Davey Peter, Pagliari C, Hayes A
MEMO, University of Dundee, Dundee, UK, Tayside Center for General Practice, Dundee, UK.
Clin Microbiol Infect. 2002;8 Suppl 2:43-68. doi: 10.1046/j.1469-0691.8.s.2.6.x.
As the ultimate consumers, patients play an important role in the emergence, spread and control of bacterial resistance to antibiotics. Improved knowledge of antibiotics and the problem of resistance, as well as a better understanding of beliefs, pressures/concerns, and expectations, from both the patient's and physician's perspectives, are fundamental for controlling antibiotic use. There is growing evidence to suggest that empowering patients through implementation of patient-centered health-care strategies, such as shared decision-making, in conjunction with educational initiatives help to change attitudes and behavior, and improve access to and completion of appropriate antimicrobial therapy. This, in turn, may help to control the development and spread of resistance to antibiotics.
作为最终消费者，患者在细菌对抗生素耐药性的产生、传播和控制中发挥着重要作用。从患者和医生的角度来看，提高对抗生素和耐药性问题的认识，以及更好地理解信念、压力/担忧和期望，是控制抗生素使用的基础。越来越多的证据表明，通过实施以患者为中心的医疗保健策略（如共同决策）并结合教育举措来增强患者权能，有助于改变态度和行为，并改善获得和完成适当抗菌治疗的情况。反过来，这可能有助于控制抗生素耐药性的发展和传播。
