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@article{Castro:2018:eurpub/cky128,
author = {Castro, Sanchez EM and Iwami, M and Ahmad, R and Atun, R and Holmes, A},
doi = {eurpub/cky128},
journal = {European Journal of Public Health},
title = {Articulating citizen participation in national antimicrobial resistance plans: a comparison of European countries},
url = {http://dx.doi.org/10.1093/eurpub/cky128},
year = {2018}
}

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TY - JOUR
AB - BackgroundNational 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.MethodsReview 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.ResultsCountries 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.ConclusionCitizen roles in AMR plans are not fully articulated. Documents could employ direct language to emphasise social or collective responsibilities in optimal antibiotic use.
AU - Castro,Sanchez EM
AU - Iwami,M
AU - Ahmad,R
AU - Atun,R
AU - Holmes,A
DO - eurpub/cky128
PY - 2018///
SN - 1101-1262
TI - Articulating citizen participation in national antimicrobial resistance plans: a comparison of European countries
T2 - European Journal of Public Health
UR - http://dx.doi.org/10.1093/eurpub/cky128
UR - http://hdl.handle.net/10044/1/61496
ER -

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