Evidence map›Paper›PMID 35203744›Full record

ReviewAntibiotics (Basel, Switzerland)2022

Antibiotic Stewardship in Retail Pharmacies and the Access-Excess Challenge in China: A Policy Review.

Tingting Zhang, Helen Lambert, Linhai Zhao, Rong Liu, Xingrong Shen, Debin Wang, Christie Cabral

Open access · goldAbstract readReview
In one paragraph

Review in Antibiotics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.9field-weighted citation impact, top 9% of its field
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

11 citing papers in PubMed, 20 citations in OpenAlex.

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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

7 authors at 2 institutions in 2 countries.

Tingting ZhangPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 2PN, UK.ORCID 0000-0002-2612-0014
Helen LambertPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 2PN, UK.ORCID 0000-0003-2506-6316
Linhai ZhaoSchool of Health Services Management, Anhui Medical University, Hefei 230032, China.
Rong LiuSchool of Health Services Management, Anhui Medical University, Hefei 230032, China.
Xingrong ShenSchool of Health Services Management, Anhui Medical University, Hefei 230032, China.
Debin WangSchool of Health Services Management, Anhui Medical University, Hefei 230032, China.
Christie CabralPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 2PN, UK.
Anhui Medical University · CNUniversity of Bristol · GB

Funding

Medical Research Council MR/P007546/1Medical Research Council MR/S013717/1National Natural Science Foundation of China 81861138049
6 · The paper itself

Abstract

In China, efforts to restrict excessive antibiotic consumption may prevent sufficient access to these life-saving drugs among the most deprived in society because of the weak primary health care system. This makes antibiotic stewardship in the retail pharmacy sector a particular challenge. We conducted an analysis to examinate policies on antibiotic sales in retail pharmacies in China and how tensions between 'excess' and 'access' are managed. The analysis was guided by the Walt and Gilson health policy analysis triangle to systematically analyse policies based on the content of policies, contexts, governance processes, and actors. Nine research studies and 25 documents identified from national and international sources were extracted, grouped into categories, and examined within and across records and categories. As of 2020, eight key policies have been introduced in China that focus on two areas: dispending prescribed medicines or antimicrobials with a prescription and having a licensed pharmacist present in the retail pharmacies, with approaches having changed over time. Inappropriate sales of antibiotics are still common in retail pharmacies, which can be linked to the lack of consistency and enforcement of published policies, the profit-driven nature of retail pharmacies, and the displacement of the demand for antibiotics from clinical into less regulated settings.

Indexed as

antibioticantimicrobial resistanceChinapharmacypolicy

Identifiers

PMID35203744
PMCPMC8868274
OpenAlexW4214579183

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.