The project is a pragmatic approach to primary care. The main objective is to evaluate the impact of making a CRP measurement device available in primary care general practices on antibiotic prescribing for upper respiratory tract (URT) or lower respiratory tract (LRT) infections.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
140
The 70 GPs in the intervention arm will be able to measure CRP levels by using the Quick read GO in patients with upper or lower respiratory tract infections
MSPU des 3 provinces
Champlitte, Franche-Comté, France
Antibiotic dispensing rate
This calculated index is defined by the French health insurance scheme as the "number of antibiotic treatments per 100 patients aged 16 to 65 / attending physician". It is expressed as a percentage.
Time frame: through study completion, an average of 1 year
antibiotics prescriptions in other unit of measure
defined daily doses delivered per 1000 patients in both groups (doctors with or whitout TROD)
Time frame: through study completion, an average of 1 year
Factors influencing the modulation of antibiotic dispensing
factors may be influence the modulation of antibiotic dispensing: * age of physician in year (age group or average age) * physician gender, qualitative data (number of male gender or number of femal gender) * practitioner training supervisor or not, qualitative date "yes" or "not" * physician geographical location, qualitative data (rural or urban) * type of exercice, qualitative data (medical center or single exercice) * seasonal effect, comparison of various parameters according to the winter or summer period * volume of patients followed by years (number of patients treated by the general practitioner by year) * type of patients followed : number of patients with or without long-term illness followed by the GP, age (years) of patients followed by the GP, gender of patients (in number or percentage) followed by the GP
Time frame: baseline and one year
Evolution of antibiotic dispensing in the daily delivered dose in both GP's groups (doctors with and without TROD)
temporal variability in the daily delivered dose of antibiotics prescriptions in both GP's groups (doctors with and without TROD)
Time frame: baseline and 3 months, baseline and 6 months, baseline and 1 year, between winter and summer period
Complementary radiological and biological examinations
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* number of chest X-rays prescribed in both groups (doctors with and without TROD) * number of biological examinations (blood counts, CRP, ferritinemia, firinogen, urine cytobacteriological examination) prescribed in both groups (doctors with and without TROD);
Time frame: one year