YORK UNIVERSITY, TORONTO, ONTARIO, CANADA.
J Law Med Ethics. 2022;50(S2):26-33. doi: 10.1017/jme.2022.76.
Global antimicrobial resistance (AMR) is currently governed by a decentralized regime complex composed of multiple institutions with overlapping and sometimes conflicting principles, norms, rules, and procedures. Such a decentralized regime complex provides certain advantages and disadvantages when compared to a centralized regime. A pandemic instrument can optimize the regime complex for AMR by leveraging the strengths of both centralization and decentralization. Existing climate treaties under the UNFCCC offer lessons for achieving this hybrid approach.
全球抗菌药物耐药性(AMR)目前由一个去中心化的制度体系所治理,该体系由多个机构组成,它们的原则、规范、规则和程序存在重叠和冲突。与集中化的制度体系相比,这种去中心化的制度体系具有一定的优势和劣势。大流行应对工具可以通过利用集中化和去中心化的优势,来优化 AMR 的制度体系。《联合国气候变化框架公约》下的现有气候条约为实现这种混合方法提供了经验教训。