Mapping global policy discourse on antimicrobial resistance
Mapping global policy discourse on antimicrobial resistance
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DOI：
10.1136/bmjgh-2017-000378
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发表时间：
2017-03-01
影响因子：
8.1
通讯作者：
Pittet, Didier
中科院分区：
文献类型：
--
作者：
Wernli, Didier;Jorgensen, Peter S.;Pittet, Didier
抗菌素耐药性（AMR）对全球卫生议程的重要性日益增加，这与越来越多的缔约方表达了对该问题的关注有关。随着越来越多的建议和政策出现，理解政策过程需要理解每个参与者的观点、价值观、利益和目标。政策框架分析提供了一种方法来理解科学观点和全球卫生行动者倡导的应对AMR的行动。在这里，我们回顾和完善AMR的政策框架分析使用演绎的方法。在全球卫生领域以前定义的几个政策框架中，我们确定了“AMR作为医疗保健”，“AMR作为发展”，“AMR作为创新”和“AMR作为安全”作为处理AMR的常用框架。此外，我们发现“AMR作为一种健康”构成了最近的主题框架，旨在提供人类和动物健康之间的综合理解。每个框架都源于不同的科学领域，概念化AMR的主要原因，并优先考虑不同的干预措施和测量方法。更好地理解这些框架并将其纳入总体社会和生态框架，将有助于在应对AMR方面取得政策进展。
The rising importance of antimicrobial resistance (AMR) to the global health agenda is associated with a growing number of parties voicing their concern about the issue. With more recommendations and policies appearing, understanding the policy process requires making sense of the views, values, interests and goals of each participant. Policy frame analysis provides a method to understand both the scientific view and the actions advocated by global health actors to tackle AMR. Here we review and refine policy frame analyses of AMR using a deductive approach. Among several policy frames previously defined in the field of global health, we identify 'AMR as healthcare', 'AMR as development', 'AMR as innovation' and 'AMR as security' as frequent frames used in dealing with AMR. In addition, we found that 'AMR as One Health' constitutes a recent framing of the topic that seeks to provide an integrated understanding between human and animal health. Each frame originates in distinct scientific fields, conceptualises the main causes of AMR and prioritises different interventions and measurements. Better understanding and integration of these frames into an overarching social and ecological framework will support policy progress in tackling AMR.