Antimicrobial Stewardship Programs in Community Health Systems Perceived by Physicians and Pharmacists: A Qualitative Study with Gap Analysis
- 주제(키워드) antimicrobial stewardship program , pharmacist , interdisciplinary team , community health system
- 주제(기타) Infectious Diseases; Pharmacology & Pharmacy
- 설명문(일반) [Park, Sohyun; Rhie, Sandy Jeong] Ewha Womans Univ, Grad Sch Pharmaceut Sci, 52 Ewhayeodae Gil, Seoul 03760, South Korea; [Kang, Ji Eun; Rhie, Sandy Jeong] Ewha Womans Univ, Coll Pharm, 52 Ewhayeodae Gil, Seoul 03760, South Korea; [Kang, Ji Eun] Natl Med Ctr, Dept Pharm, Seoul 04564, South Korea; [Choi, Hee Jung; Kim, Chung-Jong] Ewha Womans Univ, Coll Med, 52 Ewhayeodae Gil, Seoul 03760, South Korea; [Choi, Hee Jung] Ewha Womans Univ, Mokdong Hosp, Dept Internal Med, 1071 Anyangcheon Ro, Seoul 07985, South Korea; [Kim, Chung-Jong] Ewha Womans Univ, Seoul Hosp, Dept Internal Med, 260 Gonghang Daero, Seoul 07804, South Korea; [Chung, Eun Kyoung] Kyung Hee Univ, Coll Pharm, 26 Kyungheedae Ro, Seoul 02447, South Korea; [Chung, Eun Kyoung] Kyung Hee Univ Hosp Gangdong, Dept Pharm, 892 Dongnam Ro, Seoul 05278, South Korea; [Kim, Sun Ah] Ewha Womans Univ, Mokdong Hosp, Dept Pharm, 1071 Anyangcheon Ro, Seoul 07985, South Korea
- 등재 SCIE, SCOPUS
- OA유형 Green Published, gold
- 발행기관 MDPI
- 발행년도 2019
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000165821
- 본문언어 영어
- Published As http://dx.doi.org/10.3390/antibiotics8040252
- PubMed https://pubmed.ncbi.nlm.nih.gov/31817468
초록/요약
Antimicrobial stewardship program (ASP) is one of the most important strategies for managing infectious disease treatment and preventing antimicrobial resistance. The successful implementation of ASP in the community health system (CHS) has been challenging. We evaluated perceptions of current ASP, potential setbacks of ASP implementation, and future demands on ASP services among physicians and pharmacists in the CHS. The qualitative research was conducted through in-depth individual interviews and focus group discussions with 11 physicians and 11 pharmacists. In addition, a quantitative gap analysis was conducted to assess the different awareness and demands on services of ASP and preferred antimicrobial-related problems (ARP). In overall, perceptions of ASP varied by profession. The identified setbacks were unorganized institutional leadership, the undefined roles of healthcare professionals, a lack of reimbursement, the hierarchical structure of the health system, and the labor-intensive working environment of pharmacy services. Although demands for ASP improvement were similar among professionals, they had different preferences in prioritizing each service item of ASP/ARP development and the profession responsible for each service. Continuous administrative and financial investments, understanding ASP contents, ASP-specific information technology, and interdisciplinary collaboration with good communication among healthcare professions are needed to continue the progression of ASP.
more