Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/132289
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Type: | Journal article |
Title: | Assessing the public acceptability of proposed policy interventions to reduce the misuse of antibiotics in Australia: a report on two community juries |
Author: | Degeling, C. Johnson, J. Iredell, J. Nguyen, K. Norris, J. Turnidge, J. Dawson, A. Carter, S. Gilbert, G. |
Citation: | Health Expectations, 2018; 21(1):90-99 |
Publisher: | Wiley Online Library |
Issue Date: | 2018 |
ISSN: | 1369-6513 1369-7625 |
Statement of Responsibility: | Chris Degeling, Jane Johnson, Jon Iredell, Ky-Anh Nguyen, Jacqueline M. Norris, John D. Turnidge ... et al. |
Abstract: | Objective: To elicit the views of well-informed community members on the acceptability of proposed policy interventions designed to improve community use of antibiotics in Australia. Design: Two community juries held in 2016. Setting and participants: Western Sydney and Dubbo communities in NSW, Australia. Twenty-nine participants of diverse social and cultural backgrounds, mixed genders and ages recruited via public advertising: one jury was drawn from a large metropolitan setting; the other from a regional/rural setting. Main outcome measure: Jury verdict and rationale in response to a prioritization task and structured questions. Results: Both juries concluded that potential policy interventions to curb antibiotic misuse in the community should be directed towards: (i) ensuring that the public and prescribers were better educated about the dangers of antibiotic resistance; (ii) making community-based human and animal health-care practitioners accountable for their prescribing decisions. Patient-centred approaches such as delayed prescribing were seen as less acceptable than prescriber-centred approaches; both juries completely rejected any proposal to decrease consumer demand by increasing antibiotic prices. Conclusion: These informed citizens acknowledged the importance of raising public awareness of the risks, impacts and costs of antibiotic resistance and placed a high priority on increasing social and professional accountability through restrictive measures. Their overarching aim was that policy interventions should be directed towards creating collective actions and broad social support for changing antibiotic use through establishing and explaining the need for mechanisms to control and support better prescribing by practitioners, while not transferring the burdens, costs and risks of interventions to consumers. |
Keywords: | Antimicrobial resistance; deliberative methods; health policy; one health; primary health care |
Rights: | © 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
DOI: | 10.1111/hex.12589 |
Grant ID: | NHMRC http://purl.org/au-research/grants/nhmrc/1102962 http://purl.org/au-research/grants/nhmrc/1083079 http://purl.org/au-research/grants/nhmrc/1032963 |
Published version: | http://dx.doi.org/10.1111/hex.12589 |
Appears in Collections: | Public Health publications |
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hdl_132289.pdf | Published version | 293.07 kB | Adobe PDF | View/Open |
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