A scoping review and behavioural analysis of factors underlying overuse of antimicrobials.
A scoping review and behavioural analysis of factors underlying overuse of antimicrobials.
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DOI：
10.1093/jacamr/dlad043
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发表时间：
2023-06
影响因子：
3.4
通讯作者：
中科院分区：
文献类型：
--
作者：
过度使用抗菌素是一个具有挑战性的全球性问题，会导致抗菌素耐药性。尽管医学界成员普遍认识到这一问题，并作出各种努力改进处方做法，但现有的抗菌剂管理规划并不总是有效的。在我们看来，这可能反映了对影响抗微生物药物处方作为经验疗法的因素的理解有限，这意味着需要解决一些特定行为背后的心理机制。确定影响抗微生物药物处方作为经验疗法的因素，并将这些因素与行为科学的发现联系起来。我们根据使用PRISMA指南设计的方案，对抗菌药物处方决策相关因素的文献进行了范围审查。从90个来源的最终样本中，我们确定了抗菌药物处方决策中的10个重要因素。在我们分析的第二阶段，我们将它们最终分为五类：(1)决定的性质，(2)社会影响，(3)个体差异，(4)患者特征，(5)环境。我们用行为科学的角度来分析这些类别。
Overuse of antimicrobials is a challenging global issue that contributes to antimicrobial resistance. Despite widespread awareness of the problem among members of the medical community and various attempts to improve prescription practices, existing antimicrobial stewardship programmes are not always effective. In our view, this may reflect limited understanding of factors that influence prescription of antimicrobials as empirical therapy, implying a need to address the psychological mechanisms behind some of the specific behaviours involved. To identify factors that influence the antimicrobials prescription as empirical therapy, and to relate these factors to findings from behavioural science. We conducted a scoping review of the literature on the factors underlying antimicrobial prescription decisions, following the protocol designed using PRISMA guidelines. From a final sample of 90 sources, we identified ten factors important in antimicrobial prescription decisions. In the second stage of our analysis, we grouped them into five final categories: (1) nature of the decision, (2) social influences, (3) individual differences, (4) characteristics of the patient, (5) context. We analyse these categories using a behavioural science perspective.
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影响因子：
2.9
作者：
Fleming A;Bradley C;Cullinan S;Byrne S
通讯作者：
Byrne S
影响因子：
5.1
作者：
Arnold, SR;To, T;Wang, FEL
通讯作者：
Wang, FEL
影响因子：
4.2
作者：
Chan, Y. Y.;Bin Ibrahim, M. A.;Chow, A.
通讯作者：
Chow, A.
影响因子：
2.2
作者：
Dallas, Anthea;Magin, Parker;van Driel, Mieke
通讯作者：
van Driel, Mieke
影响因子：
2.9
作者：
Brookes-Howell L;Hood K;Cooper L;Little P;Verheij T;Coenen S;Godycki-Cwirko M;Melbye H;Borras-Santos A;Worby P;Jakobsen K;Goossens H;Butler CC
通讯作者：
Butler CC