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Littérature scientifique sur le sujet « Healthcare resistance »

Auteur : Grafiati
Publié le 15 mars 2023

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Articles de revues sur le sujet "Healthcare resistance"

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Essex, Ryan. « Resistance in health and healthcare ». Bioethics 35, no 5 (8 mars 2021) : 480–86. http://dx.doi.org/10.1111/bioe.12862.

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Pugliese, Gina, et Martin S. Favero. « Vancomycin Resistance Outside the Healthcare Setting ». Infection Control & ; Hospital Epidemiology 18, no 10 (octobre 1997) : 729. http://dx.doi.org/10.1017/s0195941700000709.

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Waring, Justin J., et Simon Bishop. « Lean healthcare : Rhetoric, ritual and resistance ». Social Science & ; Medicine 71, no 7 (octobre 2010) : 1332–40. http://dx.doi.org/10.1016/j.socscimed.2010.06.028.

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Winter, George. « Antibiotic resistance ». Journal of Prescribing Practice 2, no 8 (2 août 2020) : 430–31. http://dx.doi.org/10.12968/jprp.2020.2.8.430.

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This month, George Winter discusses how healthcare professionals are still reluctant to address the growing issue of antibiotic resistance, and examines the key factors that are contributing to this ongoing issue
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Ameri, M., L. Suarez, B. Miles, CF Michie et J. Abdul. « Antimicrobial resistance : An unrelenting enemy ». Global Journal of Medical and Clinical Case Reports 9, no 1 (24 janvier 2022) : 008–14. http://dx.doi.org/10.17352/2455-5282.000147.

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Antimicrobial Resistance (AMR) poses an increasing threat to global public health and is projected to be one of the greatest challenges of healthcare in the future as the costs of healthcare, morbidity, and mortality will increase. AMR is likely to complicate many routine procedures such as elective surgery in the future. Together, healthcare professionals need to be aware of the significance antimicrobial resistance poses and make changes needed to mitigate the danger as a result of one of the most important developments in medicine.
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Chaibi, Asma, et Imed Zaiem. « Doctor Resistance of Artificial Intelligence in Healthcare ». International Journal of Healthcare Information Systems and Informatics 17, no 1 (1 janvier 2022) : 1–13. http://dx.doi.org/10.4018/ijhisi.315618.

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Artificial intelligence (AI) has revolutionized healthcare by enhancing the quality of patient care. Despite its advantages, doctors are still reluctant to use AI in healthcare. Thus, the authors' main objective is to obtain an in-depth understanding of the barriers to doctors' adoption of AI in healthcare. The authors conducted semi-structured interviews with 11 doctors. Thematic analysis as chosen to identify patterns using QSR NVivo (version 12). The results showed that the barriers to AI adoption are lack of financial resources, need for special training, performance risk, perceived cost, technology dependency, need for human interaction, and fear of AI replacing human work.
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Longoni, Chiara, Andrea Bonezzi et Carey K. Morewedge. « Resistance to Medical Artificial Intelligence ». Journal of Consumer Research 46, no 4 (3 mai 2019) : 629–50. http://dx.doi.org/10.1093/jcr/ucz013.

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Abstract Artificial intelligence (AI) is revolutionizing healthcare, but little is known about consumer receptivity to AI in medicine. Consumers are reluctant to utilize healthcare provided by AI in real and hypothetical choices, separate and joint evaluations. Consumers are less likely to utilize healthcare (study 1), exhibit lower reservation prices for healthcare (study 2), are less sensitive to differences in provider performance (studies 3A–3C), and derive negative utility if a provider is automated rather than human (study 4). Uniqueness neglect, a concern that AI providers are less able than human providers to account for consumers’ unique characteristics and circumstances, drives consumer resistance to medical AI. Indeed, resistance to medical AI is stronger for consumers who perceive themselves to be more unique (study 5). Uniqueness neglect mediates resistance to medical AI (study 6), and is eliminated when AI provides care (a) that is framed as personalized (study 7), (b) to consumers other than the self (study 8), or (c) that only supports, rather than replaces, a decision made by a human healthcare provider (study 9). These findings make contributions to the psychology of automation and medical decision making, and suggest interventions to increase consumer acceptance of AI in medicine.
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Simcock, Mathew, Pedram Sendi, Bruno Ledergerber, Tamara Keller, Jörg Schüpbach, Manuel Battegay, Huldrych F. Günthard et al. « A Longitudinal Analysis of Healthcare Costs after Treatment Optimization following Genotypic Antiretroviral Resistance Testing : Does Resistance Testing pay off ? » Antiviral Therapy 11, no 3 (1 avril 2005) : 305–14. http://dx.doi.org/10.1177/135965350601100305.

