促使父母对上呼吸道感染使用抗生素的决策:一个离散选择实验
Lixia Duan1, Rujiao Lin2, Dan Wang3
1Zhejiang Provincial People's Hospital, Hangzhou, China.
Journal of global health
|December 9, 2024
概括
父母经常会为上呼吸道感染 (URTI) 用抗生素自我治疗孩子,主要是因为症状严重. 干预措施应提高家长评估URTI严重程度和抗生素知识的能力.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 药物经济学 药物经济学
背景情况:
- 抗生素耐药性是一个日益严重的全球性问题.
- 父母对儿童上呼吸道感染 (URTI) 进行抗生素自我治疗,有助于抗生素耐药性.
- 了解父母对儿童抗生素使用的决策至关重要.
研究的目的:
- 探索影响家长自行治疗儿童URTI抗生素的决定的因素.
- 为了识别与抗生素使用有关的父母决策的不同模式.
主要方法:
- 系统审查和深入采访.
- 在中国武汉和重庆进行的离散选择实验.
- 用于分析的混合逻辑和隐性类逻辑模型.
主要成果:
- 症状严重程度是自我治疗的主要驱动因素,其次是感知到的抗生素有效性和安全性.
- 更严重/更长时间的症状,更高的感知有效性和更少的副作用增加了自我治疗的可能性.
- 确定了决策模式:"以症状为导向"",以安全为导向"和"全面考虑".
结论:
- 父母对儿科URTI的抗生素自我治疗主要是由症状感知和感知到的抗生素价值驱动的.
- 建议采取多方面的干预措施,以提高家长对URTI严重程度和抗生素知识的了解.
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