+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Regional variation in antibiotic prescribing among medicare part D enrollees, 2013



Regional variation in antibiotic prescribing among medicare part D enrollees, 2013



Bmc Infectious Diseases 16(1): 744



Antibiotics are among the most widely prescribed medications. The geographic variation in antibiotic prescribing patterns and associated costs among Medicare Part D recipients have not been described. The purpose of this study was to assess the regional variation in antibiotic prescriptions and costs among Medicare Part D enrollees in 2013. Retrospective cohort review of all Medicare Part D enrollees in 2013, using the Medicare Provider Utilization and Payment Data: Part D Prescriber Public Use File. All original or refill prescription claims for antibiotics as listed in the Part D Prescriber Public Use File were included. Our primary outcomes were total antibiotic claims and antibiotic cost per Medicare Part D Enrollee. Data were analyzed descriptively by state and by geographic region as defined by the United States Census Bureau. Antibiotic claims were described overall and by antibiotic class. Over 54 million outpatient antibiotic claims were filed for Part D enrollees in 2013, representing more than $1.5 billion in total antibiotic expenditures. Antibiotic use was highest in the South (1,623 claims/1,000 enrollees), followed by the Midwest (1,401 claims/1,000 enrollees), Northeast (1,366 claims/1,000 enrollees), and West (1,292 claims/1,000 enrollees). Average antibiotic costs per enrollee in each region were as follows: South $46.58, Northeast $43.70, Midwest $40.54, and West $36.42. Fluoroquinolones were the most commonly prescribed class overall (12.2 million claims). Antibiotic use among elderly Medicare enrollees in the United States was highest in the South region. Fluoroquinolones were the most common antibiotics used in all regions. These patterns could be utilized in the development of targeted antimicrobial stewardship efforts.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 058722535

Download citation: RISBibTeXText

PMID: 27938336

DOI: 10.1186/s12879-016-2091-0


Related references

Antibiotic Prescribing Trends Among US Dermatologists in Medicare From 2013-2016. Journal of Dermatological Treatment 2019: 1-7, 2019

Access to medications for medicare enrollees related to race/ethnicity: Results from the 2013 Medicare Current Beneficiary Survey. Research in Social and Administrative Pharmacy 13(6): 1208-1213, 2016

Medicare program; standards for e-prescribing under Medicare Part D and identification of backward compatible version of adopted standard for e-prescribing and the Medicare prescription drug program (version 8.1). Final rule. Federal Register 73(67): 18917-18942, 2008

Risk factors of self-reported adverse drug events among Medicare enrollees before and after Medicare Part D. Pharmacy Practice 7(4): 218-227, 2009

Emergency Providers' Opioid Prescribing Behaviors Among Medicare Part D Beneficiaries in North Carolina, 2013-2014: Medication Utilization and Costs. North Carolina Medical Journal 79(3): 143-148, 2018

Visualizing nationwide variation in medicare Part D prescribing patterns. Bmc Medical Informatics and Decision Making 18(1): 103, 2018

Regional variation in outpatient antibiotic prescribing in Germany. Infection 34(5): 269-273, 2006

Regional variation in Medicare Part D drug spending. New England Journal of Medicine 366(19): 1842; Author Reply 1842-3, 2012

Geographic variation in pharmacotherapy decisions for U.S. Medicare enrollees with diabetes. Journal of Diabetes and Its Complications 26(4): 301-307, 2013

Racial variation in quality of care among Medicare+Choice enrollees. Health Affairs 21(6): 224-230, 2002

Sources of regional variation in Medicare Part D drug spending. New England Journal of Medicine 366(6): 530-538, 2012

Do Medicare Advantage enrollees tend to be admitted to hospitals with better or worse outcomes compared with fee-for-service enrollees?. International Journal of Health Care Finance and Economics 10(2): 171-185, 2010

Medicare Advantage Enrollees More Likely To Enter Lower-Quality Nursing Homes Compared To Fee-For-Service Enrollees. Health Affairs 37(1): 78-85, 2018

Regional Variation in Pharmacist Perception of the Financial Impact of Medicare Part D. Pharmacy 6(3), 2018

Unexpected geographic variation in rates of hospitalization for patients who have fracture of the hip medicare enrollees in the usa. Journal of Bone & Joint Surgery American Volume 72(9): 1294-1298, 1990