使用干预映射来设计和实施多组件干预,以改善抗生素和NSAID的处方
Thomas J Reese1,2, Amanda S Mixon1,2,3, Michael E Matheny1,2,4
1VA Tennessee Valley Healthcare System, 1310 24th ave S 37212, USA.
Translational behavioral medicine
|October 19, 2023
概括
这项研究系统地设计了一种多组分干预措施,以减少不适当的抗生素和非类固醇抗炎药物 (NSAID) 处方. 干预映射方法解决了行为决定因素和改善处方行为实施障碍.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
- 临床药房 临床药房
背景情况:
- 不适当的抗生素和NSAID处方是一个重大的临床挑战.
- 多组件干预措施是有效的,但开发和实施复杂.
研究的目的:
- 系统地设计和实施多组件干预措施,以减少不适当的抗生素和NSAID处方.
- 在门诊护理环境中解决行为决定因素和实施障碍.
主要方法:
- 利用干预映射框架进行系统的干预设计.
- 进行文献评论和采访处方者和利益相关者.
- 开发了干预组件,包括学术细节,反和订单集.
主要成果:
- 确定了关键的行为决定因素,如患者的社会压力.
- 有针对性的处方行为包括指导方针审查,管理不确定性和患者教育.
- 干预策略涉及临床冠军,准备评估和激励措施.
结论:
- 一种系统的,基于理论的方法可以有效地开发多组件干预措施.
- 本研究提供了一份路线图,用于解决医疗保健机构不适当的处方问题.
- 进一步的试验将评估干预的有效性和实施结果.
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