Family physicians' experiences, behaviour, and use of personal protection equipment during the SARS outbreak in Singapore: Do they fit the Becker Health Belief Model?

Family physicians' experiences, behaviour, and use of personal protection equipment during the SARS outbreak in Singapore: Do they fit the Becker Health Belief Model?
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DOI:
10.1177/10105395060180030901
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发表时间:
2006-01-01
影响因子:
2.5
通讯作者:
Lee, S. S.
Lee, S. S.
中科院分区:
医学4区
文献类型:
--
作者:
Tan, N. C.;Goh, L. G.;Lee, S. S.

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2003年,新加坡经历了SARS疫情。该研究旨在描述家庭医生的经验和行为,以及在与SARS患者接触时使用个人防护设备的情况。采用质性研究方法,对8名被试进行访谈,并对访谈内容进行分析。他们强调,由于个人防护装备严重短缺,在采购方面存在困难,而且使用个人防护装备会带来不适和不便。尽管运营成本不断增加,患者出勤率下降,个人防护设备价格高昂,但他们坚持使用个人防护设备,并改变行为,以减少对他们生命的威胁。它符合贝克尔健康信念模型,该模型解释说,行为改变取决于感知的脆弱性,严重性,有效性和障碍的平衡。SARS对医护人员的易感性和严重性得到了医院经验的验证。家庭医生对个人防护设备的有效性的认识超过了个人防护设备短缺、费用和不适的障碍。
Singapore experienced the SARS outbreak in 2003. The study aimed to describe the experience and behaviour of family physicians and the use of personal protection equipment (PPE) in their encounters with SARS patients. 8 such participants were interviewed and the content was analysed using qualitative research method. They highlighted the difficulties in procuring PPE due to severe shortage, the discomfort and inconvenience associated with its use. Despite the increasing operating cost, declining patient attendance and high price of the PPE, they persist in using PPE and change their behaviour in order to reduce the perceived threat to their lives. It fits into the Becker Health Belief Model, which explains that behaviour change depends on the balance of perceived vulnerability, severity, effectiveness, and barriers. The vulnerability and severity of SARS to healthcare workers were verified by the hospital experience. Perceived effectiveness of PPE amongst the family physicians outweighed the barriers of shortage, cost and discomfort of the PPE.