_2 |
| biblio.volume | 10 |
| biblio.last_page | |
| biblio.first_page | |
| topics[0].id | https://openalex.org/T11722 |
| topics[0].field.id | https://openalex.org/fields/36 |
| topics[0].field.display_name | Health Professions |
| topics[0].score | 0.9930999875068665 |
| topics[0].domain.id | https://openalex.org/domains/4 |
| topics[0].domain.display_name | Health Sciences |
| topics[0].subfield.id | https://openalex.org/subfields/3600 |
| topics[0].subfield.display_name | General Health Professions |
| topics[0].display_name | Patient Satisfaction in Healthcare |
| topics[1].id | https://openalex.org/T10897 |
| topics[1].field.id | https://openalex.org/fields/24 |
| topics[1].field.display_name | Immunology and Microbiology |
| topics[1].score | 0.9911999702453613 |
| topics[1].domain.id | https://openalex.org/domains/1 |
| topics[1].domain.display_name | Life Sciences |
| topics[1].subfield.id | https://openalex.org/subfields/2402 |
| topics[1].subfield.display_name | Applied Microbiology and Biotechnology |
| topics[1].display_name | Antibiotic Use and Resistance |
| topics[2].id | https://openalex.org/T12918 |
| topics[2].field.id | https://openalex.org/fields/14 |
| topics[2].field.display_name | Business, Management and Accounting |
| topics[2].score | 0.9904999732971191 |
| topics[2].domain.id | https://openalex.org/domains/2 |
| topics[2].domain.display_name | Social Sciences |
| topics[2].subfield.id | https://openalex.org/subfields/1407 |
| topics[2].subfield.display_name | Organizational Behavior and Human Resource Management |
| topics[2].display_name | Healthcare Systems and Technology |
| is_xpac | False |
| apc_list.value | 3064 |
| apc_list.currency | USD |
| apc_list.value_usd | 3064 |
| apc_paid.value | 3064 |
| apc_paid.currency | USD |
| apc_paid.value_usd | 3064 |
| concepts[0].id | https://openalex.org/C71924100 |
| concepts[0].level | 0 |
| concepts[0].score | 0.9151657819747925 |
| concepts[0].wikidata | https://www.wikidata.org/wiki/Q11190 |
| concepts[0].display_name | Medicine |
| concepts[1].id | https://openalex.org/C2776012195 |
| concepts[1].level | 3 |
| concepts[1].score | 0.7004437446594238 |
| concepts[1].wikidata | https://www.wikidata.org/wiki/Q754447 |
| concepts[1].display_name | Respiratory tract infections |
| concepts[2].id | https://openalex.org/C156957248 |
| concepts[2].level | 2 |
| concepts[2].score | 0.5094745755195618 |
| concepts[2].wikidata | https://www.wikidata.org/wiki/Q1862216 |
| concepts[2].display_name | Odds ratio |
| concepts[3].id | https://openalex.org/C2776040555 |
| concepts[3].level | 4 |
| concepts[3].score | 0.4966467022895813 |
| concepts[3].wikidata | https://www.wikidata.org/wiki/Q19903321 |
| concepts[3].display_name | Antimicrobial stewardship |
| concepts[4].id | https://openalex.org/C151956035 |
| concepts[4].level | 2 |
| concepts[4].score | 0.4912263751029968 |
| concepts[4].wikidata | https://www.wikidata.org/wiki/Q1132755 |
| concepts[4].display_name | Logistic regression |
| concepts[5].id | https://openalex.org/C126322002 |
| concepts[5].level | 1 |
| concepts[5].score | 0.4861862063407898 |
| concepts[5].wikidata | https://www.wikidata.org/wiki/Q11180 |
| concepts[5].display_name | Internal medicine |
| concepts[6].id | https://openalex.org/C2426938 |
| concepts[6].level | 2 |
| concepts[6].score | 0.47110632061958313 |
| concepts[6].wikidata | https://www.wikidata.org/wiki/Q3355478 |
| concepts[6].display_name | Medical prescription |
| concepts[7].id | https://openalex.org/C501593827 |
| concepts[7].level | 2 |
| concepts[7].score | 0.4611521065235138 |
| concepts[7].wikidata | https://www.wikidata.org/wiki/Q12187 |
| concepts[7].display_name | Antibiotics |
| concepts[8].id | https://openalex.org/C2779159551 |
| concepts[8].level | 2 |
| concepts[8].score | 0.44474729895591736 |
| concepts[8].wikidata | https://www.wikidata.org/wiki/Q1414874 |
| concepts[8].display_name | Comorbidity |
| concepts[9].id | https://openalex.org/C167135981 |
| concepts[9].level | 2 |
| concepts[9].score | 0.4416455030441284 |
| concepts[9].wikidata | https://www.wikidata.org/wiki/Q2146302 |
| concepts[9].display_name | Retrospective cohort study |
| concepts[10].id | https://openalex.org/C534262118 |
| concepts[10].level | 2 |
| concepts[10].score | 0.4349023401737213 |
| concepts[10].wikidata | https://www.wikidata.org/wiki/Q177719 |
