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Autonomy, power dynamics and antibiotic use in primary healthcare: A qualitative study.基层医疗保健中的自主性、权力动态与抗生素使用：一项定性研究。
PLoS One. 2020 Dec 18;15(12):e0244432. doi: 10.1371/journal.pone.0244432. eCollection 2020.
2
Evidence of the Practice of Self-Medication with Antibiotics among the Lay Public in Low- and Middle-Income Countries: A Scoping Review.低收入和中等收入国家普通民众自行使用抗生素的情况证据：一项范围综述
Antibiotics (Basel). 2020 Sep 12;9(9):597. doi: 10.3390/antibiotics9090597.
3
Effective health communication - a key factor in fighting the COVID-19 pandemic.有效的健康传播——抗击新冠疫情的关键因素。
Patient Educ Couns. 2020 May;103(5):873-876. doi: 10.1016/j.pec.2020.03.027.
4
Effectiveness and cost-effectiveness of Improving clinicians' diagnostic and communication Skills on Antibiotic prescribing Appropriateness in patients with acute Cough in primary care in CATalonia (the ISAAC-CAT study): study protocol for a cluster randomised controlled trial.提高临床医生在加泰罗尼亚基层医疗急性咳嗽患者中抗生素处方适宜性方面的诊断和沟通技能的效果和成本效益（ISAAC-CAT 研究）：一项群组随机对照试验的研究方案。
Trials. 2019 Dec 17;20(1):740. doi: 10.1186/s13063-019-3727-3.
5
[Public participation in research projects: ways of creating collective knowledge in health].[公众参与研究项目：在健康领域创造集体知识的方式]
Gac Sanit. 2020 Mar-Apr;34(2):200-203. doi: 10.1016/j.gaceta.2019.08.010. Epub 2019 Nov 27.
6
The Rise and Development of Public Health Communication.公共卫生传播的兴起与发展。
Health Commun. 2020 Nov;35(13):1666-1677. doi: 10.1080/10410236.2019.1654180. Epub 2019 Aug 20.
7
The Concept of an Ideal Antibiotic: Implications for Drug Design.理想抗生素的概念：对药物设计的启示。
Molecules. 2019 Mar 3;24(5):892. doi: 10.3390/molecules24050892.
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Antibiotic use, knowledge and health literacy among the general population in Berlin, Germany and its surrounding rural areas.德国柏林及其周边农村地区普通人群中的抗生素使用、知识和健康素养。
PLoS One. 2018 Feb 23;13(2):e0193336. doi: 10.1371/journal.pone.0193336. eCollection 2018.
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Communication practices that encourage and constrain shared decision making in health-care encounters: Systematic review of conversation analytic research.促进和限制医疗保健互动中共同决策的沟通实践：对话分析研究的系统评价。
Health Expect. 2017 Dec;20(6):1228-1247. doi: 10.1111/hex.12557. Epub 2017 May 18.
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Can Gaming Increase Antibiotic Awareness in Children? A Mixed-Methods Approach.游戏能提高儿童对抗生素的认知吗？一种混合方法研究。
JMIR Serious Games. 2017 Mar 24;5(1):e5. doi: 10.2196/games.6420.

西班牙加泰罗尼亚地区基层医疗中针对急性下呼吸道感染合理使用抗生素的教育材料精心设计流程

A Co-Design Process to Elaborate Educational Materials to Promote Appropriate Use of Antibiotics for Acute Lower Respiratory Tract Infections in Primary Healthcare in Catalonia (Spain).

作者信息

Medina-Perucha Laura, Gálvez-Hernández Pablo, García-Sangenís Ana, Moragas Ana, Cots Josep María, Lanau-Roig Anna, Borrás Alícia, Amo Isabel, Barragán Nieves, Monfá Ramon, Llor Carl, Berenguera Anna

机构信息

Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.

Institut Universitari de Pacients (Patients' University Institut), Universitat Internacional de Catalunya, Barcelona, Spain.

出版信息

Patient Prefer Adherence. 2021 Mar 8;15:543-548. doi: 10.2147/PPA.S297581. eCollection 2021.

DOI:10.2147/PPA.S297581
PMID:33727799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7954036/
Abstract

PURPOSE

Co-design processes with patients allow developing health education materials, that are adapted to the population's knowledge and use of language, to reduce inappropriate antibiotic use.

PATIENTS AND METHODS

This study presents a co-design process of educational material with patients (over 18 years old) with a previous diagnosis of acute lower respiratory tract infection. The co-design was framed within a qualitative study (Phase I, interviews; Phase II, focus group) conducted in Barcelona between April and September 2019.

RESULTS

Twenty-nine semi-structured interviews were conducted. Six people participated in the focus group. Based on participants' narratives, educational materials can be useful to support healthcare consultations. Materials should be designed to be accessible in terms of the content and language used.

CONCLUSION

The co-design of educational materials is essential for health promotion. This study presents an example of how materials can be co-developed with patients. The material elaborated in this study is being used for the ISAAC-CAT project and may be useful for future research, practice in health services and health policy.

摘要

目的

与患者共同设计流程有助于开发适合人群知识水平和语言使用习惯的健康教育材料，以减少不适当的抗生素使用。

患者与方法

本研究介绍了与先前诊断为急性下呼吸道感染的患者（18岁以上）共同设计教育材料的过程。该共同设计是在2019年4月至9月于巴塞罗那进行的一项定性研究（第一阶段，访谈；第二阶段，焦点小组）中进行的。

结果

进行了29次半结构化访谈。六人参加了焦点小组。根据参与者的叙述，教育材料有助于支持医疗咨询。材料的设计应在内容和使用的语言方面易于理解。

结论

教育材料的共同设计对健康促进至关重要。本研究展示了如何与患者共同开发材料的一个例子。本研究中精心制作的材料正在用于ISAAC-CAT项目，可能对未来的研究、卫生服务实践和卫生政策有用。