Evidence map›Paper›PMID 28665050›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2018

Assessing the public acceptability of proposed policy interventions to reduce the misuse of antibiotics in Australia: A report on two community juries.

Chris Degeling, Jane Johnson, Jon Iredell, Ky-Anh Nguyen, Jacqueline M Norris, John D Turnidge, Angus Dawson, Stacy M Carter, Gwendolyn L Gilbert

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Developing and applying a deductive coding framework to assess the goals of Citizen/Community Jury deliberations.Health expectations : an international journal of public participation in health care and health policy · 2019
    Article
  8. An Australian community jury to consider case-finding for dementia: Differences between informed community preferences and general practice guidelines.Health expectations : an international journal of public participation in health care and health policy · 2019
    Article
  9. Article
  10. Assessing the public acceptability of proposed policy interventions to reduce the misuse of antibiotics in Australia: A report on two community juries.Health expectations : an international journal of public participation in health care and health policy · 2018
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Chris DegelingCentre for Values, Ethics and the Law in Medicine, School of Public Health, University of Sydney, Sydney, NSW, Australia.ORCID 0000-0003-4279-3443
Jane JohnsonCentre for Values, Ethics and the Law in Medicine, School of Public Health, University of Sydney, Sydney, NSW, Australia.
Jon IredellMarie Bashir Institute for Infectious Disease and Biosecurity, University of Sydney, Sydney, NSW, Australia.
Ky-Anh NguyenInstitute of Dental Research, Westmead Centre for Oral Health and Westmead Institute for Medical Research, Sydney, NSW, Australia.
Jacqueline M NorrisFaculty of Science, Sydney School of Veterinary Science, University of Sydney, Sydney, NSW, Australia.
John D TurnidgeDepartments of Pathology, and Molecular and Cellular Biology, University of Adelaide, Adelaide, SA, Australia.
Angus DawsonCentre for Values, Ethics and the Law in Medicine, School of Public Health, University of Sydney, Sydney, NSW, Australia.
Stacy M CarterCentre for Values, Ethics and the Law in Medicine, School of Public Health, University of Sydney, Sydney, NSW, Australia.
Gwendolyn L GilbertCentre for Values, Ethics and the Law in Medicine, School of Public Health, University of Sydney, Sydney, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo elicit the views of well-informed community members on the acceptability of proposed policy interventions designed to improve community use of antibiotics in Australia.

designTwo community juries held in 2016. SETTING AND

participantsWestern 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 measureJury verdict and rationale in response to a prioritization task and structured questions.

resultsBoth 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.

conclusionThese 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.

Indexed as

Decision MakingDrug Resistance, MicrobialHealth PolicyPublic OpinionAustraliaCommunity ParticipationFemaleHealth PersonnelHumansInappropriate PrescribingMaleMiddle AgedVeterinariansantimicrobial resistancedeliberative methodshealth policyone healthprimary health care

Identifiers

PMID28665050
PMCPMC5750737

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.