Beerlage-de Jong Nienke, van Gemert-Pijnen Lisette, Wentzel Jobke, Hendrix Ron, Siemons Liseth
Center for eHealth and Wellbeing Research, Department of Psychology, Health and Technology, University of Twente, Enschede.
Department of Media, Communication and Organization, University of Twente, Enschede.
Infect Dis Rep. 2017 Mar 30;9(1):6829. doi: 10.4081/idr.2017.6829.
The rise of antimicrobial resistance (AMR) is a severe global health problem. Tackling this problem requires the prudent prescribing of antimicrobials. This is promoted through Antimicrobial Stewardship Programs (ASPs). In this position paper we describe i) how a socio-technical multidisciplinary approach (based on the CeHRes Roadmap) can be applied in the development and implementation of Antimicrobial Stewardship technologies and ii) how this approach can be of value to support Antimicrobial Stewardship in practice. The CeHRes Roadmap entails five different phases to explore and test how an eHealth technology can be tailored to the target group and successfully implemented in practice: i) contextual inquiry, ii) value specification, iii) design, iv) operationalization, v) evaluation. In this position paper we describe the lessons learned from research and practice to guide future developments of technology based ASP interventions. Since AMR is a huge wicked problem on a global level, it requires innovative methods and models to empower general public and professionals to be proactive rather than reactive in a digitalized world. We highlight how to combat the dangerous rise of antimicrobial resistance in the future.
抗菌药物耐药性（AMR）的出现是一个严峻的全球健康问题。解决这一问题需要谨慎使用抗菌药物。抗菌药物管理计划（ASP）推动了这一目标的实现。在本立场文件中，我们阐述了：i）如何将社会技术多学科方法（基于CeHRes路线图）应用于抗菌药物管理技术的开发与实施；ii）这种方法如何在实践中为支持抗菌药物管理提供价值。CeHRes路线图包含五个不同阶段，以探索和测试电子健康技术如何针对目标群体进行定制并在实践中成功实施：i）情境调查；ii）价值规范；iii）设计；iv）实施；v）评估。在本立场文件中，我们描述了从研究和实践中吸取的经验教训，以指导基于技术的ASP干预措施的未来发展。由于AMR在全球层面是一个巨大的棘手问题，它需要创新的方法和模式，以使普通公众和专业人员在数字化世界中积极主动而非被动应对。我们强调了未来如何应对抗菌药物耐药性的危险上升。
