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Review
. 2018 Feb 20:7:28.
doi: 10.1186/s13756-018-0321-5. eCollection 2018.

Comparison of governance approaches for the control of antimicrobial resistance: Analysis of three European countries

Gabriel Birgand  1 , Enrique Castro-Sánchez  1 , Sonja Hansen  2 , Petra Gastmeier  2 , Jean-Christophe Lucet  3   4   5 , Ewan Ferlie  6 , Alison Holmes  1 , Raheelah Ahmad  1
Affiliations
Review

Comparison of governance approaches for the control of antimicrobial resistance: Analysis of three European countries

Gabriel Birgand et al. Antimicrob Resist Infect Control. .

Abstract

Policy makers and governments are calling for coordination to address the crisis emerging from the ineffectiveness of current antibiotics and stagnated pipe-line of new ones - antimicrobial resistance (AMR). Wider contextual drivers and mechanisms are contributing to shifts in governance strategies in health care, but are national health system approaches aligned with strategies required to tackle antimicrobial resistance? This article provides an analysis of governance approaches within healthcare systems including: priority setting, performance monitoring and accountability for AMR prevention in three European countries: England, France and Germany. Advantages and unresolved issues from these different experiences are reported, concluding that mechanisms are needed to support partnerships between healthcare professionals and patients with democratized decision-making and accountability via collaboration. But along with this multi-stakeholder approach to governance, a balance between regulation and persuasion is needed.

Keywords: Antimicrobial resistance; Europe; Governance; Healthcare settings; Infection control.

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Conflict of interest statement

Not applicableNot applicableThe authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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