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Objective To assess the impact of antiretroviral therapy optimized by genotypic antiretroviral resistance testing (GRT) on healthcare costs over a 2-year period in patients after antiretroviral treatment failure. Study design Non-randomized, prospective, tertiary care, clinic-based study. Patients One-hundred and forty-two HIV patients enrolled in the ‘ZIEL’ study and the Swiss HIV Cohort Study who experienced virological treatment failure. Methods For all patients GRT was used to optimize the antiretroviral treatment regimen. All healthcare costs during 2 years following GRT were assessed using micro-costing. Costs were separated into ART medication costs and healthcare costs other than ART medication (that is, non-ART medication costs, in-patient costs and ambulatory [out-patient] costs). These cost estimates were then split into four consecutive 6-month periods (period 1–4) and the accumulated cost for each period was calculated. Univariate and multivariate regression modelling techniques for repeated measurements were applied to assess the changes of healthcare costs over time and factors associated with healthcare costs following GRT. Results Overall healthcare costs after GRT decreased over time and were significantly higher in period 1 (32%; 95% confidence interval [CI]: 18–47) compared with period 4. ART medication costs significantly increased by 1,017 (95% CI: 22–2,014) Swiss francs (CHF) from period 1–4, whereas healthcare costs other than ART medication costs decreased substantially by a factor of 3.1 (95% CI: 2.6–3.7) from period 1 to period 4. Factors mostly influencing healthcare costs following GRT were AIDS status, costs being 15% (95% CI: 6–24) higher in patients with AIDS compared with patients without AIDS, and baseline viral load, costs being 12% (95% CI: 6–17) higher in patients with each log increase in plasma RNA. Conclusions Optimized antiretroviral treatment regimens following GRT lead to a reduction of healthcare costs in patients with treatment failure over 2 years. Patients in a worse health state (that is, a positive AIDS status and high baseline viral load) will experience higher overall costs.
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Mohammed, Shafii, et Lisa Gorski. « Antimicrobial Resistance and Antimicrobial Stewardship in Home Healthcare ». Home Healthcare Now 39, no 5 (septembre 2021) : 238–46. http://dx.doi.org/10.1097/nhh.0000000000001012.

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Landaeta, Rafael E., Ji Hyon Mun, Ghaith Rabadi et David Levin. « Identifying sources of resistance to change in healthcare ». International Journal of Healthcare Technology and Management 9, no 1 (2008) : 74. http://dx.doi.org/10.1504/ijhtm.2008.016849.

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Thèses sur le sujet "Healthcare resistance"

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Tumin, Rachel Ann. « Social and healthcare factors of methicillin-resistant Staphylococcus aureus resistance to targeted antibiotics ». The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1311691184.

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Daiski, Isolde. « Bedside nurses and the restructuring of healthcare, identity, power and resistance ». Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/NQ63784.pdf.

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Garcia, Tanisha. « Associations Between Leadership Style and Employee Resistance to Change in a Healthcare Setting ». ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2536.

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. Abstract Health reform is forcing healthcare administrators to make rapid changes. A tendency to resist change can present problems for these organizations, including the large, not-for-profit Catholic healthcare systems. In order to make positive contributions towards healthcare, it's important to recognize the nature of the organization's involvement to change. The transformational leadership style has been shown to be positively correlated with change however, the relationship among leadership styles, employees' behaviors, and motivation to change are still not well understood and require further study. Further, although Oreg's Resistance to Change (RTC) approach has been researched in direct patient care areas, RTC research in non-patient settings is lacking and necessary in delivering the full spectrum of patient care. This study focused on the relationship of transformational leadership to RTC and if the relationships leaders' have with subordinates' influence change. A customized survey that included the Multifactor Leadership Questionnaire, RTC, and Leader Member Exchange (LMX 7) was emailed to 500 random individuals of various ages and races from 3 non-patient areas. Thirty leaders and 133 raters responded. The regression analysis showed a strong correlation between transformational leadership and RTC. Additionally, each of the variables from the LMX 7 section of the survey showed associations indicating the relationship leaders develop with their subordinates and leader transformational scores were positive. This study may contribute to the awareness of RTC and utilizing transformational leadership style to move change in a positive direction for a healthcare setting.
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Samuelsson, Annika. « The faecal flora : a source of healthcare-associated infections and antibiotic resistance ». Doctoral thesis, Linköpings universitet, Avdelningen för mikrobiologi och molekylär medicin, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-97709.

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Healthcare-associated infections (HAI) are important causes of mortality and morbidity, and antibiotic treatment is often necessary. Development and availability of new antibiotics are closely followed by development of resistance among microorganisms. During antibiotic therapy, a fraction of the antibiotic given is found in the gut. The human gut is an important reservoir of bacteria. Microorganisms residing or passing the gut is referred to as the gut flora or microbiota. The results of this thesis showed spread of Enterococcus spp between patients on a general intensive care unit, causing septicaemia. After improved hygiene, reorganisation of rooms and thorough cleaning of the unit, together with revision of antibiotic strategy, the incidence of septicaemia with Enterococcus spp fell. Investigation of patients treated for acute intra-abdominal infections showed a shift in the aerobic faecal flora from antibiotic-susceptible Enterobacteriaceae spp towards Enterococcus faecium, yeasts and species of Enterobacteriaceae more resistant to antibiotics, after antibiotic treatment and hospital care. Investigation of recurrent outbreaks of Serratia marcescens sepsis in patients admitted to a neonatal intensive care unit showed different clones with each outbreak. Multiple hygiene interventions and revision of antibiotic strategy subsequently obviated recurrent outbreaks of sepsis, but spread of S. marcescens was not reduced until compliance with basic hygiene guidelines remained stable above 80%. We also found that low gestational age at birth, ventilator treatment and central venous or umbilical catheters are independent risk factors for late onset sepsis. Investigation of the faecal microbiota in patients with acute appendicitis or diverticulitis revealed that disturbance of the faecal microbiota already existed on admission, with higher numbers of Enterobacteriaceae and less Bacteroides, Faecalibacterium, Ruminococcus and Prevotella prior to antibiotic treatment and hospitalisation, than the control population. After treatment and hospitalisation diversity increased significantly in the diverticulitis group, approaching the healthy controls in composition.
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CHEN, JOHAN. « Rationalisation within a healthcare context : Application of the concept Theory of Constraints within a minor healthcare department ». Thesis, KTH, Industriell Management, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-199205.