| concepts[10].display_name | Medical diagnosis |
| concepts[11].id | https://openalex.org/C72563966 |
| concepts[11].level | 2 |
| concepts[11].score | 0.41904792189598083 |
| concepts[11].wikidata | https://www.wikidata.org/wiki/Q1303415 |
| concepts[11].display_name | Cohort |
| concepts[12].id | https://openalex.org/C194828623 |
| concepts[12].level | 1 |
| concepts[12].score | 0.35046762228012085 |
| concepts[12].wikidata | https://www.wikidata.org/wiki/Q2861470 |
| concepts[12].display_name | Emergency medicine |
| concepts[13].id | https://openalex.org/C187212893 |
| concepts[13].level | 1 |
| concepts[13].score | 0.3468497693538666 |
| concepts[13].wikidata | https://www.wikidata.org/wiki/Q123028 |
| concepts[13].display_name | Pediatrics |
| concepts[14].id | https://openalex.org/C534529494 |
| concepts[14].level | 2 |
| concepts[14].score | 0.15639019012451172 |
| concepts[14].wikidata | https://www.wikidata.org/wiki/Q7891 |
| concepts[14].display_name | Respiratory system |
| concepts[15].id | https://openalex.org/C94665300 |
| concepts[15].level | 3 |
| concepts[15].score | 0.08917069435119629 |
| concepts[15].wikidata | https://www.wikidata.org/wiki/Q63391344 |
| concepts[15].display_name | Antibiotic resistance |
| concepts[16].id | https://openalex.org/C98274493 |
| concepts[16].level | 1 |
| concepts[16].score | 0.0 |
| concepts[16].wikidata | https://www.wikidata.org/wiki/Q128406 |
| concepts[16].display_name | Pharmacology |
| concepts[17].id | https://openalex.org/C142724271 |
| concepts[17].level | 1 |
| concepts[17].score | 0.0 |
| concepts[17].wikidata | https://www.wikidata.org/wiki/Q7208 |
| concepts[17].display_name | Pathology |
| concepts[18].id | https://openalex.org/C89423630 |
| concepts[18].level | 1 |
| concepts[18].score | 0.0 |
| concepts[18].wikidata | https://www.wikidata.org/wiki/Q7193 |
| concepts[18].display_name | Microbiology |
| concepts[19].id | https://openalex.org/C86803240 |
| concepts[19].level | 0 |
| concepts[19].score | 0.0 |
| concepts[19].wikidata | https://www.wikidata.org/wiki/Q420 |
| concepts[19].display_name | Biology |
| keywords[0].id | https://openalex.org/keywords/medicine |
| keywords[0].score | 0.9151657819747925 |
| keywords[0].display_name | Medicine |
| keywords[1].id | https://openalex.org/keywords/respiratory-tract-infections |
| keywords[1].score | 0.7004437446594238 |
| keywords[1].display_name | Respiratory tract infections |
| keywords[2].id | https://openalex.org/keywords/odds-ratio |
| keywords[2].score | 0.5094745755195618 |
| keywords[2].display_name | Odds ratio |
| keywords[3].id | https://openalex.org/keywords/antimicrobial-stewardship |
| keywords[3].score | 0.4966467022895813 |
| keywords[3].display_name | Antimicrobial stewardship |
| keywords[4].id | https://openalex.org/keywords/logistic-regression |
| keywords[4].score | 0.4912263751029968 |
| keywords[4].display_name | Logistic regression |
| keywords[5].id | https://openalex.org/keywords/internal-medicine |
| keywords[5].score | 0.4861862063407898 |
| keywords[5].display_name | Internal medicine |
| keywords[6].id | https://openalex.org/keywords/medical-prescription |
| keywords[6].score | 0.47110632061958313 |
| keywords[6].display_name | Medical prescription |
| keywords[7].id | https://openalex.org/keywords/antibiotics |
| keywords[7].score | 0.4611521065235138 |
| keywords[7].display_name | Antibiotics |
| keywords[8].id | https://openalex.org/keywords/comorbidity |
| keywords[8].score | 0.44474729895591736 |
| keywords[8].display_name | Comorbidity |
| keywords[9].id | https://openalex.org/keywords/retrospective-cohort-study |
| keywords[9].score | 0.4416455030441284 |
| keywords[9].display_name | Retrospective cohort study |
| keywords[10].id | https://openalex.org/keywords/medical-diagnosis |
| keywords[10].score | 0.4349023401737213 |
| keywords[10].display_name | Medical diagnosis |
| keywords[11].id | https://openalex.org/keywords/cohort |
| keywords[11].score | 0.41904792189598083 |
| keywords[11].display_name | Cohort |
| keywords[12].id | https://openalex.org/keywords/emergency-medicine |
| keywords[12].score | 0.35046762228012085 |
| keywords[12].display_name | Emergency medicine |
| keywords[13].id | https://openalex.org/keywords/pediatrics |
| keywords[13].score | 0.3468497693538666 |
| keywords[13].display_name | Pediatrics |
| keywords[14].id | https://openalex.org/keywords/respiratory-system |
