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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
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Published on: August 30, 2018

An informed public's views on reducing antibiotic overuse.

Jennifer Richmond1,2, Rikki Mangrum1, Grace Wang3

  • 1Research and Evaluation, American Institutes for Research, Chapel Hill, North Carolina.

Health Services Research
|June 8, 2019
PubMed
Summary

Informed public deliberation increased support for government limits on antibiotic prescriptions. Patients, physicians, and governments must collaborate on antibiotic stewardship to combat overuse.

Keywords:
antibiotic stewardshipevidence-based practicehealth promotionpatient engagementpublic deliberation

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Area of Science:

  • Public Health
  • Health Policy
  • Medical Sociology

Background:

  • Antibiotic overuse is a significant public health concern.
  • Public understanding and attitudes are crucial for effective antibiotic stewardship.
  • Public deliberation offers a method to gather informed public input on complex health issues.

Purpose of the Study:

  • To assess public attitudes towards antibiotic overuse.
  • To explore public recommendations for addressing antibiotic overuse.
  • To evaluate the impact of public deliberation on attitudes regarding antibiotic prescription limits.

Main Methods:

  • Mixed-methods analysis of quantitative and qualitative data from a randomized control trial.
  • Pre/post-deliberation surveys comparing deliberation groups (Community Deliberation and Citizens' Panel) with a control group.
  • Qualitative analysis of deliberation transcripts to contextualize survey findings.

Main Results:

  • Deliberation participants showed a greater shift in attitude supporting government limits on antibiotic prescriptions compared to the control group.
  • Participants expressed a lack of awareness regarding antibiotic overuse and advocated for public education.
  • Discussions revealed a tension between patient/physician autonomy and societal protection from antibiotic-related harms.
  • Participants recognized the roles of patients, physicians, and government in antibiotic stewardship.

Conclusions:

  • Informing the public about the consequences of antibiotic overuse can increase receptiveness to prescription limits.
  • Collaborative partnerships between communities, physicians, and government are essential for developing effective antibiotic stewardship solutions.