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The demand for healthcare services is currently growing worldwide with an ever increasing pace.Healthcare institutions need to adapt to the changing demographics in order to satisfy the demand. Meanwhile, many hospitals and care units have limited economic means to find appropriate solutions. A concept from the manufacturing industry that is considered to fulfill these criteria’s is called Theory of Constraints (ToC). This concept is focusing on streamlining processes by coordinating the activities and ensuring an efficient stream the production flow. This study has investigated the ability of the concept to support medical and administration staff in the department’s overall objective to decrease overall lead time.The investigation has been realized by conducting a case study at one of the largest emergency hospitals in Stockholm, Sweden. The hospital is one of the leading hospitals within Swedish medicine and receives and treats over 300000 patients annually. The case design consisted of three methods all linked to qualitative data collection, the three methods consisted of interviews, observations and shadowing.The results suggest that the application of ToC revealed little resistance to change among the participants. The concept was able to identify and resolve minor constraints in the case setting; the department of obstetrics and gynecology and also display promising characteristics in terms of solving more complex and intricate constraints. ToC as a concept were able to identify constraints in a healthcare department with a simple yet apparent cause and effect linkage. Finally, the findings indicate that ToC complements the concept of working with Continuous Improvements (CI) within the healthcare.The conclusions from this study have implications both in a theoretical perspective and a practical perspective. The findings provide additional empirical data to a field that is currently dominated by theories. In a practical aspect, the results of this study provides hospitals insights of ToC, a potentially valuable tool to improve efficiency and decrease lead times while working long-term towards an approach with CI.
Det nuvarande behovet för sjukvård ökar med en allt snabbare takt världen över. Sjukhus och andravårdinstitutioner behöver anpassa sig och göra förändringar för att hantera de demografiska förändringar som sker. Samtidigt så har många sjukhus och vårdcentraler mycket begränsade resurser för att hitta lämpliga lösningar. Ett koncept från tillverkningsindustrin som betraktas som en lämplig lösning för denna situation är ett koncept som heter Theory of Constraints (ToC). Detta koncept fokuserar på att effektivisera processer genom att koordinera de aktiviteter som ingår i en process för att i sin tur säkerställa ett effektivt produktionsflöde. Denna studie har undersökt detta koncepts möjligheter att stödja medicinsk och administrativ personal i arbetet med att försöka minska ledtider i en vårdmiljö.Utredningen har genomförts praktiskt genom en fältstudie på ett av Stockholms största sjukhus. Sjukhuset är ett av de ledande inom svensk medicin och tar emot och behandlar uppemot 300 000 patienter årligen. Fältstudiens utformning bygger på tre metoder, intervjuer, skuggningar och observationer vilket alla är sammankopplade med kvalitativ datainsamling.Resultaten indikerar att tillämpandet av konceptet ToC har påvisat litet förändringsmotstånd av de som har deltagit i förändringsarbetet samt att konceptet har haft förmågan att identifiera och lösa mindre restriktioner inom sjukhusavdelningen för Obstetrik och Gynekologi. Detta har i huvudsak gjorts genom att kartlägga olika aktiviteter med en tydlig orsak och verkan samband. Utöver detta så har konceptet initialt påvisat intressanta framsteg för att eventuellt lösa mer komplexa restriktioner som begränsar produktionsflödet i en sjukhusmiljö. Vidare så framgår det att konceptet ToC i viss utsträckning kompletterar filosofin att arbeta med kontinuerliga förbättringar (Continuous Improvements/CI).Slutsatserna för denna studie har implikationer för både ett teoretiskt och praktiskt perspektiv. Utifrån ett teoretiskt perspektiv, så förser resultaten från studien med ytterligare empiriska data i ett område som för närvarande är uppbyggt av teori och litteratur. Utifrån en praktisk synvinkel ger resultaten för denna studie sjukhus och vårdinstitutioner värdefulla insikter om konceptet ToC, ett potentiellt värdefullt verktyg för att förbättra effektiviteten och minska ledtider samtidigt som det stödjer ett långsiktigt arbete med kontinuerliga förbättringar.
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New, Elizabeth. « RACISM, RESISTANCE, RESILIENCE : CHRONICALLY ILL AFRICAN AMERICAN WOMEN’S EXPERIENCES NAVIGATING A CHANGING HEALTHCARE SYSTEM ». UKnowledge, 2018. https://uknowledge.uky.edu/anthro_etds/28.

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This medical anthropology dissertation is an intersectional study of the illness experiences of African-American women living with the chronic autoimmune syndrome systemic lupus erythematosus (SLE), commonly known as lupus. Research was conducted in Memphis, Tennessee from 2013 to 2015, with the aim of examining the healthcare resources available to working poor and working class women using public sector healthcare programs to meet their primary care needs. This project focuses on resources available through Tennessee’s privatized public sector healthcare system, TennCare, during the first phases of the Patient Protection and Affordable Care Act (ACA). A critical medical anthropological analysis is used to examine chronically ill women’s survival strategies regarding their daily health and well-being. The objectives of this research were to: 1) understand what factors contribute to poor women’s ability to access healthcare resources, 2) explore how shared illness experiences act as a form of community building, and 3) document how communities of color use illness narratives as a way to address institutionalized racism in the United States. The research areas included: the limits of biomedical objectivity; diagnostic timeline in relation to self-reported medical history; effects of the relationship between socio-economic circumstance and access to consistent healthcare resources, including primary and acute care, as well as access to pharmaceutical interventions; and the role of non-medical support networks, including personal support networks, illness specific support groups, and faith based organizations. Qualitative methods were used to collect data. Methods included: participant observation in support groups, personal homes, and faith based organizations, semi-structured group interviews, and open-ended individual interviews. Fifty-one women living with clinically diagnosed lupus or undiagnosed lupus-like symptoms participated in individual interviews. Additionally twenty-one healthcare workers, including social workers, Medicaid caseworkers, and clinic support staff were interviewed in order to contextualize current state and local health programs and proposed changes to federal and state healthcare policy.
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Foli, Matilda. « nalysing Change Resistance to an Information Systems-Supported Process in a South African Public Hospital ». Master's thesis, Faculty of Commerce, 2019. http://hdl.handle.net/11427/31219.

