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The effect of media attention on concern for and medical management of methicillin-resistant Staphylococcus aureus: a multimethod study.

机译:媒体关注对耐甲氧西林金黄色葡萄球菌的关注和药物治疗的影响:一项多方法研究。

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BACKGROUND: Reports of an increase in the incidence and severity of methicillin-resistant Staphylococcus aureus (MRSA) infections provoked widespread media attention in October 2007. This study attempted to determine whether this widespread media attention led to changes in physician practices related to skin infections. DESIGN: Data collection via LexisNexis, Central New York (CNY) microbiologic laboratory records, publicly available data on Internet search activity, and a survey of CNY healthcare providers allowed for examination of concurrent trends in media attention, public information-seeking behavior, and physician response. RESULTS: During the period of October 15-29, 2007, a roughly 10-fold increase in the number of newspaper and television news broadcasts mentioning "MRSA" and "staph" coincided with a six-to eightfold increase in Internet search activity for the terms "MRSA" and "staph" and a 79 percent increase in provider-reported patient concern with MRSA. In addition, providers reported more frequent orders for cultures and prescription of antibiotics since then. Practices serving urban or low socioeconomic status patients tended to see less MRSA-related concern and activity, indicating a potential disparity in penetration of MRSA information into different populations. CONCLUSIONS: Increased media coverage of MRSA coincided with increased public information-seeking behavior. Self-reported survey data demonstrate that this period was associated with a change in healthcare provider practice, and a concomitant twofold increase in the number of outpatient skin and soft tissue cultures reinforces this link. However, increased public attention appears not to have penetrated urban, less-affluent areas, raising questions about how quickly healthcare information penetrates different patient populations.
机译:背景:2007年10月,耐甲氧西林金黄色葡萄球菌(MRSA)感染的发生率和严重性增加的报道引起了媒体的广泛关注。该研究试图确定这种广泛的媒体关注是否导致了与皮肤感染有关的医师行为的变化。设计:通过纽约中部的LexisNexis微生物实验室记录收集数据,有关互联网搜索活动的公开数据以及对CNY卫生保健提供者的调查,可以检查媒体关注度,公共信息寻求行为和医师的并发趋势。响应。结果:在2007年10月15日至29日期间,提及“ MRSA”和“ staph”的报纸和电视新闻广播的数量大约增长了10倍,与此同时,互联网搜索活动的增长了6到8倍术语“ MRSA”和“ staph”,以及提供者报告的患者对MRSA的关注增加了79%。此外,从那时起,医疗服务提供者报告了更频繁的抗生素订购和抗生素订单。为城市或社会经济地位低下的患者提供服务的做法往往较少看到与MRSA相关的关注和活动,这表明在将MRSA信息渗透到不同人群中的潜在差异。结论:MRSA的媒体报道增加与公共信息寻求行为增加。自我报告的调查数据表明,这一时期与医疗服务提供者实践的变化有关,门诊皮肤和软组织培养物数量的两倍增加也加强了这种联系。但是,公众的关注似乎并未渗透到城市,人口较少的地区,这引发了有关医疗保健信息如何快速渗透到不同患者人群的问题。

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