Biezen Ruby, Ciavarella Stephen, Manski-Nankervis Jo-Anne, Monaghan Tim, Buising Kirsty
Department of General Practice, The University of Melbourne, Melbourne, VIC 3004, Australia.
National Centre for Antimicrobial Stewardship, Department of Infectious Diseases, The University of Melbourne, Melbourne, VIC 3004, Australia.
Antibiotics (Basel). 2023 Feb 24;12(3):458. doi: 10.3390/antibiotics12030458.
Antibiotic resistance is a threat to global health, and inappropriate antibiotic use can be associated with adverse effects. Developing tools to encourage better communication between patients and general practitioners may reduce inappropriate use of antibiotics. The aim of the study was to develop shared decision support tools on common infections using a co-design methodology to address antimicrobial stewardship (AMS) in primary care. Three co-design/interview sessions were conducted with primary care providers and consumers between October 2019-April 2020 in Melbourne, Australia. Participants critiqued existing AMS tools, identified key elements required and optimised resulting prototypes. Primary care providers and consumers prioritised information to include in the AMS tools, such as when to see a doctor, management options, disease symptoms and cause of infection differently. However, both agreed content should be communicated in a plain, concise and logical manner, using inclusive and simple language accompanied by illustrations. Information sheets should be single-sided and A4-sized, appropriate for use before, during or after consultations. Co-design provided a collaborative forum to systematically design and develop products that meet the needs of both primary care providers and consumers. This resulted in the development of seven patient information sheets on common infections that encourage discussion of these infections, conservative management options and appropriate antibiotic use in primary care.
抗生素耐药性对全球健康构成威胁，不恰当使用抗生素可能会带来不良影响。开发工具以促进患者与全科医生之间更好的沟通，可能会减少抗生素的不恰当使用。本研究的目的是使用共同设计方法，针对常见感染开发共享决策支持工具，以解决初级医疗中的抗菌药物管理（AMS）问题。2019年10月至2020年4月期间，在澳大利亚墨尔本与初级医疗服务提供者和消费者进行了三次共同设计/访谈会议。参与者对现有的AMS工具进行了评估，确定了所需的关键要素，并对最终的原型进行了优化。初级医疗服务提供者和消费者对AMS工具中应包含的信息进行了优先级排序，例如何时就医、管理选项、疾病症状和感染原因，但看法有所不同。然而，双方都同意，内容应以简洁明了、合乎逻辑的方式传达，使用包容性强且简单的语言，并配以插图。信息单应单面打印且为A4尺寸，适用于咨询前、咨询期间或咨询后使用。共同设计提供了一个协作平台，用于系统地设计和开发满足初级医疗服务提供者和消费者双方需求的产品。这导致开发了七份关于常见感染的患者信息单，鼓励在初级医疗中讨论这些感染、保守管理选项和适当使用抗生素。