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Introducing technological change to an organization’s normal processes can potentially bring about positive or negative results, depending mostly on the manner in which the change was facilitated and integrated into the organization. However, very little research has been done on information technology (IT) investment among hospitals, its effect on the personnel, as well as how it influences patient care and financial performance. Consequently, little is known about users’ resistance to new technologies and the precedents of technology rejection in healthcare. Therefore, this study seeks to fill the gap of understanding South African hospital staffs’ perceptions towards change, caused by introducing an information system into one of the hospital’s daily processes. Where resistance towards change is identified, the study aims to understand the reasons behind such resistance. Finally, it aims to find appropriate intervention strategies to deal with and minimize resistance. In doing so, the study seeks to contribute to the body of research regarding change resistance to information systems in public South African hospitals. By adopting a descriptive and exploratory interpretivist paradigm, in conjunction with an inductive approach, the study aims to get a better understanding of hospital staffs’ perceptions through shared meaning. The study adopted a case study research strategy, as it affords the researcher the opportunity to participate in the study, and as such contributes to the subjective interpretation of the findings. Data was collected using a mixed method approach, and was used to describe the difference between the current and proposed process. In addition, it was used to explore the reasons for change resistance to information system-supported change, and to explore methods of successfully introducing change to tertiary public hospitals in South Africa. Fourteen participants (7 medical interns and 7 ward clerks) who were directly involved in the process being studied, were interviewed. Two other participants (the head of the pharmacy and the patient flow manager), who were indirectly involved in the process, were interviewed, to verify the observed and mapped process. Interview data was analyzed qualitatively, firstly through coding techniques before using sentiment and thematic analysis. While the mapped process followed Business Process Modelling Notation conventions. In addition to a mapped proposed process, a change resistance conceptual model was developed from a conjunction of the findings and extensive review of literature. The conceptual model asserts that five main factors contribute to change resistance: unclearly defined duties; fear of job security and technology usage; years of service; resource availability and resource mismatch; as well as insufficient training resulting from the lack of a learning culture. These factors can be moderated by: the existing state of affairs referred to as status quo; management involvement; and communication. The conceptual model can be used to better understand the causes of change resistance, as well as how to minimize change resistance and successfully introduce change into a health organization. Change agents should aim to understand the status quo that exists in the organization and find ways of incorporating that into the change process. Furthermore, management should aim to involve and communicate with all affected stakeholders during a change process. This research has provided a better understanding of hospital staffs’ reactions to change, their reasons for resistance, and ways to minimize change resistance while successfully introducing change into a health organization.
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Lum, Elaine P. M. « Making decisions about antibiotic use in the Australian primary healthcare sector ». Thesis, Queensland University of Technology, 2017. https://eprints.qut.edu.au/107540/1/Elaine_Lum_Thesis.pdf.

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Antibiotic use drives antibiotic resistance, a global issue with significant human health and economic burden. Australia’s antibiotic consumption is above the OECD average. However, it is unclear which factors are most important for driving antibiotic use in Australian primary healthcare. This research established the most important factors influencing general practitioners to prescribe antibiotics and consumers to use antibiotics. In addition, a model was developed — the Enabling Antibiotic Eupraxis (EABE) model — to explain the drivers of antibiotic use from three perspectives: general practitioners, community pharmacists and consumers. This evidence informs the implementation of Australia’s national antimicrobial resistance strategy.
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Bazile, Emmanuel Patrick. « Electronic Medical Records (EMR) : An Empirical Testing of Factors Contributing to Healthcare Professionals’ Resistance to Use EMR Systems ». NSUWorks, 2016. http://nsuworks.nova.edu/gscis_etd/964.

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The benefits of using electronic medical records (EMRs) have been well documented; however, despite numerous financial benefits and cost reductions being offered by the federal government, some healthcare professionals have been reluctant to implement EMR systems. In fact, prior research provides evidence of failed EMR implementations due to resistance on the part of physicians, nurses, and clinical administrators. In 2010, only 25% of office-based physicians have basic EMR systems and only 10% have fully functional systems. One of the hindrances believed to be responsible for the slow implementation rates of EMR systems is resistance from healthcare professionals not truly convinced that the system could be of substantive use to them. This study used quantitative methods to measure the relationships between six constructs, namely computer self-efficacy (CSE), perceived complexity (PC), attitude toward EMR (ATE), peer pressure (PP), anxiety (AXY), and resistance to use of technology (RES), are predominantly found in the literature with mixed results. Moreover, they may play a significant role in exposing the source of resistance that exists amongst American healthcare professionals when using Electronic Medical Records (EMR) Systems. This study also measured four covariates: age, role in healthcare, years in healthcare, gender, and years of computer use. This study used Structural Equation Modeling (SEM) and an analysis of covariance (ANCOVA) to address the research hypotheses proposed. The survey instrument was based on existing construct measures that have been previously validated in literature, however, not in a single model. Thus, construct validity and reliability was done with the help of subject matter experts (SMEs) using the Delphi method. Moreover, a pilot study of 20 participants was conducted before the full data collection was done, where some minor adjustments to the instrument were made. The analysis consisted of SEM using the R software and programming language. A Web-based survey instrument consisting of 45 items was used to assess the six constructs and demographics data. The data was collected from healthcare professionals across the United States. After data cleaning, 258 responses were found to be viable for further analysis. Resistance to EMR Systems amongst healthcare professionals was examined through the utilization of a quantitative methodology and a cross-sectional research measuring the self-report survey responses of medical professionals. The analysis found that the overall R2 after the SEM was performed, the model had an overall R2 of 0.78, which indicated that 78% variability in RES could be accounted by CSE, PC, ATE, PP, and AXY. The SEM analysis of AXY and RES illustrated a path that was highly significant (β= 0.87, p < .001), while the other constructs impact on RES were not significant. No covariates, besides years of computer use, were found to show any significance differences. This research study has numerous implications for practice and research. The identification of significant predictors of resistance can assist healthcare administrators and EMR system vendors to develop ways to improve the design of the system. This study results also help identify other aspects of EMR system implementation and use that will reduce resistance by healthcare professionals. From a research perspective, the identification of specific attitudinal, demographic, professional, or knowledge-related predictors of reference through the SEM and ANCOVA could provide future researchers with an indication of where to focus additional research attention in order to obtain more precise knowledge about the roots of physician resistance to using EMR systems.
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Costa, Diana Sofia Pereira Espadinha de Oliveira. « Update on the population structure of MRSA causing infection in a central hospital and in healthcare centers in Portugal ». Master's thesis, Faculdade de Ciências Médicas. Universidade Nova de Lisboa, 2012. http://hdl.handle.net/10362/7101.

