住院临床医生使用 COM-B 模型诊断老年人尿路感染的方法:定性评估。

Sonali D Advani, Nathan Boucher, Alison G C Smith, Connor Deri, Jillian E Hayes, Rebekah Wrenn, Kenneth Schmader
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引用次数: 0

摘要

我们以能力、机会和动机行为模式为模型,对住院临床医生(医生、医生助理)进行了访谈,发现机会和动机是导致老年人无症状菌尿过度诊断和开药过多的重要原因。了解这些障碍是实施适合老年人的管理干预措施的重要一步。
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Inpatient clinicians' approach to diagnosis of urinary tract infections in older adults using the COM-B model: a qualitative assessment.

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.

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