| keywords[14].score | 0.15639019012451172 |
| keywords[14].display_name | Respiratory system |
| keywords[15].id | https://openalex.org/keywords/antibiotic-resistance |
| keywords[15].score | 0.08917069435119629 |
| keywords[15].display_name | Antibiotic resistance |
| language | en |
| locations[0].id | doi:10.1093/ofid/ofad500.1045 |
| locations[0].is_oa | True |
| locations[0].source.id | https://openalex.org/S2735126445 |
| locations[0].source.issn | 2328-8957 |
| locations[0].source.type | journal |
| locations[0].source.is_oa | True |
| locations[0].source.issn_l | 2328-8957 |
| locations[0].source.is_core | True |
| locations[0].source.is_in_doaj | True |
| locations[0].source.display_name | Open Forum Infectious Diseases |
| locations[0].source.host_organization | https://openalex.org/P4310311648 |
| locations[0].source.host_organization_name | Oxford University Press |
| locations[0].source.host_organization_lineage | https://openalex.org/P4310311648 |
| locations[0].license | cc-by |
| locations[0].pdf_url | https://academic.oup.com/ofid/article-pdf/10/Supplement_2/ofad500.1045/53755342/ofad500.1045.pdf |
| locations[0].version | publishedVersion |
| locations[0].raw_type | journal-article |
| locations[0].license_id | https://openalex.org/licenses/cc-by |
| locations[0].is_accepted | True |
| locations[0].is_published | True |
| locations[0].raw_source_name | Open Forum Infectious Diseases |
| locations[0].landing_page_url | https://doi.org/10.1093/ofid/ofad500.1045 |
| locations[1].id | pmh:oai:pubmedcentral.nih.gov:10679107 |
| locations[1].is_oa | True |
| locations[1].source.id | https://openalex.org/S2764455111 |
| locations[1].source.issn | |
| locations[1].source.type | repository |
| locations[1].source.is_oa | False |
| locations[1].source.issn_l | |
| locations[1].source.is_core | False |
| locations[1].source.is_in_doaj | False |
| locations[1].source.display_name | PubMed Central |
| locations[1].source.host_organization | https://openalex.org/I1299303238 |
| locations[1].source.host_organization_name | National Institutes of Health |
| locations[1].source.host_organization_lineage | https://openalex.org/I1299303238 |
| locations[1].license | cc-by |
| locations[1].pdf_url | https://pmc.ncbi.nlm.nih.gov/articles/PMC10679107/pdf/ofad500.1045.pdf |
| locations[1].version | submittedVersion |
| locations[1].raw_type | Text |
| locations[1].license_id | https://openalex.org/licenses/cc-by |
| locations[1].is_accepted | False |
| locations[1].is_published | False |
| locations[1].raw_source_name | Open Forum Infect Dis |
| locations[1].landing_page_url | https://www.ncbi.nlm.nih.gov/pmc/articles/10679107 |
| indexed_in | crossref, doaj |
| authorships[0].author.id | https://openalex.org/A5056065643 |
| authorships[0].author.orcid | https://orcid.org/0000-0001-8523-214X |
| authorships[0].author.display_name | Daniel J. Livorsi |
| authorships[0].countries | US |
| authorships[0].affiliations[0].institution_ids | https://openalex.org/I126307644 |
| authorships[0].affiliations[0].raw_affiliation_string | University of Iowa Carver College of Medicine , Iowa City, Iowa |
| authorships[0].institutions[0].id | https://openalex.org/I126307644 |
| authorships[0].institutions[0].ror | https://ror.org/036jqmy94 |
| authorships[0].institutions[0].type | education |
| authorships[0].institutions[0].lineage | https://openalex.org/I126307644 |
| authorships[0].institutions[0].country_code | US |
| authorships[0].institutions[0].display_name | University of Iowa |
| authorships[0].author_position | first |
| authorships[0].raw_author_name | Daniel J Livorsi |
| authorships[0].is_corresponding | False |
| authorships[0].raw_affiliation_strings | University of Iowa Carver College of Medicine , Iowa City, Iowa |
| authorships[1].author.id | https://openalex.org/A5059694128 |
| authorships[1].author.orcid | https://orcid.org/0000-0003-0848-3337 |
| authorships[1].author.display_name | G Clore |
| authorships[1].countries | US |
| authorships[1].affiliations[0].institution_ids | https://openalex.org/I126307644 |
| authorships[1].affiliations[0].raw_affiliation_string | University of Iowa , Iowa City, Iowa |
| authorships[1].institutions[0].id | https://openalex.org/I126307644 |
| authorships[1].institutions[0].ror | https://ror.org/036jqmy94 |
| authorships[1].institutions[0].type | education |