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RESUMO:Staphylococcus aureus é um dos principais agentes patogénicos humanos, sendo frequentemente associado a infecções nosocomiais e infecções na comunidade. A prevalência de S. aureus resistentes à meticilina (MRSA) em hospitais portugueses é uma das mais elevadas da Europa e tem sido caracterizada extensivamente; contrariamente, a prevalência e epidemiologia de MRSA na comunidade em Portugal não tem sido devidamente seguida. Com o objectivo de compreender as causas possíveis do aumento na frequência de MRSA num dos maiores hospitais centrais portugueses (HSM) ao longo de 17 anos, isolados de MRSA recolhidos em 1993 (n=54) e 2010 (n=180) de pus, sangue e urina foram analisados por PFGE, MLST, tipagem do spa e tipagem de SCCmec. Os resultados mostraram que ocorreu uma mudança global nos tipos clonais predominantes, onde o clone ST22-IVh substituiu os clones, ST239-IIIvar e ST247-I, representando mais de 70% da população actual. Além disso, entre 1993 e 2010 verificou-se um aumento na diversidade genética dos tipos clonais de MRSA. Para determinar a frequência e a natureza clonal de MRSA e S. aureus sensíveis à meticilina (MSSA) isolados de infecções de pele e tecidos moles (SSTI) em pessoas que frequentam centros de saúde em Portugal, 73 amostras foram recolhidas em nove centros de saúde (Rede Médicos Sentinela). Isolou-se um total de 40 S. aureus (55%), dos quais 17,5% eram MRSA. Os isolados de MRSA pertenciam aos clones ST22-IVh (n=4), ST5-IVc (n=2) e ST105-II (n=1), que foram descritos neste estudo como sendo clones de origem hospitalar. Os nossos resultados sugerem que o aumento da frequência de MRSA no HSM pode estar associado à emergência de um clone de MRSA com maior capacidade epidémica. Além disso, verificámos que a principal causa de SSTI em pessoas que frequentam centros de saúde em Portugal são MRSA de origem hospitalar e não MRSA associados à comunidade.------ABSTRACT: Staphylococcus aureus is one of the most important human pathogens, being a major cause of infections worldwide both in the hospital and in the community. In Portugal, the prevalence of methicillin resistant S. aureus (MRSA) in hospitals is one of the highest in Europe and has been characterized extensively; contrarily the prevalence and epidemiology of MRSA in the community has not been followed in a meaningful way. To understand the epidemiological events that could explain a steep increase in MRSA frequency in a major Portuguese central hospital (HSM) within a 17 year period, two MRSA collections recovered in 1993 (n=54) and 2010 (n=180) from pus, blood and urine were analyzed by PFGE, MLST, spa and SCCmec typing. The results showed that a major clonal shift occurred, wherein ST22-IVh clone has replaced the previous ST239-IIIvar and ST247-I clones and accounts for more than 70% of the present population. Moreover, an increase in genetic diversity of MRSA clonal types was observed between the two study periods. With the aim of determining the frequency and clonal nature of MRSA and methicillin-susceptible S. aureus (MSSA) causing skin and soft tissue infections (SSTI) in patients attending healthcare centers in Portugal, 73 samples were collected from nine healthcare centers (Medicos Sentinela Network). A total of 40 S. aureus were isolated, accounting for 55% of the SSTI, of which 17.5% were MRSA. MRSA isolates belonged to ST22-IVh (n=4), ST5-IVc (n=2) and ST105-II (n=1) that have also been described in the hospital in an equivalent period. Our results suggest that the increase in MRSA frequency in HSM may be associated to the emergence of a MRSA clone with higher epidemic potential. Moreover, we propose that the spillover of MRSA from the hospital rather than community-associated-MRSA was the main cause of SSTI in persons attending healthcare centers in Portugal.
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Livres sur le sujet "Healthcare resistance"

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Services, Montana Dept of Public Health and Human. Interim guidelines for the control and prevention of methicillin-resistant Staphylococcus aureus (MRSA) skin and soft tissue infections in non-healthcare settings. Helena, Mont : Montana Dept. of Public Health and Human Services Communicable Disease Control and Prevention Bureau, 2007.

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Rogers, Robert. Healthcare Wars : Maximum Resistance. BookBaby, 2017.

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Scepticism and Resistance to IoMT in Healthcare : Healthcare Iomt. Independently Published, 2021.

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Segal, David. Healthcare. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780198804079.003.0005.

