Clinical outcomes of patients with upper respiratory tract infections and acute sinusitis managed with a web-based protocol in primary care practice

Robert J. Stroebel, Thomas G. McLeod, John M. Kitsteiner, Sidna M. Scheitel, Holly K. Van Houten, James M. Naessens, Rajeev Chaudhry

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

A Web-based system for management of patients with symptoms of upper respiratory tract infection (URI) or sinusitis was developed and implemented for a primary care practice. Researchers conducted a retrospective analysis of the clinical records of 241 patients who accessed the Web-based protocol for these symptoms. A total of 137 patients (57%) fulfilled the criteria for management of their symptoms by registered nurses who followed established treatment guidelines; 51 patients were diagnosed as having URI symptoms and 86 with symptoms of acute sinusitis. For 84% of the patients with URI symptoms, no antibiotics were prescribed. First-line antibiotics were prescribed for 80% of the patients with sinusitis. The outcomes were no different from those of patients who had been treated with the same guidelines using a telephone protocol. Web-based protocolized care proved efficient, and exhibits outcomes similar to those derived from telephone-based treatment.

Original languageEnglish (US)
Pages (from-to)17-22
Number of pages6
JournalManaged care interface
Volume20
Issue number6
StatePublished - Jun 1 2007

ASJC Scopus subject areas

  • Health Policy

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    Stroebel, R. J., McLeod, T. G., Kitsteiner, J. M., Scheitel, S. M., Van Houten, H. K., Naessens, J. M., & Chaudhry, R. (2007). Clinical outcomes of patients with upper respiratory tract infections and acute sinusitis managed with a web-based protocol in primary care practice. Managed care interface, 20(6), 17-22.