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使用在线平台测试关于不必要抗生素的不同信息风格.

Säde Stenlund1,2,3, Kirstin C Appelt4, Matthew B Ruby5

  • 1BC Centre for Disease Control, Vancouver, BC V5Z 4R4, Canada.

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概括

医生可以通过讨论抗生素耐药性来减少不必要的抗生素处方. 患者对耐药性的担忧提高了满意度,并减少了抗生素要求,而不会损害医生与患者的关系.

关键词:
抗生素传递信息的方法抗生素处方 抗生素的处方抗生素耐药性 抗生素耐药性抗微生物药物管理管理卫生沟通健康沟通

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科学领域:

  • 健康行为健康行为
  • 医学教育 医学教育
  • 公共卫生 公共卫生

背景情况:

  • 患者的期望显著推动了不必要的抗生素处方.
  • 关于医生策略管理患者抗生素期望的研究有限.
  • 抗生素耐药性是一个日益增长的全球健康威胁.

研究的目的:

  • 研究不同沟通策略如何影响患者对抗生素的期望.
  • 评估消息对患者满意度和医生建议的影响.
  • 在讨论抗生素使用后果时探索医生与患者的关系.

主要方法:

  • 两项涉及2000多名参与者的研究模拟了鼻炎的医疗预约.
  • 随机分配阅读正面,中立,负面或强调抗生素对社会/个人伤害的信息.
  • 对消息对抗生素要求,满意度和医生建议的影响的探索性分析.

主要成果:

  • 没有任何预先注册的假设得到支持.
  • 一个强调过度使用抗生素对社会有害的信息,增加了患者对抗生素耐药性的担忧.
  • 对于抗生素耐药性的担忧增加与较少的抗生素要求和更高的患者满意度有关,当抗生素没有被处方时.

结论:

  • 沟通过度使用抗生素对社会造成的伤害可以是一个有效的策略,以减少患者对不必要抗生素的需求.
  • 讨论抗生素耐药性的问题并没有对医生与患者的关系产生负面影响.
  • 这种方法提供了一种廉价的方法,可以预先测试影响抗生素消费行为的信息.