| authorships[1].institutions[0].lineage | https://openalex.org/I126307644 |
| authorships[1].institutions[0].country_code | US |
| authorships[1].institutions[0].display_name | University of Iowa |
| authorships[1].author_position | middle |
| authorships[1].raw_author_name | Gosia Clore |
| authorships[1].is_corresponding | False |
| authorships[1].raw_affiliation_strings | University of Iowa , Iowa City, Iowa |
| authorships[2].author.id | https://openalex.org/A5058759387 |
| authorships[2].author.orcid | https://orcid.org/0000-0001-5446-3789 |
| authorships[2].author.display_name | Dilek İnce |
| authorships[2].countries | US |
| authorships[2].affiliations[0].institution_ids | https://openalex.org/I2802216851 |
| authorships[2].affiliations[0].raw_affiliation_string | University of Iowa Hospitals & Clinics , Iowa City, Iowa |
| authorships[2].institutions[0].id | https://openalex.org/I2802216851 |
| authorships[2].institutions[0].ror | https://ror.org/04g2swc55 |
| authorships[2].institutions[0].type | healthcare |
| authorships[2].institutions[0].lineage | https://openalex.org/I126307644, https://openalex.org/I2802216851 |
| authorships[2].institutions[0].country_code | US |
| authorships[2].institutions[0].display_name | University of Iowa Hospitals and Clinics |
| authorships[2].author_position | middle |
| authorships[2].raw_author_name | Dilek Ince |
| authorships[2].is_corresponding | False |
| authorships[2].raw_affiliation_strings | University of Iowa Hospitals & Clinics , Iowa City, Iowa |
| authorships[3].author.id | https://openalex.org/A5018300314 |
| authorships[3].author.orcid | https://orcid.org/0000-0002-7988-320X |
| authorships[3].author.display_name | Kelly M Percival |
| authorships[3].countries | US |
| authorships[3].affiliations[0].institution_ids | https://openalex.org/I2802216851 |
| authorships[3].affiliations[0].raw_affiliation_string | University of Iowa Hospitals & Clinics , Iowa City, Iowa |
| authorships[3].institutions[0].id | https://openalex.org/I2802216851 |
| authorships[3].institutions[0].ror | https://ror.org/04g2swc55 |
| authorships[3].institutions[0].type | healthcare |
| authorships[3].institutions[0].lineage | https://openalex.org/I126307644, https://openalex.org/I2802216851 |
| authorships[3].institutions[0].country_code | US |
| authorships[3].institutions[0].display_name | University of Iowa Hospitals and Clinics |
| authorships[3].author_position | middle |
| authorships[3].raw_author_name | Kelly M Percival |
| authorships[3].is_corresponding | False |
| authorships[3].raw_affiliation_strings | University of Iowa Hospitals & Clinics , Iowa City, Iowa |
| authorships[4].author.id | https://openalex.org/A5035762054 |
| authorships[4].author.orcid | https://orcid.org/0000-0003-3272-7952 |
| authorships[4].author.display_name | Amy M. J. O’Shea |
| authorships[4].countries | US |
| authorships[4].affiliations[0].institution_ids | https://openalex.org/I126307644 |
| authorships[4].affiliations[0].raw_affiliation_string | University of Iowa Carver College of Medicine , Iowa City, Iowa |
| authorships[4].institutions[0].id | https://openalex.org/I126307644 |
| authorships[4].institutions[0].ror | https://ror.org/036jqmy94 |
| authorships[4].institutions[0].type | education |
| authorships[4].institutions[0].lineage | https://openalex.org/I126307644 |
| authorships[4].institutions[0].country_code | US |
| authorships[4].institutions[0].display_name | University of Iowa |
| authorships[4].author_position | middle |
| authorships[4].raw_author_name | Amy O’Shea |
| authorships[4].is_corresponding | False |
| authorships[4].raw_affiliation_strings | University of Iowa Carver College of Medicine , Iowa City, Iowa |
| authorships[5].author.id | https://openalex.org/A5052456399 |
| authorships[5].author.orcid | https://orcid.org/0000-0002-5710-9299 |
| authorships[5].author.display_name | Nathan M. Shaw |
| authorships[5].countries | US |
| authorships[5].affiliations[0].institution_ids | https://openalex.org/I126307644 |
| authorships[5].affiliations[0].raw_affiliation_string | University of Iowa Carver College of Medicine , Iowa City, Iowa |
| authorships[5].institutions[0].id | https://openalex.org/I126307644 |
| authorships[5].institutions[0].ror | https://ror.org/036jqmy94 |
| authorships[5].institutions[0].type | education |
| authorships[5].institutions[0].lineage | https://openalex.org/I126307644 |
