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Outpatient Behaviors and Perceptions That Influence Adherence to Proper Antibiotic Stewardship Practices: Indications for Future Intervention Development- [electronic resource]
Outpatient Behaviors and Perceptions That Influence Adherence to Proper Antibiotic Stewardship Practices: Indications for Future Intervention Development- [electronic resource]
상세정보
- 자료유형
- 학위논문(국외)
- 자관 청구기호
- 기본표목-개인명
- 표제와 책임표시사항
- Outpatient Behaviors and Perceptions That Influence Adherence to Proper Antibiotic Stewardship Practices: Indications for Future Intervention Development - [electronic resource] / Lisa C. Strader
- 발행, 배포, 간사 사항
- 발행, 배포, 간사 사항
- 형태사항
- 1 online resource(p.99 )
- 일반주기
- Source: Dissertations Abstracts International, Volume: 85-03, Section: B.
- 일반주기
- Advisor: Devlin, Leah.
- 학위논문주기
- Thesis (Dr.P.H.)--The University of North Carolina at Chapel Hill, 2022.
- 이용제한주기
- This item must not be sold to any third party vendors.
- 요약 등 주기
- 요약Since their introduction in the late 1920s, antibiotics have had a positive impact on human health by reducing morbidity and mortality from infectious diseases and injuries. Antibiotics have allowed many elective surgeries to take place such as hip replacements, hernia repair, kidney stone removal, and other exploratory surgeries. Yet, fifteen years after the discovery of penicillin, antibiotic-resistant organisms were identified. Over the last 20 years, a rise in the number of antibiotic-resistant strains of bacteria represents a serious threat to humans, animals, and environmental health in the United States and globally.In the United States, most antibiotic expenditures result from prescribing in outpatient settings. Improving poor antibiotic consumption practices by educating prescribers and patients, developing new antibiotics, and ensuring proper antibiotic prescribing, is a national priority. However, less attention is currently focused on outpatient settings. The purpose of this study was to explore the knowledge, beliefs, and perceptions among patients and community members that drive inappropriate antibiotic practices in outpatient populations.The Health Belief Model was employed to study factors that facilitate or impede individual outpatient adherence to antibiotic prescription guidelines and the knowledge and perceptions that determine whether a patient will follow proper antibiotic stewardship guidelines. Focus groups were convened to explore in greater detail the constructs, drivers, and subjective influences that guide outpatient use of antibiotics and to inform the development of an online survey. The survey was divided into six sections: 1) demographics, 2) healthy and unhealthy behaviors, 3) illness and healthcare visits, 4) vaccinations and antibacterial products, 5) antibiotic knowledge, and 6) 5-point Likert scale questions focused on knowledge, beliefs, and perceptions.Three themes were identified for use in future development of antibiotic stewardship intervention programs: 1) how humans contribute to antibiotic resistance, 2) how antibiotic-resistant infections are transmitted, and 3) what perceived susceptibility has the best chance of influencing change.
- 주제명부출표목-일반주제명
- 주제명부출표목-일반주제명
- 주제명부출표목-일반주제명
- 비통제 색인어
- 비통제 색인어
- 비통제 색인어
- 비통제 색인어
- 부출표목-단체명
- 기본자료저록
- Dissertations Abstracts International. 85-03B.
- 기본자료저록
- Dissertation Abstract International
- 전자적 위치 및 접속
- 원문정보보기
- 소장사항
-
202402 2024
MARC
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■040 ▼aMiAaPQ▼cMiAaPQ
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■090 ▼a전자도서(박사논문)
■1001 ▼aStrader, Lisa C.
■24510▼aOutpatient Behaviors and Perceptions That Influence Adherence to Proper Antibiotic Stewardship Practices: Indications for Future Intervention Development▼h[electronic resource]▼cLisa C. Strader
■260 ▼a[S.l.]▼bThe University of North Carolina at Chapel Hill. ▼c2022
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2022
■300 ▼a1 online resource(p.99 )
■500 ▼aSource: Dissertations Abstracts International, Volume: 85-03, Section: B.
■500 ▼aAdvisor: Devlin, Leah.
■5021 ▼aThesis (Dr.P.H.)--The University of North Carolina at Chapel Hill, 2022.
■506 ▼aThis item must not be sold to any third party vendors.
■520 ▼aSince their introduction in the late 1920s, antibiotics have had a positive impact on human health by reducing morbidity and mortality from infectious diseases and injuries. Antibiotics have allowed many elective surgeries to take place such as hip replacements, hernia repair, kidney stone removal, and other exploratory surgeries. Yet, fifteen years after the discovery of penicillin, antibiotic-resistant organisms were identified. Over the last 20 years, a rise in the number of antibiotic-resistant strains of bacteria represents a serious threat to humans, animals, and environmental health in the United States and globally.In the United States, most antibiotic expenditures result from prescribing in outpatient settings. Improving poor antibiotic consumption practices by educating prescribers and patients, developing new antibiotics, and ensuring proper antibiotic prescribing, is a national priority. However, less attention is currently focused on outpatient settings. The purpose of this study was to explore the knowledge, beliefs, and perceptions among patients and community members that drive inappropriate antibiotic practices in outpatient populations.The Health Belief Model was employed to study factors that facilitate or impede individual outpatient adherence to antibiotic prescription guidelines and the knowledge and perceptions that determine whether a patient will follow proper antibiotic stewardship guidelines. Focus groups were convened to explore in greater detail the constructs, drivers, and subjective influences that guide outpatient use of antibiotics and to inform the development of an online survey. The survey was divided into six sections: 1) demographics, 2) healthy and unhealthy behaviors, 3) illness and healthcare visits, 4) vaccinations and antibacterial products, 5) antibiotic knowledge, and 6) 5-point Likert scale questions focused on knowledge, beliefs, and perceptions.Three themes were identified for use in future development of antibiotic stewardship intervention programs: 1) how humans contribute to antibiotic resistance, 2) how antibiotic-resistant infections are transmitted, and 3) what perceived susceptibility has the best chance of influencing change.
■590 ▼aSchool code: 0153.
■650 4▼aPublic health.
■650 4▼aHealth care management.
■650 4▼aClinical psychology.
■653 ▼aOutpatient adherence
■653 ▼aAntibiotic resistance
■653 ▼aAntibiotic stewardship
■653 ▼aBehaviors
■690 ▼a0573
■690 ▼a0769
■690 ▼a0622
■71020▼aThe University of North Carolina at Chapel Hill▼bHealth Policy and Management.
■7730 ▼tDissertations Abstracts International▼g85-03B.
■773 ▼tDissertation Abstract International
■790 ▼a0153
■791 ▼aDr.P.H.
■792 ▼a2022
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T16932159▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
■980 ▼a202402▼f2024


