Cargando…

Antimicrobial Stewardship Programs in Community Health Systems Perceived by Physicians and Pharmacists: A Qualitative Study with Gap Analysis

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,...

Descripción completa

Detalles Bibliográficos
Autores principales: Park, Sohyun, Kang, Ji Eun, Choi, Hee Jung, Kim, Chung-Jong, Chung, Eun Kyoung, Kim, Sun Ah, Rhie, Sandy Jeong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6963390/
https://www.ncbi.nlm.nih.gov/pubmed/31817468
http://dx.doi.org/10.3390/antibiotics8040252
_version_ 1783488267565400064
author Park, Sohyun
Kang, Ji Eun
Choi, Hee Jung
Kim, Chung-Jong
Chung, Eun Kyoung
Kim, Sun Ah
Rhie, Sandy Jeong
author_facet Park, Sohyun
Kang, Ji Eun
Choi, Hee Jung
Kim, Chung-Jong
Chung, Eun Kyoung
Kim, Sun Ah
Rhie, Sandy Jeong
author_sort Park, Sohyun
collection PubMed
description 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.
format Online
Article
Text
id pubmed-6963390
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-69633902020-02-26 Antimicrobial Stewardship Programs in Community Health Systems Perceived by Physicians and Pharmacists: A Qualitative Study with Gap Analysis Park, Sohyun Kang, Ji Eun Choi, Hee Jung Kim, Chung-Jong Chung, Eun Kyoung Kim, Sun Ah Rhie, Sandy Jeong Antibiotics (Basel) Article 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. MDPI 2019-12-05 /pmc/articles/PMC6963390/ /pubmed/31817468 http://dx.doi.org/10.3390/antibiotics8040252 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Park, Sohyun
Kang, Ji Eun
Choi, Hee Jung
Kim, Chung-Jong
Chung, Eun Kyoung
Kim, Sun Ah
Rhie, Sandy Jeong
Antimicrobial Stewardship Programs in Community Health Systems Perceived by Physicians and Pharmacists: A Qualitative Study with Gap Analysis
title Antimicrobial Stewardship Programs in Community Health Systems Perceived by Physicians and Pharmacists: A Qualitative Study with Gap Analysis
title_full Antimicrobial Stewardship Programs in Community Health Systems Perceived by Physicians and Pharmacists: A Qualitative Study with Gap Analysis
title_fullStr Antimicrobial Stewardship Programs in Community Health Systems Perceived by Physicians and Pharmacists: A Qualitative Study with Gap Analysis
title_full_unstemmed Antimicrobial Stewardship Programs in Community Health Systems Perceived by Physicians and Pharmacists: A Qualitative Study with Gap Analysis
title_short Antimicrobial Stewardship Programs in Community Health Systems Perceived by Physicians and Pharmacists: A Qualitative Study with Gap Analysis
title_sort antimicrobial stewardship programs in community health systems perceived by physicians and pharmacists: a qualitative study with gap analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6963390/
https://www.ncbi.nlm.nih.gov/pubmed/31817468
http://dx.doi.org/10.3390/antibiotics8040252
work_keys_str_mv AT parksohyun antimicrobialstewardshipprogramsincommunityhealthsystemsperceivedbyphysiciansandpharmacistsaqualitativestudywithgapanalysis
AT kangjieun antimicrobialstewardshipprogramsincommunityhealthsystemsperceivedbyphysiciansandpharmacistsaqualitativestudywithgapanalysis
AT choiheejung antimicrobialstewardshipprogramsincommunityhealthsystemsperceivedbyphysiciansandpharmacistsaqualitativestudywithgapanalysis
AT kimchungjong antimicrobialstewardshipprogramsincommunityhealthsystemsperceivedbyphysiciansandpharmacistsaqualitativestudywithgapanalysis
AT chungeunkyoung antimicrobialstewardshipprogramsincommunityhealthsystemsperceivedbyphysiciansandpharmacistsaqualitativestudywithgapanalysis
AT kimsunah antimicrobialstewardshipprogramsincommunityhealthsystemsperceivedbyphysiciansandpharmacistsaqualitativestudywithgapanalysis
AT rhiesandyjeong antimicrobialstewardshipprogramsincommunityhealthsystemsperceivedbyphysiciansandpharmacistsaqualitativestudywithgapanalysis