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Chapter 5 describes the role of materials in healthcare. It covers use of superconducting alloys in magnetic resonance imaging and lasers in medicine. Biologic drugs that are monoclonal antibodies are described as well as their preparation by recombinant deoxyribonucleic acid (DNA) technology. It also covers aspects of drug delivery, nanoparticles in medicine and shape-memory alloys used in coronary stents. Antimicrobial resistance is discussed, as is bioprinting.
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Daiski, Isolde. Bedside nurses and the restructuring of healthcare : Identiry, power and resistance. 2001.

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Samuelsson, Annika. The faecal flora : a source of healthcare-associated infections and antibiotic resistance. Linköping University Electronic Press, 2013. http://dx.doi.org/10.3384/diss.diva-97709.

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Essex, Ryan. Healthcare Community and Australian Immigration Detention : The Case for Non-Violent Resistance. Springer Singapore Pte. Limited, 2021.

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Essex, Ryan. Healthcare Community and Australian Immigration Detention : The Case for Non-Violent Resistance. Palgrave Macmillan, 2020.

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Varman, Rohit, et Devi Vijay, dir. Organizing Resistance and Imagining Alternatives in India. Cambridge University Press, 2022. http://dx.doi.org/10.1017/9781009193405.

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This volume examines the political economy of neoliberalism in India and offers cases of resistance and alternative organizing. It departs from existing conversations that focus on the state's policies and decisions, and focuses on the violence unleashed by corporate forces. It should be of interest to anyone curious about the collapse of crucial infrastructures such as healthcare and the news media, or the rhetoric of corporate social responsibility, and why there are people's movements and organizations rising from different geographies. While offering in-depth case studies of oraganisations within India, such as The Wire, The People's Archive of Rural India, Kudumbashree, and Left Word Books, it also informs conversations across the world on alternative forms of organizing. These accounts have two imperatives: first, to train our attention on corporations and where capitalism produces its vast waste lands. Second, to imagine the possibilities of another world. The contributors to this volume write to resist the status quo, explore alternative ways of organizing, re-imagine social relations, and rekindle hope.
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Handbook for Communication on the Rational Use of Antimicrobials for the Containment of Resistance. Pan American Health Organization, 2021. http://dx.doi.org/10.37774/9789275123683.

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The acquisition of antimicrobials without a prescription is a global concern. This practice is thriving in countries that lack adequate legislation or where regulations are not properly enforced. The Pan American Health Organization (PAHO) and its member states in the Region of the Americas approved the Global Action Plan on Antimicrobial Resistance, which recognizes antimicrobial resistance as a threat to global public health that requires a multisectoral response. To tackle antimicrobial resistance, a worldwide change in behavior is needed in terms of how these drugs are used and acquired. National approaches are required to address the indiscriminate use and over-prescription of antimicrobials, and to enforce regulations on prescription and acquisition practices. The objective of this communication handbook is to help communication professionals and health program officials develop strategies to raise awareness and promote the importance of the appropriate use of antimicrobials among different stakeholders; raise public awareness about the importance of obtaining antimicrobials with a prescription in order to achieve multisectoral collaboration to ensure compliance with laws and regulations on this issue; and promote a change in behavior regarding the appropriate use and acquisition of antimicrobials by everyone involved. The target audiences for this handbook are the general population (including adolescents, children, and child caregivers/parents of children), healthcare professionals (including pharmacists and pharmacy staff), and various stakeholders (government officials, professional societies, medical organizations, the private sector, local leaders, and health-influencers, among others).
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Chapitres de livres sur le sujet "Healthcare resistance"

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Merz, Liana R., Rebecca M. Guth et Victoria J. Fraser. « Cost of Antimicrobial Resistance in Healthcare Settings : A Critical Review ». Dans Antimicrobial Resistance, 102–19. Basel : KARGER, 2010. http://dx.doi.org/10.1159/000298759.

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Kluytmans, Jan A. J. W., et Bram M. W. Diederen. « Control of Healthcare-Associated Methicillin-ResistantStaphylococcus aureus ». Dans Antibiotic Policies : Fighting Resistance, 253–69. Boston, MA : Springer US, 2008. http://dx.doi.org/10.1007/978-0-387-70841-6_16.

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Narayanan, Prakash, K. Rakshitha et Helmut Brand. « Implementation Challenges in Healthcare-associated Antimicrobial Resistance Prevention and Control in India ». Dans Antimicrobial Resistance, 195–220. Boca Raton : CRC Press, 2022. http://dx.doi.org/10.1201/9781003313175-9.

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Riley, Robert T., Nancy M. Lorenzi et Naakesh A. Dewan. « Barriers and Resistance to Informatics in Behavioral Health Care ». Dans Behavorial Healthcare Informatics, 140–48. New York, NY : Springer New York, 2002. http://dx.doi.org/10.1007/978-0-387-21586-0_11.

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Oudshoorn, Nelly. « Resistance and Boundary Work ». Dans Telecare Technologies and the Transformation of Healthcare, 68–88. London : Palgrave Macmillan UK, 2011. http://dx.doi.org/10.1057/9780230348967_4.

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Sellen, Katherine, Mark Chignell, Jeannie Callum, Jacob Pendergrast et Alison Halliday. « Confessions from the Operating Suite : Negotiating Capture, Resistance, Errors, and Identity ». Dans Fieldwork for Healthcare, 1–10. Cham : Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-031-01596-0_1.

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Gordon, Cree, et McKinley Green. « Queer Rhetorics of Resistance in HIV Healthcare ». Dans The Routledge Handbook of Queer Rhetoric, 200–205. New York : Routledge, 2022. http://dx.doi.org/10.4324/9781003144809-27.

