兽医诊所的共同决策:一项跨部门研究,检查对适当的抗生素处方的影响以及影响它的价值驱动因素
Huiling Guo1, Lay See Ong1, Zoe Jane-Lara Hildon2
1Department of Epidemiology and Preventive Medicine, Office of Clinical Epidemiology, Analytics and Knowledge, Tan Tock Seng Hospital, Singapore 308433, Singapore.
Antibiotics (Basel, Switzerland)
|November 27, 2025
概括
在兽医护理中,共享决策 (SDM) 改善了对物进行适当的抗生素处方. 让业主参与SDM并调整价值的兽医更有可能负责任地开处方抗生素.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 抗微生物药物管理委员会
- 伴侣动物卫生动物健康
背景情况:
- 共享决策 (SDM) 被认为是提高人类医疗保健中的抗生素处方.
- 它在兽医环境中的作用,特别是对伴侣动物的作用,仍然未被充分探索.
- 这项研究调查了SDM对猫和狗抗生素使用的影响.
研究的目的:
- 检查SDM与兽医诊所适当的抗生素处方之间的关联.
- 通过基于价值的方法 (VALUE模型) 识别影响SDM的关键因素.
- 了解SDM在伴侣动物的抗菌药物管理中的作用.
主要方法:
- 对新加坡41名兽医进行的横截面调查.
- 根据当地指导方针确定适当的抗生素处方.
- 使用了适应的SDM-Q-9-Doc规模和VALUE模型构造.
- 采用了因子分析和多变量逻辑/线性回归.
主要成果:
- 不适当的抗生素处方在耳部感染 (63%) 和牙周病 (59%) 中很高.
- 让业主参与SDM积极关联与适当的抗生素处方治疗牙周病 (AOR 1.31).
- 兽医的总体VALUE分数较高与SDM参与度增加有关 (β = 0.14).
结论:
- 与物主人一起的SDM增强了对猫和狗的适当抗生素处方,根据临床状况的变化.
- 在诊所和兽医之间调整与抗菌素耐药性 (AMR) 相关的值至关重要.
- 有效的沟通促进SDM,促进对伴侣动物负责任的抗生素使用.
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