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争取可信来源的支持以解决政策问题:以抗生素耐药性为例。

Enlisting the support of trusted sources to tackle policy problems: The case of antimicrobial resistance.

机构信息

School of Social and Political Sciences, Faculty of Arts, University of Melbourne, Victoria, Australia.

Institute for Social Science Research, University of Queensland, Queensland, Australia.

出版信息

PLoS One. 2019 Mar 21;14(3):e0212993. doi: 10.1371/journal.pone.0212993. eCollection 2019.

DOI:10.1371/journal.pone.0212993
PMID:30897112
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6428319/
Abstract

Antimicrobial resistance represents one of the world's most pressing public health problems. Governments around the world have-and will continue to-develop policy proposals to deal with this problem. However, the capacity of government will be constrained by very low levels of trust in government. This stands in contrast to 'medical scientists' who are highly trusted by the public. This article tests to what extent trusted sources can alter attitudes towards a policy proposal to regulate the use of antibiotics. We find that respondents are much more likely to support a policy put forward by 'medical scientists.' This article provides some initial evidence that medical scientists could be used to gain support for policies to tackle pressing policy challenges such as AMR.

摘要

抗菌药物耐药性是当今全球公共卫生领域面临的最紧迫问题之一。世界各国政府已经(并将继续)制定政策提案来应对这一问题。然而,政府的能力将受到公众对政府极低信任水平的限制。这与公众高度信任的“医学科学家”形成鲜明对比。本文旨在测试可信来源在多大程度上可以改变公众对规范抗生素使用的政策提案的态度。我们发现,受访者更有可能支持“医学科学家”提出的政策。本文提供了一些初步证据,表明可以利用医学科学家来争取公众对解决抗菌素耐药性等紧迫政策挑战的政策的支持。

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本文引用的文献

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The path of least resistance? Jurisdictions, responsibility and professional asymmetries in pharmacists' accounts of antibiotic decisions in hospitals.阻力最小的路径?医院药剂师对抗生素决策描述中的管辖权、责任与专业不对称
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7
Antimicrobial resistance and biological governance: explanations for policy failure.抗菌药物耐药性与生物治理:政策失败的解释。
Public Health. 2015 Oct;129(10):1314-25. doi: 10.1016/j.puhe.2015.08.012. Epub 2015 Oct 9.
8
Antibiotic resistance: a geopolitical issue.抗生素耐药性:一个地缘政治问题。
Clin Microbiol Infect. 2014 Oct;20(10):949-53. doi: 10.1111/1469-0691.12767.
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Cultures of resistance? A Bourdieusian analysis of doctors' antibiotic prescribing.抵抗文化?基于布迪厄理论的医生开抗生素行为分析
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Lancet Infect Dis. 2010 Jan;10(1):17-31. doi: 10.1016/S1473-3099(09)70305-6.