在科索沃的初级保健中,抗菌药物管理的推动因素和障碍:定性研究方案
Erza Selmani1,2, Lul Raka3,4, Shaip Krasniqi3
1Evidence Synthesis Group, Prishtina, Kosovo.
BMJ open
|August 31, 2025
概括
在科索沃实施上呼吸道感染 (URTI) 抗菌管理计划面临重大卫生系统障碍. 解决这些问题对于减少抗生素耐药性和改善初级保健结果至关重要.
科学领域:
- 公共卫生
- 传染性疾病
- 卫生系统研究
背景情况:
- 上呼吸道感染 (URTI) 经常使用抗生素治疗,尽管通常是病毒性,但有助于耐药性.
- 抗菌管理计划对于减轻抗生素耐药性和副作用至关重要.
- 科索沃是一个中高收入国家,尚未实施AMS计划,面临独特的实施挑战.
研究的目的:
- 对科索沃的初级保健机构实施AMS计划的障碍和推动因素进行研究.
- 确定影响科索沃卫生系统采用AMS计划的关键因素.
主要方法:
- 在六个初级保健机构和中央卫生机构采用面试和重点小组的定性案例研究方法.
- 包括各种利益相关者:医疗保健工作者,患者和政策制定者.
- 以"实施研究综合框架"为指导的框架分析数据.
主要成果:
- 卫生系统的结构性缺陷是实施AMS的最重要障碍.
- 经济,社会,技术和法律因素也影响了实施情况.
- 确定了与干预特征,设置,个人特征和实施过程相关的具体主题.
结论:
- 解决卫生系统的结构性缺陷对于科索沃成功实施AMS计划至关重要.
- 需要考虑当地环境的定制策略,以克服已识别的障碍,并促进URTI的AMS.
- 需要进一步的研究和政策干预,以支持在初级保健机构采用AMS.
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