在埃塞俄比亚亚的斯亚贝巴的药品零售店中探索抗菌药物分发的行为决定因素:混合方法研究
Oumer Sada Muhammed1, Mirgissa Kaba Serbessa2, Teferi Gedif Fenta3
1College of Health Sciences, School of Pharmacy, Department of Social and Administrative Pharmacy, Addis Ababa University, Addis Ababa, Ethiopia. oumer.sada@gmail.com.
Scientific reports
|October 17, 2025
概括
在亚的斯亚贝巴,不适当的抗微生物药物分发是常见的,这是由于工作场所的压力和财务激励而不是仅仅是知识所驱动的. 药房专业人员是药房专业人员.
科学领域:
- 全球健康 全球健康
- 制药科学 制药科学
- 行为科学 行为科学
背景情况:
- 抗菌素耐药性 (AMR) 构成了全球重大健康挑战.
- 不适当的抗微生物药物分发实践,特别是在资源不足的环境中,加剧了AMR.
- 影响抗微生物药物分配的行为决定因素需要进一步调查.
研究的目的:
- 探索在亚的斯亚贝巴的药房专业人员中抗菌药物分发的行为驱动因素.
- 确定影响适当和不适当的抗微生物药物分发实践的因素.
主要方法:
- 在埃塞俄比亚的亚的斯亚贝巴进行了融合,并行混合方法的研究.
- 对240名药房专业人员进行定量调查,评估基于TDF的决定因素和发行行为.
- 与16名专业人士进行了定性深度访谈,以探索背景细微差别.
主要成果:
- 在53.75%的病例中发生了不适当的抗微生物药物分发.
- 人口和行为因素解释了62%的分配行为差异.
- 关键预测因素包括年龄,女性性别,职业角色,自我调节,情感/社会动态,技能/信念系统和多年的经验.
结论:
- 系统性障碍,如患者压力和利动机,显著地影响了分发行为.
- 行为因素,特别是社会和商业压力,是比单独的知识更强大的驱动因素.
- 针对行为决定因素的有针对性的干预措施对于改善抗微生物药物管理至关重要.
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