| authorships[5].institutions[0].country_code | US |
| authorships[5].institutions[0].display_name | University of Iowa |
| authorships[5].author_position | middle |
| authorships[5].raw_author_name | Nathan Shaw |
| authorships[5].is_corresponding | False |
| authorships[5].raw_affiliation_strings | University of Iowa Carver College of Medicine , Iowa City, Iowa |
| authorships[6].author.id | https://openalex.org/A5078124519 |
| authorships[6].author.orcid | https://orcid.org/0000-0001-6977-4221 |
| authorships[6].author.display_name | Kimberly Dukes |
| authorships[6].countries | US |
| authorships[6].affiliations[0].institution_ids | https://openalex.org/I126307644 |
| authorships[6].affiliations[0].raw_affiliation_string | University of Iowa Carver College of Medicine , Iowa City, Iowa |
| authorships[6].institutions[0].id | https://openalex.org/I126307644 |
| authorships[6].institutions[0].ror | https://ror.org/036jqmy94 |
| authorships[6].institutions[0].type | education |
| authorships[6].institutions[0].lineage | https://openalex.org/I126307644 |
| authorships[6].institutions[0].country_code | US |
| authorships[6].institutions[0].display_name | University of Iowa |
| authorships[6].author_position | middle |
| authorships[6].raw_author_name | Kimberly Dukes |
| authorships[6].is_corresponding | False |
| authorships[6].raw_affiliation_strings | University of Iowa Carver College of Medicine , Iowa City, Iowa |
| authorships[7].author.id | https://openalex.org/A5031772073 |
| authorships[7].author.orcid | https://orcid.org/0000-0003-3180-782X |
| authorships[7].author.display_name | Stacey Hockett Sherlock |
| authorships[7].countries | US |
| authorships[7].affiliations[0].institution_ids | https://openalex.org/I126307644 |
| authorships[7].affiliations[0].raw_affiliation_string | University of Iowa Carver College of Medicine , Iowa City, Iowa |
| authorships[7].institutions[0].id | https://openalex.org/I126307644 |
| authorships[7].institutions[0].ror | https://ror.org/036jqmy94 |
| authorships[7].institutions[0].type | education |
| authorships[7].institutions[0].lineage | https://openalex.org/I126307644 |
| authorships[7].institutions[0].country_code | US |
| authorships[7].institutions[0].display_name | University of Iowa |
| authorships[7].author_position | middle |
| authorships[7].raw_author_name | Stacey Hockett Sherlock |
| authorships[7].is_corresponding | False |
| authorships[7].raw_affiliation_strings | University of Iowa Carver College of Medicine , Iowa City, Iowa |
| authorships[8].author.id | https://openalex.org/A5068281344 |
| authorships[8].author.orcid | https://orcid.org/0000-0002-3721-3355 |
| authorships[8].author.display_name | Eli N. Perencevich |
| authorships[8].countries | US |
| authorships[8].affiliations[0].institution_ids | https://openalex.org/I126307644 |
| authorships[8].affiliations[0].raw_affiliation_string | University of Iowa Carver College of Medicine , Iowa City, Iowa |
| authorships[8].institutions[0].id | https://openalex.org/I126307644 |
| authorships[8].institutions[0].ror | https://ror.org/036jqmy94 |
| authorships[8].institutions[0].type | education |
| authorships[8].institutions[0].lineage | https://openalex.org/I126307644 |
| authorships[8].institutions[0].country_code | US |
| authorships[8].institutions[0].display_name | University of Iowa |
| authorships[8].author_position | last |
| authorships[8].raw_author_name | Eli Perencevich |
| authorships[8].is_corresponding | False |
| authorships[8].raw_affiliation_strings | University of Iowa Carver College of Medicine , Iowa City, Iowa |
| has_content.pdf | True |
| has_content.grobid_xml | True |
| is_paratext | False |
| open_access.is_oa | True |
| open_access.oa_url | https://academic.oup.com/ofid/article-pdf/10/Supplement_2/ofad500.1045/53755342/ofad500.1045.pdf |
| open_access.oa_status | gold |
| open_access.any_repository_has_fulltext | False |
| created_date | 2025-10-10T00:00:00 |
| display_name | 1205. Antibiotic-prescribing for all respiratory tract diagnoses across a network of walk-in clinics: clinician-level variation and correlation with other performance metrics |
| has_fulltext | True |
| is_retracted | False |
| updated_date | 2025-11-06T03:46:38.306776 |
| primary_topic.id | https://openalex.org/T11722 |
| primary_topic.field.id | https://openalex.org/fields/36 |
