Understanding and changing human behaviour--antibiotic mainstreaming as an approach to facilitate modification of provider and consumer behaviour.

Understanding and changing human behaviour--antibiotic mainstreaming as an approach to facilitate modification of provider and consumer behaviour.
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DOI:
10.3109/03009734.2014.905664
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发表时间:
2014-05
影响因子:
3.4
通讯作者:
Tamhankar AJ
Tamhankar AJ
中科院分区:
医学4区
文献类型:
--
作者:
Stålsby Lundborg C;Tamhankar AJ

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本文件涉及:1)与抗生素有关的人类行为的情况,重点是供应商和消费者; 2)关于人类行为的理论和影响抗生素行为的因素; 3)与抗生素有关的行为如何改变;以及4)抗生素主流化作为促进人类抗生素行为改变的一种方法。影响人类对抗生素的行为是一个复杂的过程,其中包括知识、态度、社会规范、社会经济条件、同伴压力、经验以及生物物理和社会行为环境等因素。此外,不同的人往往以不同的方式理解关键概念。在为专业人员或消费者设计和实施改变抗生素行为的项目或计划时,考虑行为改变的理论或模型是有帮助的,例如“改变模型的阶段”,包括预先考虑,考虑,准备,行动和维护。处于不同变化阶段的人易受不同行为矫正策略的影响。将营销原理应用于“全球商品”,即所谓的“社会营销”,以改善“个人和社会的福利”,在公共卫生领域越来越受到重视。总之,仅仅提供正确的知识是不够的,尽管这是在所需方向上进行行为修改的先决条件。我们永远无法改变任何其他人的行为,但我们可以帮助他人改变自己的行为。一种可能性是将“抗生素主流化”作为一种潜在的有效行为矫正方式,即解决在社会所有活动和决策中维持有效抗生素的后果。
This paper addresses: 1) Situations where human behaviour is involved in relation to antibiotics, focusing on providers and consumers; 2) Theories about human behaviour and factors influencing behaviour in relation to antibiotics; 3) How behaviour in relation to antibiotics can change; and, 4) Antibiotic mainstreaming as an approach to facilitate changes in human behaviour as regards antibiotics. Influencing human behaviour in relation to antibiotics is a complex process which includes factors like knowledge, attitudes, social norms, socio-economic conditions, peer pressure, experiences, and bio-physical and socio-behavioural environment. Further, key concepts are often perceived in different ways by different individuals. While designing and implementing projects or programmes for behavioural change with respect to antibiotics for professionals or consumers it is helpful to consider theories or models of behaviour change, e.g. the ‘stages of change model’, including pre-contemplation, contemplation, preparation, action, and maintenance. People in different stages of change are susceptible to different behaviour modification strategies. Application of marketing principles to ‘global good’, so-called ‘social marketing’, to improve ‘welfare of the individual and society’ is gaining increased attention in public health. In conclusion, just providing correct knowledge is not sufficient although it is a pre-requisite for behaviour modification in the desired direction. We can never change the behaviour of any other human, but we can facilitate for others to change their own behaviour. One possibility is to implement ‘antibiotic mainstreaming’ as a potentially effective way for behaviour modification, i.e. to address consequences for maintaining effective antibiotics in all activities and decisions in society.
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