通过临床数据数字化进行抗生素管理:来自印度中部半城市环境的医生感知到的机会和障碍

IF 3.2 Q1 HEALTH CARE SCIENCES & SERVICES
Frontiers in digital health Pub Date : 2025-09-10 eCollection Date: 2025-01-01 DOI:10.3389/fdgth.2025.1652086
Mala Kanthali, Gautam Bhagwat, Ashish Pathak, Manju Purohit
{"title":"通过临床数据数字化进行抗生素管理:来自印度中部半城市环境的医生感知到的机会和障碍","authors":"Mala Kanthali, Gautam Bhagwat, Ashish Pathak, Manju Purohit","doi":"10.3389/fdgth.2025.1652086","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Antibiotic resistance is a global public health concern. Inadequate record-keeping and irrational antibiotic prescriptions are challenging factors for antibiotic stewardship. This study explores the perceptions of medical doctors in a semi-urban setting in India, regarding the role of clinical data digitization in mitigating antibiotic resistance.</p><p><strong>Methods: </strong>The study was conducted at R D Gardi Medical College located in a semi-urban district of Central India. Qualitative data from 20 medical doctors from government and private sector were collected through in-depth, semi-structured interviews of which 18 interviews were analyzed using thematic analysis following Braun and Clarke's framework.</p><p><strong>Results: </strong>Two major themes emerged from four overarching subthemes: (1) digitization enhances accountability and continuity of care, (2) potential for local antimicrobial surveillance, (3) infrastructural and technological barriers to adoption, and (4) the necessity of government support and capacity building. The participants believe that digitization could help in rational antibiotic prescription if there is a government mandate and infrastructure feasibility in resource constrained settings.</p><p><strong>Conclusion: </strong>Clinicians in semi-urban India perceive the digitization of clinical data as a promising tool to combat antibiotic resistance. However, systemic and infrastructural challenges must be addressed to utilize its full potential.</p>","PeriodicalId":73078,"journal":{"name":"Frontiers in digital health","volume":"7 ","pages":"1652086"},"PeriodicalIF":3.2000,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459205/pdf/","citationCount":"0","resultStr":"{\"title\":\"Antibiotic stewardship through clinical data digitization: perceived opportunities and obstructions by medical doctors from semi-urban setting in central India.\",\"authors\":\"Mala Kanthali, Gautam Bhagwat, Ashish Pathak, Manju Purohit\",\"doi\":\"10.3389/fdgth.2025.1652086\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Antibiotic resistance is a global public health concern. Inadequate record-keeping and irrational antibiotic prescriptions are challenging factors for antibiotic stewardship. This study explores the perceptions of medical doctors in a semi-urban setting in India, regarding the role of clinical data digitization in mitigating antibiotic resistance.</p><p><strong>Methods: </strong>The study was conducted at R D Gardi Medical College located in a semi-urban district of Central India. Qualitative data from 20 medical doctors from government and private sector were collected through in-depth, semi-structured interviews of which 18 interviews were analyzed using thematic analysis following Braun and Clarke's framework.</p><p><strong>Results: </strong>Two major themes emerged from four overarching subthemes: (1) digitization enhances accountability and continuity of care, (2) potential for local antimicrobial surveillance, (3) infrastructural and technological barriers to adoption, and (4) the necessity of government support and capacity building. The participants believe that digitization could help in rational antibiotic prescription if there is a government mandate and infrastructure feasibility in resource constrained settings.</p><p><strong>Conclusion: </strong>Clinicians in semi-urban India perceive the digitization of clinical data as a promising tool to combat antibiotic resistance. However, systemic and infrastructural challenges must be addressed to utilize its full potential.</p>\",\"PeriodicalId\":73078,\"journal\":{\"name\":\"Frontiers in digital health\",\"volume\":\"7 \",\"pages\":\"1652086\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-09-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459205/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers in digital health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3389/fdgth.2025.1652086\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in digital health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3389/fdgth.2025.1652086","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

摘要

背景:抗生素耐药性是一个全球性的公共卫生问题。不充分的记录保存和不合理的抗生素处方是抗生素管理的挑战因素。本研究探讨了印度半城市环境中医生对临床数据数字化在减轻抗生素耐药性方面的作用的看法。方法:该研究在位于印度中部半城区的Gardi医学院进行。通过深入的半结构化访谈收集了来自政府和私营部门的20名医生的定性数据,其中18名访谈使用遵循Braun和Clarke框架的主题分析进行了分析。结果:从四个总体副主题中产生了两个主要主题:(1)数字化增强了问责制和护理的连续性;(2)当地抗菌素监测的潜力;(3)采用的基础设施和技术障碍;(4)政府支持和能力建设的必要性。与会者认为,如果在资源受限的情况下有政府授权和基础设施可行性,数字化可以帮助合理处方抗生素。结论:印度半城市的临床医生认为临床数据数字化是对抗抗生素耐药性的一种有前途的工具。然而,必须解决系统和基础设施方面的挑战,以充分利用其潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Antibiotic stewardship through clinical data digitization: perceived opportunities and obstructions by medical doctors from semi-urban setting in central India.

Antibiotic stewardship through clinical data digitization: perceived opportunities and obstructions by medical doctors from semi-urban setting in central India.

Background: Antibiotic resistance is a global public health concern. Inadequate record-keeping and irrational antibiotic prescriptions are challenging factors for antibiotic stewardship. This study explores the perceptions of medical doctors in a semi-urban setting in India, regarding the role of clinical data digitization in mitigating antibiotic resistance.

Methods: The study was conducted at R D Gardi Medical College located in a semi-urban district of Central India. Qualitative data from 20 medical doctors from government and private sector were collected through in-depth, semi-structured interviews of which 18 interviews were analyzed using thematic analysis following Braun and Clarke's framework.

Results: Two major themes emerged from four overarching subthemes: (1) digitization enhances accountability and continuity of care, (2) potential for local antimicrobial surveillance, (3) infrastructural and technological barriers to adoption, and (4) the necessity of government support and capacity building. The participants believe that digitization could help in rational antibiotic prescription if there is a government mandate and infrastructure feasibility in resource constrained settings.

Conclusion: Clinicians in semi-urban India perceive the digitization of clinical data as a promising tool to combat antibiotic resistance. However, systemic and infrastructural challenges must be addressed to utilize its full potential.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
4.20
自引率
0.00%
发文量
0
审稿时长
13 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信