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Articulating citizen participation in national antimicrobial resistance plans: a comparison of European countries

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Title: Articulating citizen participation in national antimicrobial resistance plans: a comparison of European countries
Authors: Castro Sanchez, EM
Iwami, M
Ahmad, R
Atun, R
Holmes, A
Item Type: Journal Article
Abstract: Background National action plans determine country responses to anti-microbial resistance (AMR). These plans include interventions aimed at citizens. As the language used in documents could persuade certain behaviours, we sought to assess the positioning and implied responsibilities of citizens in current European AMR plans. This understanding could lead to improved policies and interventions. Methods Review and comparison of national action plans for AMR (NAP-AMR) obtained from the European Centre for Disease Prevention and Control (plans from 28 European Union and four European Economic Area/European Free Trade Association countries), supplemented by European experts (June–September 2016). To capture geographical diversity, 11 countries were purposively sampled for content and discourse analyses using frameworks of lay participation in healthcare organization, delivery and decision-making. Results Countries were at different stages of NAP-AMR development (60% completed, 25% in-process, 9% no plan). The volume allocated to citizen roles in the plans ranged from 0.3 to 18%. The term ‘citizen’ was used by three countries, trailing behind ‘patients’ and ‘public’ (9/11), ‘general population’ (6/11) and ‘consumers’ (6/11). Increased citizen awareness about AMR was pursued by ∼2/3 plans. Supporting interventions included awareness campaigns (11/11), training/education (7/11) or materials during clinical encounters (4/11). Prevention of infection transmission or self-care behaviours were much less emphasized. Personal/individual and social/collective role perspectives seemed more frequently stimulated in Nordic countries. Conclusion Citizen roles in AMR plans are not fully articulated. Documents could employ direct language to emphasise social or collective responsibilities in optimal antibiotic use.
Issue Date: 4-Jul-2018
Date of Acceptance: 15-Jun-2018
URI: http://hdl.handle.net/10044/1/61496
DOI: https://dx.doi.org/10.1093/eurpub/cky128
ISSN: 1101-1262
Publisher: Oxford University Press (OUP)
Journal / Book Title: European Journal of Public Health
Copyright Statement: © The Author(s) 2018. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
Sponsor/Funder: Economic & Social Research Council (ESRC)
Funder's Grant Number: ES/M500562/1
Keywords: 1117 Public Health And Health Services
Public Health
Publication Status: Published online
Online Publication Date: 2018-07-04
Appears in Collections:Department of Medicine (up to 2019)