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Essex, Ryan. « The Case for Non-violent Resistance ». Dans The Healthcare Community and Australian Immigration Detention, 125–48. Singapore : Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-7537-2_6.

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Ballouz, Tala, Nesrine Rizk et Souha S. Kanj. « Antimicrobial Resistance in the Arab Region ». Dans Handbook of Healthcare in the Arab World, 1–26. Cham : Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-74365-3_173-1.

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Ballouz, Tala, Nesrine Rizk et Souha S. Kanj. « Antimicrobial Resistance in the Arab Region ». Dans Handbook of Healthcare in the Arab World, 3131–56. Cham : Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-36811-1_173.

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Actes de conférences sur le sujet "Healthcare resistance"

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Xu, Jingtian, Simengyu Li, Xuesong Zhang et Ruifang Wang. « Pollution Resistance Characteristics of Street Trees ». Dans Conference on Artificial Intelligence and Healthcare. SCITEPRESS - Science and Technology Publications, 2021. http://dx.doi.org/10.5220/0011369700003444.

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Bhattacherjee, Anol, et Neset Hikmet. « Physicians' Resistance toward Healthcare Information Technologies : A Dual-Factor Model ». Dans Proceedings of the 40th Annual Hawaii International Conference on System Sciences. IEEE, 2007. http://dx.doi.org/10.1109/hicss.2007.437.

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Samhan, Bahae, et K. D. Joshi. « Resistance of Healthcare Information Technologies ; Literature Review, Analysis, and Gaps ». Dans 2015 48th Hawaii International Conference on System Sciences (HICSS). IEEE, 2015. http://dx.doi.org/10.1109/hicss.2015.362.

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Moontaha, Sidratul, Nico Steckhan, Arpita Kappattanavar, Rainer Surges et Bert Arnrich. « Self-prediction of seizures in drug resistance epilepsy using digital phenotyping ». Dans PervasiveHealth '20 : 14th EAI International Conference on Pervasive Computing Technologies for Healthcare. New York, NY, USA : ACM, 2020. http://dx.doi.org/10.1145/3421937.3421943.

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Emmanuel, Udomiaye, Desy Osondu Eze, Kalu Cheche Kalu et Aminu Ahmad Haliru. « Environmental Sustainability for Infection Prevention and Control (IPC) in Healthcare Facilities ». Dans 4th International Conference of Contemporary Affairs in Architecture and Urbanism – Full book proceedings of ICCAUA2020, 20-21 May 2021. Alanya Hamdullah Emin Paşa University, 2021. http://dx.doi.org/10.38027/iccaua2021303n7.

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The emergence of the novel coronavirus, increase in microbial resistance and the scarceness of vaccines for the present pandemic have made it imperative to appraise the link between the sustainable built environment and Infection control as well as the strategies employed during the pre-antibiotic period. This paper aims to identify the nexus between a sustainable built environment and infection control in healthcare facilities with the view of developing guidelines and highlighting the role of architecture in curbing the pandemic. The study relied on existing studies, interviews, and interactions with healthcare workers. The findings showed that sustainable design strategies play a significant role in infection prevention and control and could as well be a panacea for curbing the spread of Coronavirus, especially in healthcare facilities. A sustainable environment for hospitals or healthcare facilities, apart from low energy and carbon emission, needs to integrate design strategies to confront the impact of healthcare-associated infections.
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Maruyama, Takaya, Michael S. Niederman, Hiroyasu Kobayashi, Osamu Taguchi, Toshiaki Ihara et Esteban C. Gabazza. « New Therapeutic Strategy Based On Severity And Multidrug Resistance Risk Factors In Healthcare Associated Pneumonia ». Dans American Thoracic Society 2011 International Conference, May 13-18, 2011 • Denver Colorado. American Thoracic Society, 2011. http://dx.doi.org/10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a3924.

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Altunina, N. V. « Autoantibodies to oxidized LDL level according to insulin resistance in patients with diabetes mellitus and chronic coronary syndrome ». Dans MODERN MEDICINE : THE USE OF CREATIVE INDUSTRIES IN THE HEALTHCARE SYSTEM. Baltija Publishing, 2021. http://dx.doi.org/10.30525/978-9934-26-182-4-3.

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Meinert, David. « Resistance to Electronic Medical Records (EMRs) : A Barrier to Improved Quality of Care ». Dans InSITE 2005 : Informing Science + IT Education Conference. Informing Science Institute, 2005. http://dx.doi.org/10.28945/2896.

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While most industries have aggressively leveraged information technology (IT) to improve quality and reduce costs the healthcare sector has lagged behind. Electronic Medical Records (EMRs) hold great promise for improving quality of care yet widespread adoption is lacking. Physician acceptance is critical to widespread adoption of ambulatory EMRs, yet there is little independent research on physician perceptions. This paper attempts to address this void by reporting the results of a study of physician perceptions related to EMRs in a large, multi-specialty clinic. Physician perceptions of select EMR functions and general attitudes and beliefs are reported. While the importance and anticipated utilization of EMR functions varied, nearly 80 percent of the respondents felt an EMR should be implemented. The findings have implications for both vendors attempting to design and market EMR systems and physician executives and practice managers seeking to solicit support for EMR adoption and/or develop a successful implementation strategy.
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Neverov, V. Yu, et V. V. Trigub. « PROSPECTS FOR THE DEVELOPMENT OF NEW FUNCTIONAL FOOD PRODUCTS WITH IMMUNO-CORRECTING PROPERTIES ». Dans I International Congress “The Latest Achievements of Medicine, Healthcare, and Health-Saving Technologies”. Kemerovo State University, 2023. http://dx.doi.org/10.21603/-i-ic-93.

