使用行为框架来优化家庭医学医生对抗生素的处方
Samantha Moe1, Tiffany Kan2, Charlene Soobiah3
1The College of Family Physicians of Canada.
MedEdPublish (2016)
|March 15, 2024
概括
家庭医学专科医生面临的障碍是对上呼吸道感染 (URTI) 进行适当的抗生素处方,受社会因素和诊断不确定性的影响. 教育干预可以解决这些问题.
科学领域:
- 医学教育 医学教育
- 抗微生物药物管理委员会
- 初级保健研究研究初级保健研究
背景情况:
- 过度处方抗生素有助于全球抗菌素耐药性.
- 医疗学员对于实施抗微生物药物管理至关重要.
- 了解家庭医学医生处方影响是关键.
研究的目的:
- 检查影响家庭医学专科医生对URTI的抗生素处方的因素.
- 确定适当使用抗生素的教育干预措施.
- 应用理论领域框架 (TDF) 和行为变化轮 (BCW).
主要方法:
- 针对家庭医学专科医生进行半结构面试的有目的抽样.
- 主题和指导数据收集.
- 采访采用TDF编码,信仰陈述被归类为支持者或障碍者.
主要成果:
- 九个TDF域与抗生素处方有关.
- 社会影响 (教师,患者) 和学习目标是主要的主题.
- 诊断不确定性挑战了居民对能力的信念.
结论:
- 多个TDF域影响家庭医学住院抗生素处方对URTI.
- 通过BCW识别的9个干预功能可以指导教育策略.
- 需要有针对性的干预措施来改善初级保健中的抗生素管理.
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