患者和临床医生对住院抗生素共享决策的看法:一种定性研究
C Roleston1, M Wanat1,2, F Mowbray1
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
JAC-antimicrobial resistance
|January 9, 2026
概括
患者或临床医生对医院中的抗生素的共享决策 (SDM) 并不明白. 在二级护理环境中,替代性沟通策略可能更有效.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 抗微生物药物管理委员会
- 患者参与 患者参与
背景情况:
- 共享决策 (SDM) 支持抗菌药物管理,但其在二级护理中的实施尚不清楚.
- SDM可以提高患者和临床医生的满意度,同时减少抗生素处方.
研究的目的:
- 在二级护理机构的患者和临床医生之间确定抗生素SDM的机会.
主要方法:
- 在三个英语中等护理信托中,与18名临床医生和20名患者进行了半结构面试.
- 以"智能开始,然后专注"框架为指导的专题分析.
主要成果:
- 临床医生和患者质疑医院中抗生素SDM的可行性和优先级.
- 障碍包括感知到的紧迫性,快节奏的环境和复杂/简单的决策.
- 双向通信和信息提供是最受欢迎的替代方案.
结论:
- 抗生素SDM在二级护理中并不被广泛理解或支持.
- 需要进一步的教育和培训,以在中等保健中整合SDM概念.
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