Show simple item record

dc.contributor.authorWesterling, R
dc.contributor.authorDaryani, A
dc.contributor.authorGershuni, O
dc.contributor.authorCzabanowska, K
dc.contributor.authorBrand, H
dc.contributor.authorErdsiek, F
dc.contributor.authorAksakal, T
dc.contributor.authorUner, S
dc.contributor.authorKaradag Caman, O
dc.contributor.authorOzcebe, H
dc.contributor.authorBrzoska, P
dc.date.accessioned2020-12-01T07:16:20Z
dc.date.available2020-12-01T07:16:20Z
dc.date.issued2020-11-11
dc.identifier.other33176820
dc.identifier.urihttp://hdl.handle.net/20.500.12591/343
dc.description.abstractBackground: Antimicrobial resistance is considered one of the major threats to global health. The emergence of resistant microorganisms is a consequence of irrational use of antibiotics. In Turkey, the consumption of antibiotics is relatively high and antibiotics are among the most commonly used drugs. However, Turkey has adopted new, more restrictive policies and regulations on antibiotics. In addition, Turkish migrants to EU countries, such as Germany, the Netherlands and Sweden, may encounter health systems that promote a more restrictive and rational antibiotic use. The objective of this paper was to explore the variation in implemented policies related to rational antibiotic use that citizens in Turkey and Turkish migrants in Germany, the Netherlands and Sweden are subjected to and to discuss the implications for the promotion of rational antibiotic use. Data were collected through focus groups and individual interviews with citizens, physicians and pharmacists in the four countries. In total, 130 respondents were interviewed. Content analysis was used. Results: Three relevant themes were identified: Implementation of regulations and recommendations, Access to antibiotics and Need for health communication. Irrational use of antibiotics was reported mainly in Turkey. While it had become less likely to get antibiotics without a prescription, non-prescribed antibiotics remained a problem in Turkey. In the three EU countries, there were also alternative ways of getting antibiotics. Low levels of knowledge about the rational antibiotic use were reported in Turkey, while there were several sources of information on this in the EU countries. Communication with and trust in physicians were considered to be important. There were also system barriers, such as lacking opportunities for physicians to manage care in accordance with current evidence in Turkey and factors limiting access to care in EU countries.en_US
dc.language.isoengen_US
dc.publisherTıp Fakültesien_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subjectAntibioticsen_US
dc.subjectAntimicrobial resistanceen_US
dc.subjectGermanyen_US
dc.subjectHealth policyen_US
dc.subjectHealth systemen_US
dc.subjectMigrantsen_US
dc.subjectQuality of careen_US
dc.subjectSwedenen_US
dc.subjectThe Netherlandsen_US
dc.subjectTurkeyen_US
dc.titlePromoting rational antibiotic use in Turkey and among Turkish migrants in Europe - implications of a qualitative study in four countries.en_US
dc.typeinfo:eu-repo/semantics/articleen_US
dc.contributor.departmentTemel Tıp Bilimlerien_US


Files in this item

Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record

info:eu-repo/semantics/openAccess
Except where otherwise noted, this item's license is described as info:eu-repo/semantics/openAccess