"服用药丸比解决问题要容易:"对监狱环境中实施抗菌药物管理计划的障碍和促进者的定性分析
Rebecca A Tenner1,2, Emily D Grussing3,4, David Manning3,5
1Division of Geographic Medicine and Infectious Disease, Department of Medicine, Tufts Medical Center, Boston, MA, USA. rebeccatenner@gmail.com.
在美国监狱环境中实施抗微生物管理计划 (ASP) 面临着诸如变量知识和对变化的抵抗等障碍. 促进者包括教育和政策制定,以打击抗菌素耐药性 (AMR).
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 卫生政策 卫生政策
背景情况:
- 广泛的抗生素处方加速了抗菌素耐药性 (AMR).
- 关于美国监狱环境中的抗微生物管理计划 (ASP) 障碍物和促进者的研究有限.
- 美国传染病学会的监管建议在监狱中没有得到广泛的实施.
研究的目的:
- 确定在美国监狱环境中实施抗微生物管理计划 (ASP) 的障碍和促进者.
- 了解利益相关者的观点,以改善监狱中的抗生素处方.
- 在刑事司法系统中,为有效的ASP的发展提供信息.
主要方法:
- 使用对68个主要利益相关者的深入访谈进行定性研究.
- 参与者包括马萨诸塞州的监禁人员,监狱临床医生,惩教人员和社区临床医生.
- 理论领域框架指导了采访和分析过程.
主要成果:
- 确定了四个关键障碍:监狱被认为是高感染率的环境,可变的AMR/ASP知识,临床医生对监督的抵抗力和竞争的优先事项.
- 确定了三个关键促进者:对改善监狱医疗保健叙述的兴趣,ASP/AMR的教育机会,以及开发支持系统/政策.
- 主题在各利益相关者群体中各不相同,但也存在于他们之间.
结论:
- 这是第一个探索ASP实施的定性研究,使用美国监狱环境中的各种刑事法律利益相关者来探索ASP实施.
- 调查结果突出了针对特定障碍的定制策略的必要性,并利用已识别的促进者.
- 在监狱环境中进一步开发和实施ASP对于打击AMR至关重要.
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