住院临床医生运用COM-B模型诊断老年人尿路感染的方法：一项定性评估
Inpatient clinicians' approach to diagnosis of urinary tract infections in older adults using the COM-B model: a qualitative assessment.
作者信息
Advani Sonali D, Boucher Nathan, Smith Alison G C, Deri Connor, Hayes Jillian E, Wrenn Rebekah, Schmader Kenneth
机构信息
Division of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
Sanford School of Public Policy, Duke University, Durham, NC, USA.
出版信息
Antimicrob Steward Healthc Epidemiol. 2024 Sep 16;4(1):e134. doi: 10.1017/ash.2024.401. eCollection 2024.
Our interviews of inpatient clinicians (physicians, physician assistants) modeled after the Capability, Opportunity, and Motivation Model of Behavior model revealed opportunity and motivation as important drivers for overdiagnosis and overprescribing for asymptomatic bacteriuria in older adults. Understanding these barriers is an important step toward implementing age-friendly stewardship interventions.
我们以行为的能力、机会和动机模型为蓝本，对住院临床医生（内科医生、医师助理）进行了访谈，结果显示，机会和动机是老年患者无症状菌尿症过度诊断和过度开药的重要驱动因素。了解这些障碍是实施关爱老年人的管理干预措施的重要一步。
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