| primary_topic.field.display_name | Health Professions |
| primary_topic.score | 0.9930999875068665 |
| primary_topic.domain.id | https://openalex.org/domains/4 |
| primary_topic.domain.display_name | Health Sciences |
| primary_topic.subfield.id | https://openalex.org/subfields/3600 |
| primary_topic.subfield.display_name | General Health Professions |
| primary_topic.display_name | Patient Satisfaction in Healthcare |
| related_works | https://openalex.org/W1978188354, https://openalex.org/W3141224953, https://openalex.org/W2765738011, https://openalex.org/W2361820086, https://openalex.org/W2155091457, https://openalex.org/W112737047, https://openalex.org/W2002142585, https://openalex.org/W2157868280, https://openalex.org/W2795699014, https://openalex.org/W1967984528 |
| cited_by_count | 1 |
| counts_by_year[0].year | 2025 |
| counts_by_year[0].cited_by_count | 1 |
| locations_count | 2 |
| best_oa_location.id | doi:10.1093/ofid/ofad500.1045 |
| best_oa_location.is_oa | True |
| best_oa_location.source.id | https://openalex.org/S2735126445 |
| best_oa_location.source.issn | 2328-8957 |
| best_oa_location.source.type | journal |
| best_oa_location.source.is_oa | True |
| best_oa_location.source.issn_l | 2328-8957 |
| best_oa_location.source.is_core | True |
| best_oa_location.source.is_in_doaj | True |
| best_oa_location.source.display_name | Open Forum Infectious Diseases |
| best_oa_location.source.host_organization | https://openalex.org/P4310311648 |
| best_oa_location.source.host_organization_name | Oxford University Press |
| best_oa_location.source.host_organization_lineage | https://openalex.org/P4310311648 |
| best_oa_location.license | cc-by |
| best_oa_location.pdf_url | https://academic.oup.com/ofid/article-pdf/10/Supplement_2/ofad500.1045/53755342/ofad500.1045.pdf |
| best_oa_location.version | publishedVersion |
| best_oa_location.raw_type | journal-article |
| best_oa_location.license_id | https://openalex.org/licenses/cc-by |
| best_oa_location.is_accepted | True |
| best_oa_location.is_published | True |
| best_oa_location.raw_source_name | Open Forum Infectious Diseases |
| best_oa_location.landing_page_url | https://doi.org/10.1093/ofid/ofad500.1045 |
| primary_location.id | doi:10.1093/ofid/ofad500.1045 |
| primary_location.is_oa | True |
| primary_location.source.id | https://openalex.org/S2735126445 |
| primary_location.source.issn | 2328-8957 |
| primary_location.source.type | journal |
| primary_location.source.is_oa | True |
| primary_location.source.issn_l | 2328-8957 |
| primary_location.source.is_core | True |
| primary_location.source.is_in_doaj | True |
| primary_location.source.display_name | Open Forum Infectious Diseases |
| primary_location.source.host_organization | https://openalex.org/P4310311648 |
| primary_location.source.host_organization_name | Oxford University Press |
| primary_location.source.host_organization_lineage | https://openalex.org/P4310311648 |
| primary_location.license | cc-by |
| primary_location.pdf_url | https://academic.oup.com/ofid/article-pdf/10/Supplement_2/ofad500.1045/53755342/ofad500.1045.pdf |
| primary_location.version | publishedVersion |
| primary_location.raw_type | journal-article |
| primary_location.license_id | https://openalex.org/licenses/cc-by |
| primary_location.is_accepted | True |
| primary_location.is_published | True |
| primary_location.raw_source_name | Open Forum Infectious Diseases |
| primary_location.landing_page_url | https://doi.org/10.1093/ofid/ofad500.1045 |
| publication_date | 2023-11-27 |
| publication_year | 2023 |
| referenced_works_count | 0 |
| abstract_inverted_index.1 | 164 |
| abstract_inverted_index.3 | 61 |
| abstract_inverted_index.7 | 57 |
| abstract_inverted_index.A | 288 |
| abstract_inverted_index.a | 23, 48, 81, 95, 104, 217 |
| abstract_inverted_index.30 | 283 |
| abstract_inverted_index.65 | 200 |
| abstract_inverted_index.At | 167 |
| abstract_inverted_index.In | 18 |
| abstract_inverted_index.It | 2 |
| abstract_inverted_index.J. | 332 |
| abstract_inverted_index.M. | 339 |
| abstract_inverted_index.We | 46, 102 |
| abstract_inverted_index.an | 40, 153, 189, 325 |
| abstract_inverted_index.as | 39, 76, 94 |
| abstract_inverted_index.at | 131, 184, 206, 215 |
| abstract_inverted_index.if | 35, 80 |
| abstract_inverted_index.is | 3, 320 |
| abstract_inverted_index.it | 36 |
| abstract_inverted_index.no | 270 |
