在撒哈拉以南非洲实施临床决策支持系统用于抗菌素处方:多部门定性研究
Nathan Peiffer-Smadja1,2,3, Sophie Descousse1, Elsa Courrèges1
1Université Paris Cité et Université Sorbonne Paris Nord, Inserm, IAME, Paris, France.
Journal of medical Internet research
|October 7, 2024
概括
在西非实施用于抗菌素处方的临床决策支持系统 (CDSS) 需要根据当地需求和不同的医疗保健专业人员量身定制. 解决个人,系统和国家因素是改善抗菌素使用和打击耐药性的关键.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 实施科学 实施科学
背景情况:
- 低于最佳的抗菌素使用导致西非的抗菌素耐药性.
- 临床决策支持系统 (CDSS) 为传播可靠的处方建议提供了一条途径.
研究的目的:
- 评估影响西非和中非抗菌素处方CDSS实施的因素.
- 为在这些地区实施CDSS确定量身定制的战略.
主要方法:
- 质量研究涉及21次与医疗保健专业人员进行的半结构面试.
- 采访采用了实施研究综合框架的构造.
- 对转录的采访数据进行了主题分析.
主要成果:
- 在个人 (以用户为中心的设计,多样化的处方者),医疗保健系统和国家层面 (软弱的法规,缺乏指南) 存在实施挑战.
- 一个CDSS必须适应非专业的处方者,包括护士和助产士,除了医生.
- 通过伙伴关系和利益相关者的参与,建立一个强大的电子健康生态系统至关重要.
结论:
- 针对非专业的处方医生量身定制的CDSS可以加强对抗菌素使用的临床决策.
- 跨学科的方法对于理解和解决实施的社会,政治和经济决定因素至关重要.
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