Evidence map›Paper›PMID 35775460›Full record

ArticleHealth policy and planning2022

Unpacking multi-level governance of antimicrobial resistance policies: the case of Guangdong, China.

Olivia Sinn Kay Chan, Didier Wernli, Ping Liu, Hein Min Tun, Keiji Fukuda, Wendy Lam, YongHong Xiao, Xudong Zhou, Karen A Grépin

Open access · hybridAbstract read
In one paragraph

Article in Health policy and planning, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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 at 3 institutions in 3 countries.

Olivia Sinn Kay ChanThe University of Hong Kong School of Public Health, 7 Sassoon Road, Pokfulam, Hong Kong SAR, China.ORCID 0000-0003-1684-8105
Didier WernliGeneva Transformative Governance Lab, Global Studies Institute, University of Geneva, Geneva, Switzerland.
Ping LiuThe University of Hong Kong School of Public Health, 7 Sassoon Road, Pokfulam, Hong Kong SAR, China.
Hein Min TunThe University of Hong Kong School of Public Health, 7 Sassoon Road, Pokfulam, Hong Kong SAR, China.ORCID 0000-0001-7597-5062
Keiji FukudaThe University of Hong Kong School of Public Health, 7 Sassoon Road, Pokfulam, Hong Kong SAR, China.
Wendy LamThe University of Hong Kong School of Public Health, 7 Sassoon Road, Pokfulam, Hong Kong SAR, China.
YongHong XiaoState Key Laboratory for Diagnosis & Treatment of Infectious Diseases, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 300013, China.
Xudong ZhouInstitute for Social Medicine, Zhejiang University School of Medicine, Hangzhou 310058, China.
Karen A GrépinThe University of Hong Kong School of Public Health, 7 Sassoon Road, Pokfulam, Hong Kong SAR, China.
University of Hong Kong · HKZhejiang University · CNUniversity of Geneva · CH

Funding

National Natural Science Foundation of China (NSFC)-Research Grant Council (RGC) Joint Research Scheme N_HKU740/19Policy Innovation and Co-ordination Office of the Hong Kong Special Administrative Region of China S2017.A8.005.17SResearch Impact Fund, University Grants Committee R7033-18FWellcome TrustWellcome Trust Grant Funding 219622/Z/19/Z
6 · The paper itself

Abstract

Against the backdrop of universal healthcare coverage and pre-existing policies on antimicrobial use, China has adopted a state-governed, multi-level, top-down policy governance approach around an antimicrobial resistance (AMR) national action plan (NAP). The Plan relies on tightening control over antimicrobial prescription and use in human and animal sectors. At the same time, medical doctors and veterinarians operate in an environment of high rates of infectious diseases, multi-drug resistance and poor livestock husbandry. In exploring the way that policy responsibilities are distributed, this study aims to describe how Guangdong as a province adopts national AMR policies in a tightly controlled public policy system and an economy with high disparity. We draw on an analysis of 225 AMR-relevant Chinese policy documents at the national and sub-national levels. We adopt a multi-level governance perspective and apply a temporal sequence framework to identify and analyse documents. To identify policy detail, we conducted keyword analysis using the Consolidated Framework for Implementation Research (CFIR) on policies that conserve antimicrobials. We also identify pre-existing medical and public policies associated with AMR. Our findings highlight the emphasis and policies around antimicrobial use regulation to address AMR in China.

Indexed as

Anti-Infective AgentsDrug Resistance, BacterialAnimalsAnti-Bacterial AgentsChinaHumansPolicyAnti-Bacterial AgentsAnti-Infective Agentsantimicrobial resistance policyAntimicrobial useinfectious disease preventionmulti-level governancenational and sub-national policies

Identifiers

PMID35775460
PMCPMC9558914
OpenAlexW4283755813

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.