| abstract_inverted_index.of | 52, 67, 141, 158, 174, 192, 279, 294, 318 |
| abstract_inverted_index.or | 99 |
| abstract_inverted_index.to | 15, 33, 55, 116, 152, 322 |
| abstract_inverted_index.we | 21, 127 |
| abstract_inverted_index.2). | 166 |
| abstract_inverted_index.95% | 202, 211 |
| abstract_inverted_index.MD, | 334 |
| abstract_inverted_index.RVs | 137, 162, 177, 196, 222, 242, 275 |
| abstract_inverted_index.The | 213 |
| abstract_inverted_index.age | 198 |
| abstract_inverted_index.all | 29, 230, 297 |
| abstract_inverted_index.and | 13, 87, 138, 148, 165, 204, 262, 276, 324 |
| abstract_inverted_index.are | 8, 252 |
| abstract_inverted_index.for | 11, 28, 43, 111, 122, 136, 161, 176, 195, 221, 229, 241, 248, 274, 296, 308, 328 |
| abstract_inverted_index.led | 151 |
| abstract_inverted_index.one | 208 |
| abstract_inverted_index.the | 56, 88, 129, 168, 171, 185, 277, 292 |
| abstract_inverted_index.use | 194, 228 |
| abstract_inverted_index.was | 85, 178, 223, 269 |
| abstract_inverted_index.who | 236, 305 |
| abstract_inverted_index.≥ | 199 |
| abstract_inverted_index.Care | 63, 70 |
| abstract_inverted_index.Inc: | 344 |
| abstract_inverted_index.Iowa | 68 |
| abstract_inverted_index.RVs. | 123 |
| abstract_inverted_index.also | 243 |
| abstract_inverted_index.days | 284 |
| abstract_inverted_index.mean | 172 |
| abstract_inverted_index.more | 237, 244 |
| abstract_inverted_index.most | 9 |
| abstract_inverted_index.odds | 191 |
| abstract_inverted_index.such | 93 |
| abstract_inverted_index.that | 25, 109, 251, 290 |
| abstract_inverted_index.this | 19, 316 |
| abstract_inverted_index.tool | 327 |
| abstract_inverted_index.type | 317 |
| abstract_inverted_index.were | 74, 145, 160 |
| abstract_inverted_index.with | 120, 188, 226, 303 |
| abstract_inverted_index.(1-3) | 115 |
| abstract_inverted_index.(RVs) | 79 |
| abstract_inverted_index.36.4% | 179 |
| abstract_inverted_index.Kelly | 338 |
| abstract_inverted_index.There | 144, 268 |
| abstract_inverted_index.Using | 124 |
| abstract_inverted_index.audit | 12 |
| abstract_inverted_index.built | 103 |
| abstract_inverted_index.coded | 86 |
| abstract_inverted_index.could | 37 |
| abstract_inverted_index.least | 207 |
| abstract_inverted_index.model | 108 |
| abstract_inverted_index.often | 238, 245 |
| abstract_inverted_index.other | 139 |
| abstract_inverted_index.serve | 38 |
| abstract_inverted_index.study | 51 |
| abstract_inverted_index.these | 159 |
| abstract_inverted_index.tiers | 114 |
| abstract_inverted_index.tract | 31, 83, 299 |
| abstract_inverted_index.types | 140 |
| abstract_inverted_index.viral | 254 |
| abstract_inverted_index.which | 5, 132, 216 |
| abstract_inverted_index.11.6). | 182 |
| abstract_inverted_index.44,498 | 156 |
| abstract_inverted_index.96,546 | 149 |
| abstract_inverted_index.Daniel | 331 |
| abstract_inverted_index.Future | 311 |
| abstract_inverted_index.Gilead | 342 |
| abstract_inverted_index.Health | 69 |
| abstract_inverted_index.Merck: | 335 |
| abstract_inverted_index.Urgent | 62 |
| abstract_inverted_index.Visits | 73 |
| abstract_inverted_index.always | 253 |
| abstract_inverted_index.assess | 314 |
| abstract_inverted_index.cohort | 50 |
| abstract_inverted_index.during | 71 |
| abstract_inverted_index.having | 205 |
| abstract_inverted_index.lacked | 90 |
| abstract_inverted_index.metric | 24, 42, 289, 319 |
| abstract_inverted_index.return | 280 |
| abstract_inverted_index.should | 313 |
| abstract_inverted_index.study, | 20 |
| abstract_inverted_index.visits | 54, 78, 231, 281 |
| abstract_inverted_index.within | 65, 282 |
| abstract_inverted_index.(29.1%) | 150 |
| abstract_inverted_index.(46.1%) | 157 |
| abstract_inverted_index.(Tables | 163 |
| abstract_inverted_index.(n=89), | 170 |
| abstract_inverted_index.0.001), | 257, 261 |
| abstract_inverted_index.0.001). | 234, 267 |
| abstract_inverted_index.331,496 | 146 |
| abstract_inverted_index.Factors | 183 |
| abstract_inverted_index.Methods | 45 |
| abstract_inverted_index.PharmD, | 341 |
| abstract_inverted_index.Results | 143 |
| abstract_inverted_index.Support | 337 |
| abstract_inverted_index.between | 272 |
| abstract_inverted_index.certain | 100 |
| abstract_inverted_index.factors | 118 |
| abstract_inverted_index.metrics | 7 |
| abstract_inverted_index.patient | 89 |
| abstract_inverted_index.studies | 312 |
| abstract_inverted_index.unclear | 4 |
