规范医院内的抗菌素使用:一种定性研究
Jennifer Broom1, Alex Broom2, Katherine Kenny2
1Sunshine Coast University Hospital, Sunshine Coast Hospital and Health Service, 6 Doherty Street, Birtinya, QLD, Australia; University of Queensland, Brisbane, QLD, Australia.
Infection, disease & health
|January 12, 2024
概括
医院管理人员和临床医生应对抗微生物药物管理法规,在满足标准方面面临挑战,而在推动抗微生物药物耐药性的系统性变化方面面临挑战. 有意义的优化需要资源,买入和参与.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 传染性疾病 传染性疾病
- 医疗保健管理的管理
背景情况:
- 抗菌素耐药性 (AMR) 是一个日益增长的全球健康威胁.
- 监管结构旨在改善医院的抗菌药物管理 (AMS).
- 了解利益相关者的经验对于有效的抗菌药物抵抗策略至关重要.
研究的目的:
- 检查医院管理人员和临床医生如何体验AMS和AMR的监管结构和流程.
- 确定在医院内有效优化抗微生物药物的感知需求.
主要方法:
- 这项定性研究涉及42名医院管理人员和临床医生.
- 在澳大利亚三家医院进行.
- 通过个人深入访谈收集的数据,并使用专题分析进行分析.
主要成果:
- 参与者报告说,由于监管要求,AMR的关注度增加.
- 人们担心官僚机构对系统变革的遵守.
- 有效的抗微生物优化需要自上而下的支持,资源和医疗参与.
结论:
- 在监管要求和医院真正的系统变革之间存在着紧张关系.
- 当前的系统可能会满足要求,而不会解决潜在的AMR问题.
- 对抗药物耐药性的强有力的监管结构需要资源,多层次的买入和综合战略.
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