在中国西北部农村地区探索延迟抗生素处方的促进者和障碍:使用理论领域框架和行为变化轮的定性研究
Haishaerjiang Wushouer1,2, Weihsin Ko1, Kexin Du1
1Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmaceutical Sciences, Peking University, Beijing 100191, China.
Antibiotics (Basel, Switzerland)
|December 23, 2023
概括
在中国,延迟的抗生素处方 (DAP) 采用面临障碍. 通过教育和政策克服这些问题,可以在全球范围内减少滥用抗生素和抗菌素耐药性.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 卫生政策 卫生政策
背景情况:
- 抗菌素耐药性 (AMR) 是一种由滥用抗生素驱动的全球健康危机.
- 延迟抗生素处方 (DAP) 是一种制抗生素过度使用的策略,但其在中国等发展中国家的实施有限.
- 本研究调查了中国新疆的DAP障碍和促进因素,重点关注农村初级保健机构.
研究的目的:
- 确定在中国新疆农村地区采用延迟抗生素处方 (DAP) 的障碍和促进因素.
- 了解影响DAP实施的行为和政策因素.
- 为减少滥用抗生素和打击抗菌素耐药性的战略提供信息.
主要方法:
- 使用对30名参与者 (医生,药剂师,患者,护理人员) 的关键信息人采访的定性方法在新疆六个县医院.
- 针对不同经济领域的两阶段抽样.
- 使用理论领域框架 (TDF) 和行为变化轮 (BCW) 组织的数据.
主要成果:
- 医生 (12) 考虑了DAP,而患者 (5) 和护理人员 (6) 遇到了DAP建议. 药剂师向6名患者提供了抗生素必要性建议.
- 确定的主要TDF领域是记忆,注意力和对后果的信念.
- 有效的干预功能包括教育和环境重组;重要的政策类别是沟通/营销和指导方针.
结论:
- 战略资源分配,全面教育,严格培训和一致的监测对于克服在中国采用DAP的障碍至关重要.
- 在中国农村卫生保健机构实施DAP可以显著减少对抗生素的滥用.
- 成功采用DAP对于减轻抗菌素耐药性的全球威胁至关重要.
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