| abstract_inverted_index.visits, | 147 |
| abstract_inverted_index.visits. | 142, 310 |
| abstract_inverted_index.walk-in | 58, 309 |
| abstract_inverted_index.whether | 315 |
| abstract_inverted_index.(OR=1.2; | 210 |
| abstract_inverted_index.(OR=1.5; | 201 |
| abstract_inverted_index.(r=0.11, | 285 |
| abstract_inverted_index.(r=0.49, | 259 |
| abstract_inverted_index.(r=0.69, | 265 |
| abstract_inverted_index.(r=0.73, | 255 |
| abstract_inverted_index.(r=0.77, | 232 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Livorsi, | 333 |
| abstract_inverted_index.Sciences | 343 |
| abstract_inverted_index.adjusted | 110 |
| abstract_inverted_index.captures | 26 |
| abstract_inverted_index.clinics, | 59 |
| abstract_inverted_index.compared | 128 |
| abstract_inverted_index.explored | 22 |
| abstract_inverted_index.factors, | 92 |
| abstract_inverted_index.feedback | 14 |
| abstract_inverted_index.identify | 117 |
| abstract_inverted_index.included | 197 |
| abstract_inverted_index.logistic | 106 |
| abstract_inverted_index.over-use | 306 |
| abstract_inverted_index.p=0.29). | 286 |
| abstract_inverted_index.strongly | 224, 302 |
| abstract_inverted_index.(standard | 180 |
| abstract_inverted_index.Percival, | 340 |
| abstract_inverted_index.clinician | 218 |
| abstract_inverted_index.determine | 34 |
| abstract_inverted_index.deviation | 181 |
| abstract_inverted_index.diagnoses | 32, 300 |
| abstract_inverted_index.diagnosis | 84 |
| abstract_inverted_index.effective | 10, 326 |
| abstract_inverted_index.feedback. | 44, 329 |
| abstract_inverted_index.frequency | 130, 173, 214, 278, 293 |
| abstract_inverted_index.in-person | 53 |
| abstract_inverted_index.including | 60 |
| abstract_inverted_index.increased | 190 |
| abstract_inverted_index.infection | 98 |
| abstract_inverted_index.p&lt; | 233, 256, 260, 266 |
| abstract_inverted_index.performed | 47 |
| abstract_inverted_index.sinusitis | 258 |
| abstract_inverted_index.2018-2022. | 72 |
| abstract_inverted_index.Background | 1 |
| abstract_inverted_index.Clinicians | 235 |
| abstract_inverted_index.Conclusion | 287 |
| abstract_inverted_index.University | 66 |
| abstract_inverted_index.acceptable | 321 |
| abstract_inverted_index.antibiotic | 112, 154, 193, 227 |
| abstract_inverted_index.associated | 119, 187 |
| abstract_inverted_index.clinicians | 133, 304, 323 |
| abstract_inverted_index.correlated | 225, 301 |
| abstract_inverted_index.infections | 250 |
| abstract_inverted_index.locations, | 64 |
| abstract_inverted_index.outpatient | 16 |
| abstract_inverted_index.prescribed | 134, 219, 239, 246 |
| abstract_inverted_index.quantifies | 291 |
| abstract_inverted_index.regression | 107 |
| abstract_inverted_index.CI=1.4-1.6) | 203 |
| abstract_inverted_index.Disclosures | 330 |
| abstract_inverted_index.antibiotics | 135, 220, 240, 247, 307 |
| abstract_inverted_index.appropriate | 41 |
| abstract_inverted_index.categorized | 75 |
| abstract_inverted_index.clinicians. | 17 |
| abstract_inverted_index.comorbidity | 209 |
| abstract_inverted_index.concomitant | 96 |
| abstract_inverted_index.correlation | 271 |
| abstract_inverted_index.pharyngitis | 264 |
| abstract_inverted_index.respiratory | 30, 77, 82, 249, 298 |
| abstract_inverted_index.stewardship | 6 |
| abstract_inverted_index.visit-level | 186 |
| abstract_inverted_index.CI=1.1-1.2). | 212 |
| abstract_inverted_index.Spearman’s | 125 |
| abstract_inverted_index.complicating | 91 |
| abstract_inverted_index.correlation, | 126 |
| abstract_inverted_index.hierarchical | 105 |
| abstract_inverted_index.prescription; | 155 |
| abstract_inverted_index.retrospective | 49 |
| abstract_inverted_index.Grant/Research | 336 |
| abstract_inverted_index.comorbidities. | 101 |
| abstract_inverted_index.appropriateness | 113 |
| abstract_inverted_index.clinician-level | 169 |
| abstract_inverted_index.non-respiratory | 97 |
| abstract_inverted_index.non-streptococcal | 263 |
| abstract_inverted_index.Advisor/Consultant | 345 |
| abstract_inverted_index.antibiotic-prescribing | 27, 121, 175, 273, 295 |
| cited_by_percentile_year.max | 95 |
| cited_by_percentile_year.min | 91 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 9 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.7099999785423279 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.7264866 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |