实施国家抗菌管理培训计划的实施:一个案例研究.
Donna Cooper1, Claire Stevens2, Conor Jamieson3
1Black Country Integrated Care Board, Wolverhampton WV1 1SH, UK.
Antibiotics (Basel, Switzerland)
|February 26, 2025
概括
将抗菌药物管理 (AMS) 培训与激励计划联系起来,成功地提高了临床医生的参与度和实施新实践的意图. 这种方法显示出在一般实践中更广泛地实施AMS培训的希望.
科学领域:
- 公共卫生 公共卫生
- 医学教育 医学教育
- 传染病管理 传染病管理
背景情况:
- 英格兰的一般医生处方约占所有抗生素的71%.
- 有效的抗微生物药物管理 (AMS) 培训实施面临着覆盖和吸收方面的挑战.
- 本案例研究评估了将TARGET (负责任地处理抗生素,指导,教育和工具) AMS培训嵌入到当地激励计划中.
研究的目的:
- 探索将TARGET AMS培训整合到当地激励计划中的可行性,可接受性和有用性.
- 评估激励计划对临床医生参与AMS培训的影响.
- 测量临床医生在培训后实施AMS策略的意图.
主要方法:
- 黑国综合护理委员会 (ICB) 的一般实践人员被邀请参加了一个TARGET AMS培训活动,与当地激励计划相关的出席.
- 研讨会前后的调查收集了有关AMS和TARGET工具包的知识,态度,行为和实施意图的数据.
- 对收集的调查数据进行了描述性分析.
主要成果:
- 高比例的参与者 (89%) 认为培训课程有价值.
- 超过82%的人打算使用TARGET工具包,超过90%的人计划实施各种AMS策略.
- 大多数 (77%) 计划在培训后3-6个月内实施这些策略.
结论:
- 将AMS培训纳入当地激励计划似乎是一个可行的和有效的方法,以增加培训覆盖范围.
- 临床医生的高度参与和实施AMS策略的意图表明,这种方法可以建立对改善抗菌素处方的信心.
- 虽然对处方率的直接影响需要进一步评估,但初步结果支持这种创新的培训实施模式.
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