COVID-19大流行对英格兰一般实践的抗菌管理支持的影响:一个定性面试研究
Anne Campbell1, Aleksandra J Borek2, Monsey McLeod1,3,4
1National Institute for Health Research (NIHR), Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Imperial College London, London, UK.
在初级保健中,抗微生物药物管理 (AMS) 的支持被COVID-19降低了优先级,并被破坏. 未来的AMS策略必须重新确定优先级,并将新的方法与熟悉的方法结合起来,以改善处方员的参与.
科学领域:
- 公共卫生 公共卫生
- 传染病管理 传染病管理
- 医疗保健政策 医疗保健政策
背景情况:
- 英国的临床委托组 (CCG) 和初级保健网络 (PCN) 支持抗菌药物管理 (AMS).
- "COVID-19"大流行严重影响了医疗保健的提供和优先事项.
研究的目的:
- 探索CCG和PCN工作人员关于AMS支持的观点和经验.
- 了解COVID-19大流行对初级保健中的AMS支持的影响.
主要方法:
- 质量研究涉及半结构化采访,与负责AMS的CCG和PCN人员进行了质量研究.
- 采访通过电话在两个时间点进行,录音,转录,并进行主题分析.
主要成果:
- AMS的支持被取消优先级,以维持一般实践运营和COVID-19疫苗的交付.
- 社会距离扰乱了关系建设和AMS活动,影响了挑战处方的能力.
- 确定了技术整合和利用改变公众对自我护理的看法的机会.
结论:
- 在综合护理系统 (ICS) 中,抗菌药物管理 (AMS) 需要在流行病后的一般实践中重新确定优先级.
- 未来的AMS干预措施应该将新的策略与熟悉的策略结合起来,以重新吸引处方者.
- 行为改变干预措施应侧重于改善沟通和利用公共卫生转变.
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