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Institution: University of Washington, Seattle
Grant Title: Doctor-Parent Communication and Antibiotic Over-Prescribing
Grant Number: K02 HS013299
Duration: 5 years (2002-2007)
Total Award: $473,850
Project Description: This project had four main
- Explore what systematic communication behaviors parents use to
express their desires for antibiotic prescriptions.
- Examine what parent
communication behaviors lead to both accurate and inaccurate physician
perceptions of parental expectations of antibiotics.
- Determine if physician
perceptions of parent expectations are associated with antibiotic prescribing
for viral conditions and higher rates of assigning bacterial diagnoses to upper
- Determine if specific physician communication
behaviors are associated with increased parental satisfaction when expectations
for unnecessary antibiotics are not fulfilled.
Career Goals: Dr. Mangione-Smith received
her M.D. from Wayne State University in Detroit and did her pediatric residency
at Children's Memorial Medical Center at Northwestern University in Chicago. She was a Robert Wood Johnson Clinical Scholar at the University of California, Los Angeles (UCLA), where she earned her
M.P.H.. She is currently in the Department of Pediatrics at the University of Washington in Seattle and continues to do research in the area of antibiotic
Progress to Date: This grant has been
completed. See the publications listed below for research highlights.
Highlights and Specific Accomplishments:
Pediatric Research Consultant,
Health Program, RAND.
for Health Services Research and Health Policy.
Mangione-Smith R, Onstad K, Wong L, Roski J. Deciding not to measure performance:
The case of acute otitis media. Joint Commission Journal on Quality and
Mangione-Smith R, Elliott MN, Stivers T, et al. Racial/ethnic variation
in parent expectations for antibiotics: Implications for public health campaigns. Pediatrics 2004. 113(5)e385-e94.
Mangione-Smith R, Stivers T, Elliott M, et al. Online commentary during
the physical examination: A communication tool for avoiding inappropriate antibiotic
prescribing? Social Science & Medicine 2003. 56:313-20.
Stivers T, Mangione-Smith
R, Elliott MN, et al. Why do physicians think parents expect antibiotics?
What parents report vs what physicians believe. Journal of Family Practice
Mangione-Smith R, Elliott MN, Stivers T. Are we sending the right
message? Archives of Pediatric and Adolescent Medicine 2006. 160:945-52.
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