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Objective: development of an original formulation of a non-alcoholic balm as a functional product based on plant raw materials from the Tyumen region with immunomodulating, tonic properties to increase the body's resistance to adverse climatic conditions of the environment.
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Petersone, Mara, Ingars Erins et Karlis Ketners. « Is Latvia Ready For The Value-Based Healthcare Era ? » Dans 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002130.

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The Value Based Health Care (VBHC) has recently become the leading conceptual approach to health care in the world, but no value-based healthcare programme has yet been established in Latvia. Despite the critical interest in the implementation of VBHC programmes on the part of the health sector stakeholders, still the key persons in VBHC programmes are physicians. Goal of research: To clarify the views of physicians and young physicians on values-based health care fundamental principles and their vision for their further inclusion in Latvian health care. Method: The research uses data from a survey conducted among physicians and young physicians who practice at Pauls Stradins Clinical University Hospital.Results: 42% of physicians responded that patient surveys on the effectiveness of treatment for certain groups of patients could help to improve the results of treatment; 51% of physicians responded that patient surveys on their experience during treatment can help to improve their treatment results; much more cautious were physicians regarding the question whether comparing the results of treatment between physicians teams/hospitals could help to improve the results – 39% replied ‘Yes’ and 24% ‘Rather yes than no’; similarly cautious was the reply to the question whether the voluntary public availability of treatment results from a medical treatment facility could have a positive impact on the visibility of the service provider – 31% replied ‘Yes’ and 25% ‘Rather yes’; the convincing 82% of replies were to the question whether an exchange of experience and knowledge in the team of physicians helps to improve the results of treatment; the convincing majority of 86% of physicians believe that a multidisciplinary team of physicians can help improve the results of treatment; as a positive response, can be considered that 63% of respondents think that reforms in health care may be initiated not only by the Ministry of Health. The most interesting answer would be to the question of what management strategies should be developed in the healthcare system, where the first place, with 349 points, was taken by the answer “Cooperation with external partners (manufacturers, scientific centres, insurers, IT and other service providers)”.Conclusions: The results of the survey show that the application of VBHC principles will not contradict to views of physicians on traditional management models in health care and their role in it.Proposals: However, prior to starting the introduction of VBHC programmes in Latvian health care, there are grounds for launching discussions on the benefits of VBHC compared to the traditional management model. Policy recommendations: For hospital management and health sector supervisors to avoid resistance of physicians to implementing VBHC, the strategy should focus not on VBHC resource-efficient programmes but on patient-centred healthcare.
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Rapports d'organisations sur le sujet "Healthcare resistance"

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Ciapponi, Agustín. What is the effectiveness of interventions to improve antibiotic prescribing practices for hospital inpatients ? SUPPORT, 2016. http://dx.doi.org/10.30846/1610132.

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In-hospital infections caused by antibiotic-resistant bacteria and Clostridium difficile are associated with higher rates of death, illness and prolonged hospital stay which is a serious problem for patients and healthcare systems. These infections occur because antibiotics are used too often and incorrectly.
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Giesen, Christine, Laura Diez-Izquierdo, Cristina Garcia-Fernandez, Carmen Saa-Requejo, Inmaculada Lopez-Carrillo, Carmen Lopez-Vilela, Ana Gomez-Santana et Miguel Ángel Gonzalez-Gallego. Detection of Healthcare-Related Infections Due to Multidrug-Resistant Microorganisms in COVID-19 Patients at an Intensive Care Unit in a Secondary Hospital in Spain. Peeref, septembre 2022. http://dx.doi.org/10.54985/peeref.2209p9082550.

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Wider stakeholder involvement could overcome resistance to modernising healthcare services. National Institute for Health Research, octobre 2017. http://dx.doi.org/10.3310/signal-000493.

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COVID-19 : U.S. Impact on Antimicrobial Resistance, Special Report 2022. National Center for Emerging and Zoonotic Infectious Diseases, juin 2022. http://dx.doi.org/10.15620/cdc:117915.

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CDC’s COVID-19: U.S. Impact on Antimicrobial Resistance, Special Report 2022, provides a snapshot of how the COVID-19 pandemic impacted antimicrobial resistance in the United States. Data have shown national progress in slowing the spread of antimicrobial resistance and preventing these infections is possible. However, the pandemic has undone much of the nation’s progress on antimicrobial resistance, especially in hospitals. CDC’s Special Report highlights the impact of COVID-19 on five core to combat antimicrobial resistance and on 18 pathogens, identified by CDC as urgent, serious, and concerning threats. The United States must continue to invest in the prevention-focused public health actions to combat antimicrobial resistance. CDC’s Antimicrobial Resistance Solutions Initiative has invested in domestic and global capacity to detect, respond, contain, and prevent the spread of resistance across health care, food, environment, and communities. These investments are working, but more work is needed. This was emphasized by the COVID-19 pandemic. CDC is exploring investments needed moving forward in the U.S. and global public health infrastructure to ensure a simultaneous response to the challenges of antimicrobial resistance and other emerging threats. The United States must continue to invest in preparing public health systems to address threats from multiple angles, simultaneously, and across One Health. If properly resourced, the United States can continue to build resilient domestic and global public health systems to keep our nation safe against the threats of antimicrobial-resistant pathogens. COVID-19: U.S. Impact on Antimicrobial Resistance, Special Report 2022, is a publication of the Antimicrobial Resistance Coordination and Strategy Unit within the Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention. Suggested citation: CDC. COVID-19: U.S. Impact on Antimicrobial Resistance, Special Report 2022. Atlanta, GA: U.S. Department of Health and Human Services, CDC; 2022. https://www.cdc.gov/drugresistance/covid19.html
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