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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 Steward...
Outpatient Behaviors and Perceptions That Influence Adherence to Proper Antibiotic Stewardship Practices: Indications for Future Intervention Development- [electronic resource]

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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  
Ann Arbor : ProQuest Dissertations & Theses , 2022
    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

     008240306s2022        us            s          000c|  eng  d
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    ■007cr
    ■020    ▼a9798380135467
    ■035    ▼a(MiAaPQ)AAI30488373
    ■040    ▼aMiAaPQ▼cMiAaPQ
    ■08204▼a614▼222
    ■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

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